qualitative research manuscript example

18 Qualitative Research Examples

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Dr. Chris Drew is the founder of the Helpful Professor. He holds a PhD in education and has published over 20 articles in scholarly journals. He is the former editor of the Journal of Learning Development in Higher Education. [Image Descriptor: Photo of Chris]

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Qualitative research is an approach to scientific research that involves using observation to gather and analyze non-numerical, in-depth, and well-contextualized datasets.

It serves as an integral part of academic, professional, and even daily decision-making processes (Baxter & Jack, 2008).

Methods of qualitative research encompass a wide range of techniques, from in-depth personal encounters, like ethnographies (studying cultures in-depth) and autoethnographies (examining one’s own cultural experiences), to collection of diverse perspectives on topics through methods like interviewing focus groups (gatherings of individuals to discuss specific topics).

Qualitative Research Examples

1. ethnography.

Definition: Ethnography is a qualitative research design aimed at exploring cultural phenomena. Rooted in the discipline of anthropology , this research approach investigates the social interactions, behaviors, and perceptions within groups, communities, or organizations.

Ethnographic research is characterized by extended observation of the group, often through direct participation, in the participants’ environment. An ethnographer typically lives with the study group for extended periods, intricately observing their everyday lives (Khan, 2014).

It aims to present a complete, detailed and accurate picture of the observed social life, rituals, symbols, and values from the perspective of the study group.

Example of Ethnographic Research

Title: “ The Everyday Lives of Men: An Ethnographic Investigation of Young Adult Male Identity “

Citation: Evans, J. (2010). The Everyday Lives of Men: An Ethnographic Investigation of Young Adult Male Identity. Peter Lang.

Overview: This study by Evans (2010) provides a rich narrative of young adult male identity as experienced in everyday life. The author immersed himself among a group of young men, participating in their activities and cultivating a deep understanding of their lifestyle, values, and motivations. This research exemplified the ethnographic approach, revealing complexities of the subjects’ identities and societal roles, which could hardly be accessed through other qualitative research designs.

Read my Full Guide on Ethnography Here

2. Autoethnography

Definition: Autoethnography is an approach to qualitative research where the researcher uses their own personal experiences to extend the understanding of a certain group, culture, or setting. Essentially, it allows for the exploration of self within the context of social phenomena.

Unlike traditional ethnography, which focuses on the study of others, autoethnography turns the ethnographic gaze inward, allowing the researcher to use their personal experiences within a culture as rich qualitative data (Durham, 2019).

The objective is to critically appraise one’s personal experiences as they navigate and negotiate cultural, political, and social meanings. The researcher becomes both the observer and the participant, intertwining personal and cultural experiences in the research.

Example of Autoethnographic Research

Title: “ A Day In The Life Of An NHS Nurse “

Citation: Osben, J. (2019). A day in the life of a NHS nurse in 21st Century Britain: An auto-ethnography. The Journal of Autoethnography for Health & Social Care. 1(1).

Overview: This study presents an autoethnography of a day in the life of an NHS nurse (who, of course, is also the researcher). The author uses the research to achieve reflexivity, with the researcher concluding: “Scrutinising my practice and situating it within a wider contextual backdrop has compelled me to significantly increase my level of scrutiny into the driving forces that influence my practice.”

Read my Full Guide on Autoethnography Here

3. Semi-Structured Interviews

Definition: Semi-structured interviews stand as one of the most frequently used methods in qualitative research. These interviews are planned and utilize a set of pre-established questions, but also allow for the interviewer to steer the conversation in other directions based on the responses given by the interviewee.

In semi-structured interviews, the interviewer prepares a guide that outlines the focal points of the discussion. However, the interview is flexible, allowing for more in-depth probing if the interviewer deems it necessary (Qu, & Dumay, 2011). This style of interviewing strikes a balance between structured ones which might limit the discussion, and unstructured ones, which could lack focus.

Example of Semi-Structured Interview Research

Title: “ Factors influencing adherence to cancer treatment in older adults with cancer: a systematic review “

Citation: Puts, M., et al. (2014). Factors influencing adherence to cancer treatment in older adults with cancer: a systematic review. Annals of oncology, 25 (3), 564-577.

Overview: Puts et al. (2014) executed an extensive systematic review in which they conducted semi-structured interviews with older adults suffering from cancer to examine the factors influencing their adherence to cancer treatment. The findings suggested that various factors, including side effects, faith in healthcare professionals, and social support have substantial impacts on treatment adherence. This research demonstrates how semi-structured interviews can provide rich and profound insights into the subjective experiences of patients.

4. Focus Groups

Definition: Focus groups are a qualitative research method that involves organized discussion with a selected group of individuals to gain their perspectives on a specific concept, product, or phenomenon. Typically, these discussions are guided by a moderator.

During a focus group session, the moderator has a list of questions or topics to discuss, and participants are encouraged to interact with each other (Morgan, 2010). This interactivity can stimulate more information and provide a broader understanding of the issue under scrutiny. The open format allows participants to ask questions and respond freely, offering invaluable insights into attitudes, experiences, and group norms.

Example of Focus Group Research

Title: “ Perspectives of Older Adults on Aging Well: A Focus Group Study “

Citation: Halaweh, H., Dahlin-Ivanoff, S., Svantesson, U., & Willén, C. (2018). Perspectives of older adults on aging well: a focus group study. Journal of aging research .

Overview: This study aimed to explore what older adults (aged 60 years and older) perceived to be ‘aging well’. The researchers identified three major themes from their focus group interviews: a sense of well-being, having good physical health, and preserving good mental health. The findings highlight the importance of factors such as positive emotions, social engagement, physical activity, healthy eating habits, and maintaining independence in promoting aging well among older adults.

5. Phenomenology

Definition: Phenomenology, a qualitative research method, involves the examination of lived experiences to gain an in-depth understanding of the essence or underlying meanings of a phenomenon.

The focus of phenomenology lies in meticulously describing participants’ conscious experiences related to the chosen phenomenon (Padilla-Díaz, 2015).

In a phenomenological study, the researcher collects detailed, first-hand perspectives of the participants, typically via in-depth interviews, and then uses various strategies to interpret and structure these experiences, ultimately revealing essential themes (Creswell, 2013). This approach focuses on the perspective of individuals experiencing the phenomenon, seeking to explore, clarify, and understand the meanings they attach to those experiences.

Example of Phenomenology Research

Title: “ A phenomenological approach to experiences with technology: current state, promise, and future directions for research ”

Citation: Cilesiz, S. (2011). A phenomenological approach to experiences with technology: Current state, promise, and future directions for research. Educational Technology Research and Development, 59 , 487-510.

Overview: A phenomenological approach to experiences with technology by Sebnem Cilesiz represents a good starting point for formulating a phenomenological study. With its focus on the ‘essence of experience’, this piece presents methodological, reliability, validity, and data analysis techniques that phenomenologists use to explain how people experience technology in their everyday lives.

6. Grounded Theory

Definition: Grounded theory is a systematic methodology in qualitative research that typically applies inductive reasoning . The primary aim is to develop a theoretical explanation or framework for a process, action, or interaction grounded in, and arising from, empirical data (Birks & Mills, 2015).

In grounded theory, data collection and analysis work together in a recursive process. The researcher collects data, analyses it, and then collects more data based on the evolving understanding of the research context. This ongoing process continues until a comprehensive theory that represents the data and the associated phenomenon emerges – a point known as theoretical saturation (Charmaz, 2014).

Example of Grounded Theory Research

Title: “ Student Engagement in High School Classrooms from the Perspective of Flow Theory “

Citation: Shernoff, D. J., Csikszentmihalyi, M., Shneider, B., & Shernoff, E. S. (2003). Student engagement in high school classrooms from the perspective of flow theory. School Psychology Quarterly, 18 (2), 158–176.

Overview: Shernoff and colleagues (2003) used grounded theory to explore student engagement in high school classrooms. The researchers collected data through student self-reports, interviews, and observations. Key findings revealed that academic challenge, student autonomy, and teacher support emerged as the most significant factors influencing students’ engagement, demonstrating how grounded theory can illuminate complex dynamics within real-world contexts.

7. Narrative Research

Definition: Narrative research is a qualitative research method dedicated to storytelling and understanding how individuals experience the world. It focuses on studying an individual’s life and experiences as narrated by that individual (Polkinghorne, 2013).

In narrative research, the researcher collects data through methods such as interviews, observations , and document analysis. The emphasis is on the stories told by participants – narratives that reflect their experiences, thoughts, and feelings.

These stories are then interpreted by the researcher, who attempts to understand the meaning the participant attributes to these experiences (Josselson, 2011).

Example of Narrative Research

Title: “Narrative Structures and the Language of the Self”

Citation: McAdams, D. P., Josselson, R., & Lieblich, A. (2006). Identity and story: Creating self in narrative . American Psychological Association.

Overview: In this innovative study, McAdams et al. (2006) employed narrative research to explore how individuals construct their identities through the stories they tell about themselves. By examining personal narratives, the researchers discerned patterns associated with characters, motivations, conflicts, and resolutions, contributing valuable insights about the relationship between narrative and individual identity.

8. Case Study Research

Definition: Case study research is a qualitative research method that involves an in-depth investigation of a single instance or event: a case. These ‘cases’ can range from individuals, groups, or entities to specific projects, programs, or strategies (Creswell, 2013).

The case study method typically uses multiple sources of information for comprehensive contextual analysis. It aims to explore and understand the complexity and uniqueness of a particular case in a real-world context (Merriam & Tisdell, 2015). This investigation could result in a detailed description of the case, a process for its development, or an exploration of a related issue or problem.

Example of Case Study Research

Title: “ Teacher’s Role in Fostering Preschoolers’ Computational Thinking: An Exploratory Case Study “

Citation: Wang, X. C., Choi, Y., Benson, K., Eggleston, C., & Weber, D. (2021). Teacher’s role in fostering preschoolers’ computational thinking: An exploratory case study. Early Education and Development , 32 (1), 26-48.

Overview: This study investigates the role of teachers in promoting computational thinking skills in preschoolers. The study utilized a qualitative case study methodology to examine the computational thinking scaffolding strategies employed by a teacher interacting with three preschoolers in a small group setting. The findings highlight the importance of teachers’ guidance in fostering computational thinking practices such as problem reformulation/decomposition, systematic testing, and debugging.

Read about some Famous Case Studies in Psychology Here

9. Participant Observation

Definition: Participant observation has the researcher immerse themselves in a group or community setting to observe the behavior of its members. It is similar to ethnography, but generally, the researcher isn’t embedded for a long period of time.

The researcher, being a participant, engages in daily activities, interactions, and events as a way of conducting a detailed study of a particular social phenomenon (Kawulich, 2005).

The method involves long-term engagement in the field, maintaining detailed records of observed events, informal interviews, direct participation, and reflexivity. This approach allows for a holistic view of the participants’ lived experiences, behaviours, and interactions within their everyday environment (Dewalt, 2011).

Example of Participant Observation Research

Title: Conflict in the boardroom: a participant observation study of supervisory board dynamics

Citation: Heemskerk, E. M., Heemskerk, K., & Wats, M. M. (2017). Conflict in the boardroom: a participant observation study of supervisory board dynamics. Journal of Management & Governance , 21 , 233-263.

Overview: This study examined how conflicts within corporate boards affect their performance. The researchers used a participant observation method, where they actively engaged with 11 supervisory boards and observed their dynamics. They found that having a shared understanding of the board’s role called a common framework, improved performance by reducing relationship conflicts, encouraging task conflicts, and minimizing conflicts between the board and CEO.

10. Non-Participant Observation

Definition: Non-participant observation is a qualitative research method in which the researcher observes the phenomena of interest without actively participating in the situation, setting, or community being studied.

This method allows the researcher to maintain a position of distance, as they are solely an observer and not a participant in the activities being observed (Kawulich, 2005).

During non-participant observation, the researcher typically records field notes on the actions, interactions, and behaviors observed , focusing on specific aspects of the situation deemed relevant to the research question.

This could include verbal and nonverbal communication , activities, interactions, and environmental contexts (Angrosino, 2007). They could also use video or audio recordings or other methods to collect data.

Example of Non-Participant Observation Research

Title: Mental Health Nurses’ attitudes towards mental illness and recovery-oriented practice in acute inpatient psychiatric units: A non-participant observation study

Citation: Sreeram, A., Cross, W. M., & Townsin, L. (2023). Mental Health Nurses’ attitudes towards mental illness and recovery‐oriented practice in acute inpatient psychiatric units: A non‐participant observation study. International Journal of Mental Health Nursing .

Overview: This study investigated the attitudes of mental health nurses towards mental illness and recovery-oriented practice in acute inpatient psychiatric units. The researchers used a non-participant observation method, meaning they observed the nurses without directly participating in their activities. The findings shed light on the nurses’ perspectives and behaviors, providing valuable insights into their attitudes toward mental health and recovery-focused care in these settings.

11. Content Analysis

Definition: Content Analysis involves scrutinizing textual, visual, or spoken content to categorize and quantify information. The goal is to identify patterns, themes, biases, or other characteristics (Hsieh & Shannon, 2005).

Content Analysis is widely used in various disciplines for a multitude of purposes. Researchers typically use this method to distill large amounts of unstructured data, like interview transcripts, newspaper articles, or social media posts, into manageable and meaningful chunks.

When wielded appropriately, Content Analysis can illuminate the density and frequency of certain themes within a dataset, provide insights into how specific terms or concepts are applied contextually, and offer inferences about the meanings of their content and use (Duriau, Reger, & Pfarrer, 2007).

Example of Content Analysis

Title: Framing European politics: A content analysis of press and television news .

Citation: Semetko, H. A., & Valkenburg, P. M. (2000). Framing European politics: A content analysis of press and television news. Journal of Communication, 50 (2), 93-109.

Overview: This study analyzed press and television news articles about European politics using a method called content analysis. The researchers examined the prevalence of different “frames” in the news, which are ways of presenting information to shape audience perceptions. They found that the most common frames were attribution of responsibility, conflict, economic consequences, human interest, and morality.

Read my Full Guide on Content Analysis Here

12. Discourse Analysis

Definition: Discourse Analysis, a qualitative research method, interprets the meanings, functions, and coherence of certain languages in context.

Discourse analysis is typically understood through social constructionism, critical theory , and poststructuralism and used for understanding how language constructs social concepts (Cheek, 2004).

Discourse Analysis offers great breadth, providing tools to examine spoken or written language, often beyond the level of the sentence. It enables researchers to scrutinize how text and talk articulate social and political interactions and hierarchies.

Insight can be garnered from different conversations, institutional text, and media coverage to understand how topics are addressed or framed within a specific social context (Jorgensen & Phillips, 2002).

Example of Discourse Analysis

Title: The construction of teacher identities in educational policy documents: A critical discourse analysis

Citation: Thomas, S. (2005). The construction of teacher identities in educational policy documents: A critical discourse analysis. Critical Studies in Education, 46 (2), 25-44.

Overview: The author examines how an education policy in one state of Australia positions teacher professionalism and teacher identities. While there are competing discourses about professional identity, the policy framework privileges a  narrative that frames the ‘good’ teacher as one that accepts ever-tightening control and regulation over their professional practice.

Read my Full Guide on Discourse Analysis Here

13. Action Research

Definition: Action Research is a qualitative research technique that is employed to bring about change while simultaneously studying the process and results of that change.

This method involves a cyclical process of fact-finding, action, evaluation, and reflection (Greenwood & Levin, 2016).

Typically, Action Research is used in the fields of education, social sciences , and community development. The process isn’t just about resolving an issue but also developing knowledge that can be used in the future to address similar or related problems.

The researcher plays an active role in the research process, which is normally broken down into four steps: 

• developing a plan to improve what is currently being done
• implementing the plan
• observing the effects of the plan, and
• reflecting upon these effects (Smith, 2010).

Example of Action Research

Title: Using Digital Sandbox Gaming to Improve Creativity Within Boys’ Writing

Citation: Ellison, M., & Drew, C. (2020). Using digital sandbox gaming to improve creativity within boys’ writing. Journal of Research in Childhood Education , 34 (2), 277-287.

Overview: This was a research study one of my research students completed in his own classroom under my supervision. He implemented a digital game-based approach to literacy teaching with boys and interviewed his students to see if the use of games as stimuli for storytelling helped draw them into the learning experience.

Read my Full Guide on Action Research Here

14. Semiotic Analysis

Definition: Semiotic Analysis is a qualitative method of research that interprets signs and symbols in communication to understand sociocultural phenomena. It stems from semiotics, the study of signs and symbols and their use or interpretation (Chandler, 2017).

In a Semiotic Analysis, signs (anything that represents something else) are interpreted based on their significance and the role they play in representing ideas.

This type of research often involves the examination of images, sounds, and word choice to uncover the embedded sociocultural meanings. For example, an advertisement for a car might be studied to learn more about societal views on masculinity or success (Berger, 2010).

Example of Semiotic Research

Title: Shielding the learned body: a semiotic analysis of school badges in New South Wales, Australia

Citation: Symes, C. (2023). Shielding the learned body: a semiotic analysis of school badges in New South Wales, Australia. Semiotica , 2023 (250), 167-190.

Overview: This study examines school badges in New South Wales, Australia, and explores their significance through a semiotic analysis. The badges, which are part of the school’s visual identity, are seen as symbolic representations that convey meanings. The analysis reveals that these badges often draw on heraldic models, incorporating elements like colors, names, motifs, and mottoes that reflect local culture and history, thus connecting students to their national identity. Additionally, the study highlights how some schools have shifted from traditional badges to modern logos and slogans, reflecting a more business-oriented approach.

15. Qualitative Longitudinal Studies

Definition: Qualitative Longitudinal Studies are a research method that involves repeated observation of the same items over an extended period of time.

Unlike a snapshot perspective, this method aims to piece together individual histories and examine the influences and impacts of change (Neale, 2019).

Qualitative Longitudinal Studies provide an in-depth understanding of change as it happens, including changes in people’s lives, their perceptions, and their behaviors.

For instance, this method could be used to follow a group of students through their schooling years to understand the evolution of their learning behaviors and attitudes towards education (Saldaña, 2003).

Example of Qualitative Longitudinal Research

Title: Patient and caregiver perspectives on managing pain in advanced cancer: a qualitative longitudinal study

Citation: Hackett, J., Godfrey, M., & Bennett, M. I. (2016). Patient and caregiver perspectives on managing pain in advanced cancer: a qualitative longitudinal study.  Palliative medicine ,  30 (8), 711-719.

Overview: This article examines how patients and their caregivers manage pain in advanced cancer through a qualitative longitudinal study. The researchers interviewed patients and caregivers at two different time points and collected audio diaries to gain insights into their experiences, making this study longitudinal.

Read my Full Guide on Longitudinal Research Here

16. Open-Ended Surveys

Definition: Open-Ended Surveys are a type of qualitative research method where respondents provide answers in their own words. Unlike closed-ended surveys, which limit responses to predefined options, open-ended surveys allow for expansive and unsolicited explanations (Fink, 2013).

Open-ended surveys are commonly used in a range of fields, from market research to social studies. As they don’t force respondents into predefined response categories, these surveys help to draw out rich, detailed data that might uncover new variables or ideas.

For example, an open-ended survey might be used to understand customer opinions about a new product or service (Lavrakas, 2008).

Contrast this to a quantitative closed-ended survey, like a Likert scale, which could theoretically help us to come up with generalizable data but is restricted by the questions on the questionnaire, meaning new and surprising data and insights can’t emerge from the survey results in the same way.

Example of Open-Ended Survey Research

Title: Advantages and disadvantages of technology in relationships: Findings from an open-ended survey

Citation: Hertlein, K. M., & Ancheta, K. (2014). Advantages and disadvantages of technology in relationships: Findings from an open-ended survey.  The Qualitative Report ,  19 (11), 1-11.

Overview: This article examines the advantages and disadvantages of technology in couple relationships through an open-ended survey method. Researchers analyzed responses from 410 undergraduate students to understand how technology affects relationships. They found that technology can contribute to relationship development, management, and enhancement, but it can also create challenges such as distancing, lack of clarity, and impaired trust.

17. Naturalistic Observation

Definition: Naturalistic Observation is a type of qualitative research method that involves observing individuals in their natural environments without interference or manipulation by the researcher.

Naturalistic observation is often used when conducting research on behaviors that cannot be controlled or manipulated in a laboratory setting (Kawulich, 2005).

It is frequently used in the fields of psychology, sociology, and anthropology. For instance, to understand the social dynamics in a schoolyard, a researcher could spend time observing the children interact during their recess, noting their behaviors, interactions, and conflicts without imposing their presence on the children’s activities (Forsyth, 2010).

Example of Naturalistic Observation Research

Title: Dispositional mindfulness in daily life: A naturalistic observation study

Citation: Kaplan, D. M., Raison, C. L., Milek, A., Tackman, A. M., Pace, T. W., & Mehl, M. R. (2018). Dispositional mindfulness in daily life: A naturalistic observation study. PloS one , 13 (11), e0206029.

Overview: In this study, researchers conducted two studies: one exploring assumptions about mindfulness and behavior, and the other using naturalistic observation to examine actual behavioral manifestations of mindfulness. They found that trait mindfulness is associated with a heightened perceptual focus in conversations, suggesting that being mindful is expressed primarily through sharpened attention rather than observable behavioral or social differences.

Read my Full Guide on Naturalistic Observation Here

18. Photo-Elicitation

Definition: Photo-elicitation utilizes photographs as a means to trigger discussions and evoke responses during interviews. This strategy aids in bringing out topics of discussion that may not emerge through verbal prompting alone (Harper, 2002).

Traditionally, Photo-Elicitation has been useful in various fields such as education, psychology, and sociology. The method involves the researcher or participants taking photographs, which are then used as prompts for discussion.

For instance, a researcher studying urban environmental issues might invite participants to photograph areas in their neighborhood that they perceive as environmentally detrimental, and then discuss each photo in depth (Clark-Ibáñez, 2004).

Example of Photo-Elicitation Research

Title: Early adolescent food routines: A photo-elicitation study

Citation: Green, E. M., Spivak, C., & Dollahite, J. S. (2021). Early adolescent food routines: A photo-elicitation study. Appetite, 158 .

Overview: This study focused on early adolescents (ages 10-14) and their food routines. Researchers conducted in-depth interviews using a photo-elicitation approach, where participants took photos related to their food choices and experiences. Through analysis, the study identified various routines and three main themes: family, settings, and meals/foods consumed, revealing how early adolescents view and are influenced by their eating routines.

Features of Qualitative Research

Qualitative research is a research method focused on understanding the meaning individuals or groups attribute to a social or human problem (Creswell, 2013).

Some key features of this method include:

• Naturalistic Inquiry: Qualitative research happens in the natural setting of the phenomena, aiming to understand “real world” situations (Patton, 2015). This immersion in the field or subject allows the researcher to gather a deep understanding of the subject matter.
• Emphasis on Process: It aims to understand how events unfold over time rather than focusing solely on outcomes (Merriam & Tisdell, 2015). The process-oriented nature of qualitative research allows researchers to investigate sequences, timing, and changes.
• Interpretive: It involves interpreting and making sense of phenomena in terms of the meanings people assign to them (Denzin & Lincoln, 2011). This interpretive element allows for rich, nuanced insights into human behavior and experiences.
• Holistic Perspective: Qualitative research seeks to understand the whole phenomenon rather than focusing on individual components (Creswell, 2013). It emphasizes the complex interplay of factors, providing a richer, more nuanced view of the research subject.
• Prioritizes Depth over Breadth: Qualitative research favors depth of understanding over breadth, typically involving a smaller but more focused sample size (Hennink, Hutter, & Bailey, 2020). This enables detailed exploration of the phenomena of interest, often leading to rich and complex data.

Qualitative vs Quantitative Research

Qualitative research centers on exploring and understanding the meaning individuals or groups attribute to a social or human problem (Creswell, 2013).

It involves an in-depth approach to the subject matter, aiming to capture the richness and complexity of human experience.

Examples include conducting interviews, observing behaviors, or analyzing text and images.

There are strengths inherent in this approach. In its focus on understanding subjective experiences and interpretations, qualitative research can yield rich and detailed data that quantitative research may overlook (Denzin & Lincoln, 2011).

Additionally, qualitative research is adaptive, allowing the researcher to respond to new directions and insights as they emerge during the research process.

However, there are also limitations. Because of the interpretive nature of this research, findings may not be generalizable to a broader population (Marshall & Rossman, 2014). Well-designed quantitative research, on the other hand, can be generalizable.

Moreover, the reliability and validity of qualitative data can be challenging to establish due to its subjective nature, unlike quantitative research, which is ideally more objective.

Compare Qualitative and Quantitative Research Methodologies in This Guide Here

In conclusion, qualitative research methods provide distinctive ways to explore social phenomena and understand nuances that quantitative approaches might overlook. Each method, from Ethnography to Photo-Elicitation, presents its strengths and weaknesses but they all offer valuable means of investigating complex, real-world situations. The goal for the researcher is not to find a definitive tool, but to employ the method best suited for their research questions and the context at hand (Almalki, 2016). Above all, these methods underscore the richness of human experience and deepen our understanding of the world around us.

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Navigating the qualitative manuscript writing process: some tips for authors and reviewers

Chris roberts, koshila kumar, gabrielle finn.

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Collection date 2020.

Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ . The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/ ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

Qualitative research explores the ‘black box’ of how phenomena are constituted. Such research can provide rich and diverse insights about social practices and individual experiences across the continuum of undergraduate, postgraduate and continuing education, sectors and contexts. Qualitative research can yield unique data that can complement the numbers generated in quantitative research, [ 1 ] by answering “how” and “why” research questions. As you will notice in this paper, qualitative research is underpinned by specific philosophical assumptions, quality criteria and has a lexicon or a language specific to it.

A simple search of BMC Medical Education suggests that there are over 800 papers that employ qualitative methods either on their own or as part of a mixed methods study to evaluate various phenomena. This represents a considerable investment in time and effort for both researchers and reviewers. This paper is aimed at maximising this investment by helping early career researchers (ECRs) and reviewers new to the qualitative research field become familiar with quality criteria in qualitative research and how these can be applied in the qualitative manuscript writing process. Fortunately, there are numerous guidelines for both authors and for reviewers of qualitative research, including practical “how to” checklists [ 2 , 3 ]. These checklists can be valuable tools to confirm the essential elements of a qualitative study for early career researchers (ECRs). Our advice in this article is not intended to replace such “how to” guidance. Rather, the suggestions we make are intended to help ECRs increase their likelihood of getting published and reviewers to make informed decisions about the quality of qualitative research being submitted for publication in BMC Medical Education. Our advice is themed around long-established criteria for the quality of qualitative research developed by Lincoln and Guba [ 4 ]. (see Table  1 ) Each quality criterion outlined in Table 1 is further expanded in Table  2 in the form of several practical steps pertinent to the process of writing up qualitative research.

Five key criteria for the quality of qualitative research (adapted from Lincoln and Guba, 1995)

Practical steps in preparing qualitative research manuscripts

As a general starting point, the early career writer is advised to consult previously published qualitative papers in the journal to identify the genre (style) and relative emphasis of different components of the research paper. Patton [ 5 ] advises researchers to “FOCUS! FOCUS! FOCUS!” in deciding which components to include in the paper, highlighting the need to exclude side topics that add little to the narrative and reduce the cognitive load for readers and reviewers alike. Authors are also advised to do significant re-writing, rephrasing, re-ordering of initial drafts, to remove faulty grammar, and addresses stylistic and structural problems [ 6 ]. They should be mindful of “the golden thread,” that is their central argument that holds together the literature review, the theoretical and conceptual framework, the research questions, methodology, the analysis and organisation of the data and the conclusions. Getting a draft reviewed by someone outside of the research/writing team is one practical strategy to ensure the manuscript is well presented and relates to the plausibility element.

The introduction of a qualitative paper can be seen as beginning a conversation. Lingard advises that in this conversation, authors need to persuade the reader and reviewer of the strength, originality and contributions of their work [ 7 ]. In constructing a persuasive rationale, ECRs need to clearly distinguish between the qualitative research phenomenon (i.e. the broad research issue or concept under investigation) and the research context (i.e. the local setting or situation) [ 5 ]. The introduction section needs to culminate in a qualitative research question/s. It is important that ECRs are aware that qualitative research questions need to be fine-tuned from their original state to reflect gaps in the literature review, the researcher/s’ philosophical stance, the theory used, or unexpected findings [ 8 ]. This links to the elements of plausibility and consistency outlined in Table 1 .

Also, in the introduction of a qualitative paper, ECRs need to explain the multiple “lenses” through which they have considered complex social phenomena; including the underpinning research paradigm and theory. A research paradigm reveals the researcher/s’ values and assumptions about research and relates to axiology (what do you value?), ontology (what is out there to know?) epistemology (what and how can you know it?), and methodology (how do you go about acquiring that knowledge?) [ 9 ] ECRs are advised to explicitly state their research paradigm and its underpinning assumptions. For example, Ommering et al., state “We established our research within an interpretivist paradigm, emphasizing the subjective nature in understanding human experiences and creation of reality.” [ 10 ] Theory refers to a set of concepts or a conceptual framework that helps the writer to move beyond description to ‘explaining, predicting, or prescribing responses, events, situations, conditions, or relationships.’ [ 11 ] Theory can provide comprehensive understandings at multiple levels, including: the macro or grand level of how societies work, the mid-range level of how organisations operate; and the micro level of how people interact [ 12 ]. Qualitative studies can involve theory application or theory development [ 5 ]. ECRs are advised to briefly summarise their theoretical lens and identify what it means to consider the research phenomenon, process, or concept being studied with that specific lens. For example, Kumar and Greenhill explain how the lens of workplace affordances enabled their paper to draw “attention to the contextual, personal and interactional factors that impact on how clinical educators integrate their educational knowledge and skills into the practice setting, and undertake their educational role.” [ 13 ] Ensuring that the elements of theory and research paradigm are explicit and aligned, enhances plausibility, consistency and transparency of qualitative research. The use of theory can also add to the currency of research by enabling a new lens to be cast on a research phenomenon, process, or concept and reveal something previously unknown or surprising.

Moving to the methods, methodology is a general approach to studying a research topic and establishes how one will go about studying any phenomenon. In contrast, methods are specific research techniques and in qualitative research, data collection methods might include observation or interviewing, or photo elicitation methods, while data analysis methods may include content analysis, narrative analysis, or discourse analysis to mention a few [ 8 ]. ECRs will need to ensure the philosophical assumptions, methodology and methods follow from the introduction of a manuscript and the research question/s, [ 3 ] and this enhances the consistency and transparency elements. Moreover, triangulation or the combining of multiple observers, theories, methods, and data sources, is vital to overcome the limitation of singular methods, lone analysts, and single-perspective theories or models [ 8 ]. ECRs should report on not only what was triangulated but also how it was performed, thereby enhancing the elements of plausibility and consistency. For example, Touchie et al., describe using three researchers, three different focus groups, and representation of three different participant cohorts to ensure triangulation [ 14 ]. When it comes to the analysis of qualitative data, ECRs may claim they have used a specific methodological approach (e.g. interpretative phenomenological approach or a grounded theory approach) whereas the analytical steps are more congruent with a more generalist approach, such as thematic analysis [ 15 ]. ECRs are advised that such methodological approaches are founded on a number of philosophical considerations which need to inform the framing and conduct of a study, not just the analysis process. Alignment between the methodology and the methods informs the consistency, transparency and plausibility elements.

Comprehensively describing the research context in a way that is understandable to an international audience helps to illuminate the specific ‘laboratory’ for the research, and how the processes applied or insights generated in this ‘laboratory’ can be adapted or translated to other contexts. This addresses the relevancy element. To further enhance plausibility and relevance, ECRs should situate their work clearly on the evaluation–research continuum. Although not a strictly qualitative research consideration, evaluation focuses mostly on understanding how specific local practices may have resulted in specific outcomes for learners. While evaluation is vital for quality assurance and improvement, research has a broader and strategic focus and rates more highly against the currency and relevancy criteria. ECRs are more likely to undertake evaluation studies aimed at demonstrating the impact and outcomes of an educational intervention in their local setting, consistent with level one of Kirkpatrick’s criteria [ 16 ]. For example, Palmer and colleagues explain that they aimed to “develop and evaluate a continuing medical education (CME) course aimed at improving healthcare provider knowledge” [ 17 ]. To be competitive for publication, evaluation studies need to (measure and) report on at least level two and above of Kirkpatrick’s criteria. Learning how to problematise and frame the investigation of a problem arising from practice as research, provides ECRs with an opportunity to adopt a more critical and scholarly stance.

Also, in the methods, ECRs may provide detail about the study context and participants but little in the way of personal reflexive statements. Unlike quantitative research which claims that knowledge is objective and seeks to remove subjective influences, qualitative research recognises that subjectivity is inherent and that the researcher is directly involved in interpreting and constructing meanings [ 8 ]. For example, Bindels and colleagues provide a clear and concise description about their own backgrounds making their ‘lens’ explicit and enabling the reader to understand the multiple perspectives that have informed their research process [ 18 ]. Therefore, a clear description of the researcher/s position and relationship to the research phenomenon, context and participants, is vital for transparency, relevance and plausibility. We three are all experienced qualitative researchers, writers, reviewers and are associate editors for BMC Medical Education. We are situated in this research landscape as consumers, architects, and arbiters and we engage in these roles in collaboration with others. This provides a useful vantage point from which to provide commentary on key elements which can cause frustration for would-be authors and reviewers of qualitative research papers [ 19 ].

In the discussion of a qualitative paper, ECRs are encouraged to make detailed comments about the contributions of their research and whether these reinforce, extend, or challenge existing understandings based on an analysis that is theoretically or socially significant [ 20 ]. As an example, Barratt et al., found important data to inform the training of medical interns in the use of personal protective equipment during the COVID 19 pandemic [ 21 ]. ECRs are also expected to address the “so what” question which relates to the the consequence of findings for policy, practice and theory. Authors will need to explicitly outline the practical, theoretical or methodological implications of the study findings in a way that is actionable, thereby enhancing relevance and plausibility. For example, Burgess et al., presented their discussion according to four themes and outlined associated implications for individuals and institutions [ 22 ]. A balanced view of the research can be presented by ensuring there is congruence between the data and the claims made and searching the data and/or literature for evidence that disconfirms the findings. ECRs will also need to put forward the sources of uncertainty (rather than limitations) in their research and argue what these may mean for the interpretations made and how the contributions to knowledge could be adopted by others in different contexts [ 23 ]. This links to the plausibility and transparency elements.

In conclusion

Qualitative research is underpinned by specific philosophical assumptions, quality criteria and a lexicon, which ECRs and reviewers need to be mindful of as they navigate the qualitative manuscript writing and reviewing processes. We hope that the guidance provided here is helpful for ECRs in preparing submissions and for reviewers in making informed decisions and providing quality feedback.

Authors’ contributions

CR and KK wrote the first draft. All three authors contributed to severally revising the manuscript. The author(s) read and approved the final manuscript.

Competing interests

The authors declare they have no competing interests.

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

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31 Writing Up Qualitative Research

Jane F. Gilgun, School of Social Work, University of Minnesota, Twin Cities

• Published: 04 August 2014
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This chapter provides guidelines for writing journal articles based on qualitative approaches. The guidelines are part of the tradition of the Chicago School of Sociology and the author’s experience as a writer and reviewer. The guidelines include understanding experiences in context, immersion, interpretations grounded in accounts of informants’ lived experiences, and research as action-oriented. The chapter also covers writing articles that report findings based on ethnographies, autoethnographies, performances, poetry, and photography and other graphic media.

How researchers write up results for journal publications depends on the purposes of the research and the methodologies they use. Some topics are standard, such as statements about methods and methodologies, but how to represent other topics, like related research and theory, reflexivity, and informants’ accounts, may vary. For example, articles based on ethnographic research may be structured differently from writing up research whose purpose is theory development. Journal editors and reviewers often are familiar with variations in style of write-ups, but, when they are not, they may ask for modifications that violate the methodological principles of the research. A common reviewer request is for percentages, which has little meaning in almost all forms of qualitative research because the purpose of the research is to identify patterns of meanings and not distributions of variables. For example, Irvine’s (2013) ethnography of the meanings of pets to homeless people shows a variety of meaning without giving the number of participants from which she drew.

Authors sometimes move easily through the review process, but most often they do not, not only because reviewers might not “get it,” but also because authors have left out, underemphasized, or been less than clear about aspects of their research that reviewers and editors believe are important. Working with editors and reviewers frequently results in improved articles.

The purpose of this chapter is to provide guidelines for writing journal articles based on qualitative approaches. My intended audience is composed of researchers, reviewers for journals, and journal editors. Reviewers for funding agencies may also find this chapter useful. I use the terms “journal article” and “research report” as synonyms, even though some journal articles are not reports of research. I have derived the guidelines from ideas associated with the Chicago School of Sociology and my experience as an author and reviewer. Although the Chicago School was, as Becker (1999) wrote, “open to various ways of doing sociology” (p. 10), the ideas in this chapter are part of the tradition, but they are not representative of the entire tradition. Furthermore, the ideas are not fixed but are open-ended because they evolve over time. I have followed the principles of the Chicago School of Sociology throughout my career, augmented by updates to these ideas, experiments with other traditions, and the sense I make of my own experiences as researcher, author, and reviewer.

The ideas on which I draw include understanding experiences in context, immersion, interpretations grounded in accounts of informants’ lived experiences, and research as action-oriented ( Bulmer, 1984 ; Faris, 1967 ; Gilgun, 1999 d ; 2005 a ; 2012 a ; 2013 b ). To follow these principles, researchers do in-depth studies that take into account the multiple contextual factors that influence meanings and interpretations, seek multiple points of view, and often use multiple methods such as interviews, observations, and document analysis. Researchers do this style of research not only because what they learn is interesting, but because they want to do useful research; that is, research that leads to social actions and even transformations in policies, programs, and interventions. Authors and reviewers pay attention to these principles. Authors convey them in their write-ups, and reviewers look for them as they develop their appraisals.

Excellent writing up of qualitative research matches these principles. In other words, write-ups convey lived experience within multiple contexts, multiple points of view, and analyses that deepen understandings. In addition, if the research is applied, then authors write about how findings may contribute to quality of life. Qualitative researchers from other traditions may follow similar or different guidelines in their write-ups, and I sometimes note other styles of write-ups. Often these variations are related to terminology and not procedures. The reach of the Chicago School of Sociology is wide and deep.

Following these guidelines does not guarantee an easy review process, but this article will be helpful to researchers as they plan and craft their articles and as they respond to reviewers’ and editors’ comments. After almost thirty years of publishing research based on qualitative approaches, almost as many years as a reviewer, and the editing of three collections of qualitative research reports ( Gilgun, Daly, & Handel, 1992 ; Gilgun & Sussman, 1996 : Gilgun & Sands, 2012 ), I am positioned to offer helpful guidelines, not only to authors but also to reviewers and journal editors.

I begin this chapter with a discussion of general principles and then cover the content of typical sections of research reports. Some of the general material fits into various sections of reports, such as methods and findings. In those cases, I do not repeat material already covered and assume that my writing is clear enough so that readers know how the general material fits into particular sections of articles.

Although most of this chapter addresses the writing of conventional research reports, I also cover writing articles that report findings through ethnographies, autoethnographies, performances, poetry, and photography and other graphic media. Ethnographies are based on researchers’ immersion in the field, where they do extensive observations, interviews, and often document analysis (see Block, 2012 ). Geertz’s (1973) notion of “thick description” is associated with ethnographies. Thick description is characterized by research reports that show the matrix of meanings that researchers identify and attempt to represent in their reports. Autoethnographies are in-depth reflective accounts of individual lives that the narrators themselves write ( Ellis, 2009 ). Ethnographies and autoethnographies involve reflections on meanings, contexts, and other wider influences on individual lives. They are studies of intersections of individual lives and wider cultural themes and practices. Reports of these types of research can look different from conventional research reports in that they appear less formal; the usual sections of methods, literature review, findings, and analysis may have different names; and the sections may be in places that fit the logical flow of the research and not the typical structure of introductory material, methods, results, and discussion. Despite these superficial differences, researchers who write these kinds of articles seek to deepen understandings and hope to move audiences to action through conveying lived experience in context and through multiple points of view. They also typically seek transformations of persons and societies. Links between these forms of research and Chicago School traditions are self-evident.

Some General Principles

Research reports that have these characteristics depend on the quality of the data on which the reports are based, the quality of the analysis, and the skills of researchers in conveying the analysis concisely and with “grab” ( Glaser, 1978 ), which means writing that is vivid and memorable ( Gilgun, 2005 b ). Grab brings findings to life. With grab, human experiences jump off the page. Priority is given to the voices of research participants, whom I call informants, with citations and the wisdom of other researchers providing important contextual information. The voices and analyses of researchers do not dominate ( Gilgun, 2005 c ), except in some articles whose purpose is theory development or the presentation of a theory. Researcher analyses often are important, especially in putting forth social action recommendations that stem from the experiences of informants.

A well-done report shows consistency between research traditions and the writing-up of research. For example, reflexivity statements, writing with grab, and copious excerpts from fieldnotes, interviews, and documents of various sorts are consistent with phenomenological approaches whose emphasis is on lived experience and interpretations that informants make of their experiences. Researchers new to qualitative research, however, often mix their traditions without realizing it, which works when the traditions are compatible. When the traditions are not compatible, the write-ups can be confusing and even contradictory ( Gilgun, 2005 d ). Some authors may write in distanced, third-person styles while attempting to convey informants’ lived experiences. These scholars may, therefore, have difficulty getting their articles accepted. Hopefully, this chapter will facilitate the writing of research reports that show consistency across their many parts and save scholars from rejections of work over which they have taken much care.

Details on These General Principles

In this section, I provide more detail on writing up qualitative research. I begin with a discussion of the need for high-quality data, high-quality analysis, and grab. I then move on to the details of the report, such as the place of prior research and theory, contents of methods sections, organization of findings, and the balance between descriptive material and authors’ interpretations. Dilemmas abound. Writing up qualitative research is not for the faint of heart.

High-Quality Data

Since qualitative researchers seek to understand the subjective experiences of research informants in various contexts, high-quality data result in large part from the degree that researchers practice immersion and to the degree that both researchers and informants develop rapport and engage with each other. Through active engagement, informants share their experiences with the kind of detail that brings their experiences to life. How to develop rapport is beyond the scope of this article, but openness and acceptance of whatever informants say are fundamental to engagement. Interviewers do not have to agree with the values that informants’ accounts convey, as when I interview murderers and rapists ( Gilgun, 2008 ), but we do maintain a neutrality that allows the dialogue to continue ( Gilgun & Anderson, 2013 ). The content of interviews is not about us and our preferences, but about understanding informants.

Prolonged engagement can result in quality data. In interview research, prolonged engagement allows for informants’ multiple perspectives to emerge, including inconsistencies, contradictions, ambiguities, and ambivalences. In addition, prolonged engagement facilitates the kind of trust needed for informants to share personal, sensitive information in detail, which are the kinds of data that qualitative researchers seek. Prolonged engagement also gives researchers time to reflect on what they are learning and experiencing through the interviews. This provides opportunities to develop new understandings and test new understandings through subsequent research. Their understandings thus deepen and broaden. Informants, too, can reflect, reconsider, and deepen the accounts they share.

Prolonged engagement means in-depth interviews, typically multiple interviews of more than an hour each. As mentioned earlier, time between interviews allows researchers and informants to reflect on the previous interview and prepare for the next. Researchers can do background reading, discuss emerging ideas with others, and formulate pertinent new questions. Informants may retrieve long-forgotten memories and interpretations through interviews. If they have only one interview, they have no opportunity to share with researchers the material that arises after the single interview is concluded.

There are exceptions to multiple interviews as necessary for immersion and high-quality data. When researchers have expertise in interviewing and when the topic is focused, one interview of between ninety minutes to two hours could provide some depth. Even under these conditions, however, more than one interview is ideal. I did a study that involved one ninety-minute interview with perpetrators of child sexual abuse in order to understand the circumstances under which their abusive behaviors became known to law enforcement. Thus, the interview was focused. The interviewees were volunteers who had talked about the topic many times in the course of their involvement in sex abuse treatment programs. They shared their stories with depth and breadth. I, too, was well-prepared. By then, I had had about twenty-five years of experience interviewing people about personal, sensitive topics. The informants provided accounts not only because the topic was focused, but because they were willing to share and I was willing to listen and to ask questions about their sexually abusive behaviors. With one interview, however, I knew relatively little about their social histories and general worldviews. Thus, I did not have the specifics necessary to place their accounts into context. The material they provided remained valuable and resulted in one publication ( Sharma & Gilgun, 2008 ) and others in planning stages. I prefer two or more interviews because of the importance of contextual data.

In observational studies, prolonged engagement means that researchers do multiple observations over time to obtain the nuances and details that compose human actions. Observational studies often have interview components and also may have document analysis as well. In document analysis, prolonged engagement means researchers base their analyses on an ample storehouse of documents and not just flit in and out of the documents. The quality of document analysis depends on whether the analysis shows multiple perspectives, patterns, and variations within patterns. Ethnographies have these characteristics. Block’s (2012) ethnographic research on AIDS orphans in Lesotho, Africa, is an example of a well-done ethnography.

Sample Size

In principle, the size of the sample and the depth of the interview affect whether researchers can claim immersion. The more depth and breadth each case in a study has, the smaller the sample size can be. For example, researchers can engage in immersion through a single in-depth case study when they do multiple interviews and if multiple facets of the case are examined. Case studies are investigations of single units. The case can be composed of an individual, a couple, a family, a group, a nation, or a region. Single case studies are useful in the illustration, development, and testing of theories, as well as in in-depth descriptions.

The more focused the questions, the larger the sample will be. A study on long-term marriage would require a minimum of two or three interviews because the topic is complicated. The sample would include at least ten participants and up to twenty or thirty, depending on the number of interviews, to account for some of the many patterns that are likely to emerge in a study of a topic this complex. In the one-interview study I did of how sexual abuse came to the notice of law enforcement, one interview was adequate because of the tight focus of the question. Yet, I used a sample size of thirty-two to maximize the possibility of identifying a variety of patterns, which the study accomplished. As mentioned, the one interview, however, did not allow me to contextualize the stories the informants told. Fortunately, I have another large sample that involved multiple, in-depth interviews in which informants discussed multiple contexts over time. This other study was helpful to me in understanding the accounts from the single-interview study.

Recruitment can be difficult. When it is, researchers may not be able to obtain an adequate sample. For example, a sample of seven participants engaging in a single sixty- to ninety-minute interview may not provide enough data on which to base a credible analysis. In a similar vein, articles based on a single or even a few focus groups may not provide enough depth to be informative. Some depth is possible if, in a single-interview study of less than fifteen or twenty interviewees, researchers meet with informants a second time to go over what researchers understand about informants’ accounts. This sometimes is called member-checking , and it provides additional data on which to base the analysis. In summary, the more depth and breadth to a study, the smaller the sample size can be—even as small as one or two—depending on the questions and the complexity of the cases.

Quality of the Analysis

A quality analysis begins with initial planning of the research and continues until the article is accepted for publication. An excellent research report has transparency , meaning the write-up is clear in what researchers did, how they did it, and why. I often tell students they can do almost anything reasonable and ethical, as long as they make a clear account in the write-up.

During planning, some researchers identify those concepts that they can use as sensitizing concepts once in the field. Transparency about the sources of sensitizing concepts characterizes well-done reports. The sources are literature reviews and reflexivity statements. Most researchers, however, have only a limited awareness of the importance of being clear about the sources of sensitizing concepts and other notions that become part of research coding schemes. Sensitizing concepts are notions that researchers identify before beginning their research and that help researchers notice and name social processes that they might not have noticed otherwise ( Blumer, 1986 ). Other researchers wait until data analysis to begin to identify concepts that they may use as codes and that may also become core concepts that organize findings. Either approach is acceptable and depends on purpose and methodologies.

During data collection, researchers reflect on what they are learning, typically talk to other researchers about their emerging understandings, and read relevant research and theory to enlarge and deepen their understandings. Researchers also keep fieldnotes that are a form of reflection. Based on their various reflections, researchers can reformulate interview and research questions and formulate new ones, do within—and across—case comparisons while in the field, and develop new insights into the meanings of the material.

Also, while in the field, researchers identify promising patterns of meanings and identify tentative core concepts, sometimes called categories , which are ideas that organize the copious material that they amass. Once researchers identify tentative core concepts, they seek to test whether they hold up, and, when they do, they further develop the patterns and concepts. Sometimes researchers think they have “struck gold” when they identify a possible core concept or pattern, only to find that the data—or metaphorical vein of gold—peter out (Phyllis Stern, personal communication, November 2002). They then go on to identify and follow-up on other concepts and patterns that show promise of becoming viable.

Core concepts become viable when researchers are able to dimensionalize them ( Schatzman, 1991 ) through selective coding ( Corbin & Strauss, 2008 ). This means that researchers have found data that show the multiple facets of concepts, such as patterns and exceptions to any general patterns. Authors may use other terms to describe what they did, such as thematic analysis. What is important is to describe the processes and produces; and what researchers call them is of less importance.

Core concepts may begin as sensitizing concepts. Researchers sometimes identify, name, and code core concepts through notions that are part of their general stores of knowledge but were not part of the literature review or reflexivity statement. Glaser (1978) called the practice “theoretical sensitivity.” The names researchers choose may be words or phrases informants have used. However derived, core concepts are central to the organization of findings ( Gilgun, 2012 a ).

At some point, data collection stops, but analysis does not. Researchers carry analysis that occurred in the field into the next phases of the research. Immersion at this point means that researchers read and code transcripts of interviews, observations, and any documentary material they find useful. They carry forward the core concepts they identified in the field. An example of a core concept is “resilience,” which in my own research organized a great deal of interview material. The concept of resilience has been an organizing idea in several of the articles I have written and plan to write ( Gilgun, 1996 a ; 1996 b ; 2002 a ; 2002 b ; 2004 a ; 2004 b ; 2005 a ; 2006 , 2008 ; 2010 ; Gilgun & Abrams, 2005 ; Gilgun, Keskinen, Marti, & Rice, 1999 ; Gilgun, Klein, & Pranis, 2000 ).

Corbin and Strauss (2008) stated that selective coding helps researchers to decide if a concept can become a core concept, meaning it organizes a great deal of data that have multiple dimensions. An example of dimensionalization is a study of social workers in Australia whose clients were Aboriginal people. The researchers identified several core concepts, among them critical self-awareness ( Bennet, Zubrzycki, & Bacon, 2011 ). The dimensions of critical self-awareness included understanding motivations to work with Aboriginal people, fears of working with Aboriginal people, and personalization and internalization of the anger that some Aboriginal people express.

Like many other researchers, Bennet et al. (2011) were not working within an explicit Chicago School tradition. They therefore do not use terms such as core concepts, dimensionalization, and selective coding. Instead, they described their procedures as thematic analysis, conceptual mapping, and a search for meaning. However, they did use the term “saturation,” which is part of the Chicago School tradition.

A single core concept or multiple related core concepts compose research reports. The Bennet et al. (2011) article, for example, linked multiple core concepts. The authors showed how critical self-awareness leads to meaningful relationships that in turn connect to “acquiring Aboriginal knowledge” (p. 30).

With viable core concepts and rich data, researchers are positioned to present their findings in ways that are memorable and interesting; that is, with “grab” ( Glaser, 1978 ). “Grab” requires compelling descriptive material: excerpts from interviews, field notes, and various types of documents, as well as researchers’ paraphrases of these materials. An example of a research report with grab is Irvine’s (2013) account of her study of the meanings of pets to homeless people. She provided vivid descriptions of her interactions with the participants and compelling quotes that show what pets mean. Here, an example from Denise’s account of her relationship with her cat Ivy:

I have a history with depression up to suicide ideation, and Ivy, I refer to her as my suicide barrier. And I don’t say that in any light way. I would say, most days, she’s the reason why I keep going.... She is the only source of daily, steady affection and companionship that I have. (p. 19)

These and other quotes, as well as Irvine’s well-written, detailed descriptive material, show what grab means.

Grab equates with excellence in writing. Irvine’s (2013) article is an example. In terms of the grab of her article, her work is in the Chicago School tradition. She wrote in the first person. She told complete stories in which she quoted extensively from the interviews, described the persons she interviewed and the settings in which she interviewed them, and provided biographical sketches. Robert Park and Ernest Burgess, both of whom trained generations of graduate students in qualitative research at the University of Chicago in the first quarter of the twentieth century, held seminars on the use of literary techniques, such as those used in novels and autobiographies, in writing up research ( Bulmer, 1984 ; Gilgun, 1999 d ; 2012 a ). These educators wanted researchers to report on their “first-hand observation.” Park told a class of graduate students to

[g]o and sit in the lounges of the luxury hotels and on the doorsteps of the flophouses; sit on the Gold Coast settees and on the slum shakedowns; sit in the Orchestra Hall and in the Star and Garter Burlesk. In short, gentlemen [sic], go get the seat of your pants dirty. ( McKinney, 1966 , p. 71)

Park suggested to Pauline Young (1928 ; 1932) to “think and feel” like the residents of Russian Town, the subject of her dissertation, published in 1932 ( Faris, 1967 ). Irvine’s work shows these qualities. She immersed herself in the settings, she conducted in-depth interviews, and she conveyed her first-hand experiences in vivid terms.

The Chicago School also encouraged students to write in the first person. A good example is a report by Dollard (1937) , who was concerned about the racial practices of the Southern town where he was doing fieldwork. He said he was afraid that other white people watched as he talked to “Negroes” on his front porch, when he knew that custom regarding the “proper” place of “Negroes” was at the back door. He wrote

My Negro friend brought still another Negro up on the porch to meet me. Should we shake hands? Would he be insulted if I did not, or would he accept the situation? I kept my hands in pockets and did not do it, a device that was often useful in resolving such a situation. (p. 7)

This description is a portrait of a pivotal moment in Dollard’s fieldwork, and it is full of connotations about the racist practices of the time ( Gilgun, 1999 d ; 2012 a ).

Irvine (2013) also wrote in the first person. Here’s an example:

I met Trish on a cold December day in Boulder. She stood on the median at the exit of a busy shopping center with her Jack Russell Terrier bundled up in a dog bed beside her. She was “flying a sign,” or panhandling, with a piece of cardboard neatly lettered in black marker to read, “Sober. Doing the best I can. Please help.” (p. 14)

These two excerpts illustrate a methodological point Small (1916) made in his chapter on the first fifty years of sociological research in the United States: namely, the importance of going beyond “technical treatises” and providing first-person “frank judgments” that can help future generations interpret sociology. Without such contexts, “the historical significance of treatises will be misunderstood” (p. 722). Throughout his chapter, Small wrote in the first-person and provided his views—or frank judgments—on the events he narrated. From then until now, research reports in the Chicago tradition are vivid and contextual, conveying to the extent possible what it was like to be persons in situations.

There are many other examples of well-done research reports. Eck’s (2013) article on never-married men includes the basic elements that are present in almost all reports based on qualitative methods. It is transparent in its procedures, situated within scholarly traditions, well-organized, vivid, and instructive both for those new to qualitative research and for long-term researchers like me. The other articles I cite in this chapter also show many desirable qualities in research reports.

Research Report Sections

The main sections of standard reports based on qualitative methods are the same as for articles based on other types of methods: Introduction, Methods, Findings, and Discussion. The American Psychological Association (APA) manual (2009) provides information on what goes into each of these sections. Research reports in sociology journals follow a similar format, although the citation style is slightly different. The American Sociological Association uses first and last names in the reference section, a practice I support. In articles based on qualitative approaches, researchers sometimes change the names of sections, add or omit some, or reorder them. When changes are made, the general guideline is whether the changes make sense and are consistent with the purpose of the research. As Saldaña (2003) pointed out, researchers choose how to present their findings on the basis of credibility, vividness, and persuasive qualities and not for the sake of novelty. Because some articles report findings as fictionalized accounts, poetry, plays, songs, and performances (including plays), it makes sense that the sections on these findings vary from the standard format that I discuss here.

Although there are no rigid rules about how to write journal articles based on qualitative research, much depends on the methodological perspectives, purposes of the research, and the editorial guidelines of particular journals. For example, if researchers want to develop a theory, it is important to be clear from the beginning of the article to state this as the purpose of the research. The entire article should then focus on how the authors developed the theory. Research and theory cited in the literature review should have direct relevance to the substantive area on which the authors theorized. The methods section should explain what the researchers did to develop the theory. The findings section should begin with a statement of the theory that the researchers developed. The rest of the findings section should usually be composed of three parts. The first is composed of excerpts from those data that support the concepts of the theory. This is the grounding of the theory in something clear and concrete. The second is the authors’ thinking or interpretation of the meanings of each of the concepts. The third is an analysis of how the theory contributes to what is already known, such as how the findings elaborate on and call into question what is known. Thus, a research report on the development of a theory should contain a lot of scholarship that others have developed.

A report based on narrative principles or one based on an ethnography should contain copious excerpts from interviews, citing less scholarship than an article whose purpose is to develop theory. However, it is good practice to bring in related research and theory in the results section when this literature helps in interpretation, when findings have connections to other bodies of thought, and when findings are facets of a larger issue. In my now older publication on incest perpetrators ( Gilgun, 1995 ), the editors suggested that I show that when therapists engage in sexual relationships with clients, they are engaging in abuses of power similar to those of incest perpetrators. I was at first indignant that the editors wanted me to do even more work on the article, but I soon was glad they did. It is important to show that incest or any human phenomenon is not isolated from other phenomenon but is part of a larger picture. Doing so fit my purposes, which was to show how to do theory-testing/theory-guided qualitative research. Showing how findings fit into related research and theory is part of this type of research.

Whenever researchers are ready to submit an article for publication, it is wise to read recent issues of journals in which they would like to publish. If they can identify an article whose structure, methodologies, and general purpose are similar to theirs, they could study how those authors presented their material. If, for example, in a report on narrative research, the introductory material is relatively brief, and the findings and discussion sections compose most of the pages, researchers would do well to format their articles in similar ways. I study journals in which I have interest and model much of my own articles after those published in these journals. I make sure, however, that I cover topics that in my judgment are important to cover.

Prior Research and Theory

In my experience, something as simple as the place of prior research and theory can get complicated in the writing of reports based on qualitative research, even when the purpose of the article is primarily descriptive and is not to construct an explicit theory. In general, related research and theory literature can be presented at the beginning of a report as part of a review of pertinent research and theory, in the findings section when prior work helps in the interpretation and analysis of findings, or in the discussion section, where authors may reflect on how their findings add to, undermine, or correct what is known and even add something new.

Readers expect and journal editors typically want articles to begin with literature review, with some exceptions. A perusal of journals that publish qualitative studies shows this. Yet there are exceptions. Valásquez (2011) began her report on her encounter with scientology with an extended and rather meandering first-person narrative. Her literature review began toward the end of the article. She tailored the review to the report that preceded it. In this article and others, the literature review helped in the interpretation of findings and helped to situate the report in its scholarly contexts. In other articles, the literature review appears in the introductory section. This sets the scholarly context of the research, highlights the significance of topics, and identifies gaps in knowledge. Neither authors nor reviewers should have rigid expectations about where the scholarship of others belongs. It belongs where it makes the most sense and has the most impact.

For many, the placement of literature reviews seems self-evident. Yet, some well-known approaches, such as grounded theory, can set authors up for confusion about where the literature review belongs. This can result in delays in writing up their results. The procedures of grounded theory are open-ended and designed to find new aspects of phenomena—often underresearched—and then develop theories from the findings. At the outset of their work, researchers cannot anticipate what they will find. Therefore, teachers such as Strauss and Glaser advised students not to do literature reviews until they had identified basic social processes that become the focus of the research ( Covan, 2007 ; Glaser & Strauss, 1967 ).

How, then, do researchers write up research reports when they are doing an open-ended study that, by definition, will culminate in unanticipated findings? Do they write their reports as records on how they proceeded chronologically, or do they follow APA style and the dominant tradition that says the literature review comes first? For the most part, I follow the tradition, as, apparently, do most researchers. However, to structure reports in this way sometimes feels strained and artificial. I would prefer to write a more chronological account, in which I can share with readers the lines of inquiry and procedures I followed. The literature review at the beginning of the report, therefore, would be brief. The methods section is quite detailed in how I went about developing the theory. The findings section would have the three-part format I discussed earlier: statement of the theory, presentations of excerpts that support assertions that certain concepts compose the theory, my interpretation of the meanings of the concepts and the excerpts that support them, and then the use of related research and theory to further develop the theory and to situate it in its scholarly traditions.

In all but one of the research reports that I have published, I did the literature after I had identified findings. The one exception was research I did based on the method of analytic induction, in which researchers can use literature reviews to focus their research from the outset ( Gilgun, 1995 , 2007 ). In this research, I used concepts from theories on justice and care to analyze transcripts of interviews I had previously conducted on how perpetrators view child sexual abuse. Even though I was familiar with the transcripts, I found that the concepts of justice and care and their definitions sensitized me to see things in the material that I had not noticed as I did data collection and during previous analyses of the data.

Furthermore, in writing up the results, I brought in research that was not part of the literature review to help me to interpret findings and to show how findings fit with and added to what was already known. I did not place this material in the introductory literature review. Placing related research and theory as parts of the results and discussion sections is common and may be necessary in articles that are reporting on a theory that the authors developed. For descriptive studies whose purpose is not theory-building, such as ethnographies, some findings sections include the addition of research and theory not present in the introductory section. Often, however, authors do not follow this pattern. An example is found in Ahmed (2013) , who described how migrants experience settling into a new country. She presents excerpts from interviews and her interpretation of them, including organizing them into a typology, but she does not bring additional research and theory into her interpretations.

Tensions can arise between how much space to give to literature reviews and how much to allot to presentation of informants’ accounts/findings ( Gilgun, 2005 c ). This happened in the most recent article I co-wrote, which is on mothers’ perspectives on the signs of child sexual abuse ( Gilgun & Anderson, 2013 ). We believed the literature review was important because it not only set up our research but summarized a great deal of information that was important to our intended audience of social service professionals. We also wanted to anticipate the expectations of reviewers and the journal editor. Yet, we put much effort into making the literature review as concise as possible in order to have reasonable space for findings. We wrote the literature review before we did data analysis. When we wrote up the results, the first draft was probably three times longer than any journal article could be.

We had written case studies first to be sure that we understood each case in detail. We had wanted to share what the women said in the kind of detail that had helped us deepen our own understandings, so we cut back on the case material. The article was still too long. We decided to exclude the few instances we had in which women knew of the abuse but tried to handle it themselves or did not believe the children when told. We did more summarizing of the literature review. We eliminated many references.

After much effort, we finally had a manuscript that was the required length of twenty-two pages. It included a literature review that set up the research in good form, an adequate accounting of the method, and findings that conveyed with grab the complexities of the signs and lack of signs of child sexual abuse. We wove points made in the literature review into our interpretations, yet we had to leave out important patterns for the sake of space. The editor’s decision was a revise and resubmit, which we did. The main recommendation was to elaborate on applications. This was a great suggestion, and we dug deep to think about this. We are pleased with the results. We had to do further reading on topics we had not anticipated at the onset of our project, and we squeezed in a few new citations in the discussion section that related to implications of the research. This additional material greatly enhanced the meanings and usefulness of the research.

There is much more to say about qualitative research and literature reviews. Sometimes researchers get stuck, as I have more than once. I have research that I have not yet published because I have been unable to figure out how to do the multiple literature reviews I think I must show how my theory builds on, adds to, and challenges what is already known. I have written up this research as conference papers, where expectations about literature reviews are more relaxed ( Gilgun, 1996c , 1998 , 1999c , 2000 ). One of these. papers was on a comprehensive theory of interpersonal violence ( Gilgun, 2000 ). I wanted to write my theory first and then show how the findings contribute to what is already known. Doing so doesn’t seem so outlandish today, and I now can imagine writing it up exactly as I would want to. At the same time, I wonder if I would? I really don’t know if any journal that would publish a theory of violence would also accept an article that places a literature review after findings. Furthermore, my writing up of the theory would take so many pages that I would not have enough space to do a comprehensive literature review. As of today, the theory I am developing has links to sixteen or more bodies of literature. No way can I publish a journal-length article that will accommodate that much research and theory!

So, here I am, many years into the development of a comprehensive theory, still reflecting on how to create journal articles out of my analysis. I have published many articles in social media outlets exploring ideas that are the basis for the theory. I have put these articles into collections that are available on the internet ( Gilgun, 2012 b ; 2012 c ; 2013 a ). The theory is so complex that writing bits and pieces over the years and having a place to put them have been very helpful.

Finally, some articles may cite few if any related research and theory. This may fit articles whose purpose is to convey lived experience that stands on its own. These articles feature performances, plays, autoethnographies, fictionalized accounts, poetry, and song, among others. Egbe (2013) wrote two poems that she explained were accounts of her experiences of doing research in Nigeria with young smokers. She said she was “dazed by the vast opportunity this method gives a researcher to dig deep into a research problem and be submerged into the world of participants” (p. 353). Her two-page article is composed of two poems and her explanation. The article showed grab, evidence of immersion, experiences in contexts, and multiple perspectives. Her work, therefore, followed well-established guidelines for writing up qualitative research. Egbe not only omitted a literature review, but she did not write about how to use the results of her research, assuming that its uses are self-evident. Obviously, she thought a literature review unnecessary; the reviewers and journal editors agreed with her.

Reflexivity Statements

A growing number of journals encourage researchers to include reflexivity statements in research reports. Researchers may place these in the introductory material of an article, after the literature review and before the methods section; this probably is the most important place to put them because reflexivity statements often influence the focus and design of the research, including the choice of sensitizing concepts and codes. Reflexivity statements may also appear in the methods and findings and methods sections when important. Reflexivity statements are accounts of researchers’ experiences with the topic of research; accounts of their expectations regarding informant issues and their relationships to informants, especially in regard to power differentials and other ethical concerns; and accounts of their reflections on various issues related to possible experiences that informants may have had. They also may include the experience they had while participating in the research ( D’Cruz, Gillingham, & Melendez, 2007 ; Presser, 2005 ). My article on doing research on violence is an extended reflexivity statement ( Gilgun, 2008 ). There appears to be no standard content for reflexivity statements and no standard places for them to appear. Personal and professional experiences and reflections on power differentials may be the emergent standard. Whatever decisions researchers make about reflexivity statements, they alert audiences to researchers’ perspectives, which can be helpful to readers as they attempt to make sense of research reports.

An example of a reflexivity statement is found in Winter (2010) work. Winter is a practitioner turned researcher who had a previous relationship as a guardian ad litem with the children with whom she later conducted the research that she was reporting. Winter was reflexive about the implications of her prior relationship with these children. I imagine, based on my own experience, that she put only a fraction of her thinking into her article. Not only did she write in her reflexivity statement that she had a prior relationship with the children, but she also wrote about the ethical issues involved.

Ethical issues have a place in reflexivity statements. I have run into ethical questions over the course of my research career. One situation that stands out is the encounter I had with a mother and her eleven-year-old daughter who had participated in my dissertation research on child sexual abuse ( Gilgun, 1983 ). The mother cried and told her daughter how sorry she was that she had been unable to protect her from sexual abuse. The girl was touched but did not seem to know what to do. I suggested that she go stand by her mother. When she got close, the mother and daughter hugged each other and cried. This is a significant event with ethical implications that I included in the findings section of my dissertation and in a subsequent research report ( Gilgun, 1984 ). The ethical issue is, first, whether I should have stepped out of my role as detached researcher and guided the girl to go to her mother, and, second, whether I should have made my blurring of boundaries public by publishing them.

As far as the placement of reflexivity statements, the initial statement has a logical location after the literature review because the reflexivity statement contributes to the development of the research questions, the identification of sensitizing concepts, the interview schedule, and the overall design of research procedures. Accounts of ongoing reflexivity could be part the findings section and of the discussion section. Reflexivity statements are not a standard part of research reports, but they can contribute to readers’ understandings of the research.

Along with the literature review, reflexivity statements contribute to practical and applied significance statements and may also help to identify gaps in knowledge. Literature reviews and reflexivity statements contain key concepts. The concepts that researchers define at the end of introductory sections typically become codes during analysis, although researchers may not label the concepts as codes either in the introductory section or in the methods section. I am unsure why such labeling has not become routine. When concepts carry the label code , this clarifies where codes come from. Without naming codes and stating where they come from, much of analysis is mystified. Many reports read as if the codes appear out of nowhere during analysis. Even Glaser’s (1978) notion of theoretical sensitivity mystifies the origins of codes. How, for example, do researchers become theoretically sensitive? What if researchers are beginning their scholarly careers? How theoretically sensitive are they ( Covan, 2007 )? What are the implications for the quality of the analysis?

Research Questions, Hypotheses, and Definitions

The final part of the introductory section of a research report is devoted to research questions, hypotheses to be tested (if any), and definitions of core concepts. In general, in qualitative research, hypotheses are statements of relationships between concepts. Theories usually are composed of two or more hypotheses, although, at times, some researchers may use the term theory to designate a single hypothesis ( Gilgun, 2005 b ). Concepts are extractions from concrete data. Sometimes concepts are called second-order concepts and data first-order concepts .

Research questions may be absent. In their place are purpose statements that make the focus of the report clear. Hypotheses are rarely present in qualitative research. When they are, the purpose of the research is to test them and typically to develop them more fully. This type of research has in the past been called analytic induction ( Gilgun, 1995 e), whereas a more up-to-date version of qualitative hypothesis testing and theory-guided research is called deductive qualitative analysis ( Gilgun, 2005 d ; 2013 ). Analytic induction and deductive qualitative analysis are part of the Chicago School tradition.

Methods Section

Most methods sections for reports based on qualitative approaches have the same elements as any other research report. Descriptions of the sample, recruitment, interview schedule, and plans for data analysis are standard. The APA manual provides guidelines ( American Psychological Association, 2009 ) that fit many types of qualitative research reports. However, reports based on autoethnographies, poetry, and performances may have brief or no methods sections. As is clear by now, the report’s contents depend on the purposes and methodologies of the research and on the editorial requirements of journals.

Accounts of Methodologies

In writing up qualitative research, methods sections usually contain a brief overview of the research methodology, which is the set of principles that guided the research. The following is an account of the methodology used in a research report on cancer treatment in India:

For this project we drew upon interpretive traditions within qualitative research. This involved us taking an in-depth exploratory approach to data collection, aimed at documenting the subjective and complex experiences of the respondents. Our aim was to achieve a detailed understanding of the varying positions adhered to, and to locate those within a broader spectrum underlying beliefs and/or agendas. ( Broom & Doron, 2013 , p. 57)

Sometimes, statements of methodology are much more elaborate, but in research reports, such a statement is sufficient, again depending on the editorial policies of particular journals. A few citations, which this article had, round out an adequate statement of methodology.

However, many reports are written in a clear and straightforward way with scant or no account of methodologies. Examples are the work of Eck (2013) and Spermon, Darlington, and Gibney (2013) . These kinds of well-done write-ups might eventually be considered generic. Spermon et al. said their study was phenomenological, which sets up assumptions that the report will be primarily descriptive. In actuality, the intent was to develop theory. Such mixing of methodologies may be the wave of the future; in many ways, distinctions between phenomenological studies whose purposes are descriptive and those whose purposes are to build theory are blurred. Such blurring may have been the case for decades because it is possible and often desirable to build theories based on phenomenological perspectives; that is, in-depth descriptions of lived experience. However, authors are wise to state in one place what their methodologies are and how they put them to use, such as for descriptive purposes or for theory-building.

Description of Sample

Placing descriptions of sample size and the demographics of the sample in the methods sections is typical. As mentioned earlier, evaluation of sample size depends on the depth and breadth of the study. The more depth a study has, the smaller the number of cases can be. The more breadth and the sharper the focus, the larger sample sizes typically are. Samples on which a study is based must provide enough material on which to base a credible article. A sample size of one may be adequate if researchers show their work demonstrates the basic principles of almost all forms of qualitative research: perspectives of persons who participate in the research, researcher immersion into the settings or the life stories of persons interviewed, multiple perspectives, contextual information of various types, and applications. Autoethnographies often have an n of one, but joint autoethnographies are possible. Ethnographies may not give a sample size, as was the case in the performance ethnography of Valásquez (2011) who wrote in the first person about her experience with scientology. In her first-person ethnography, Irvine (2013) also did not mention sample size. She said that the narratives she used for the article were from a larger study on the meanings of animals to people who have no homes. She did not describe the usual demographics of age, gender, social class, and ethnicity.

Most articles describe the demographics of the sample. In a recently accepted article ( Gilgun & Anderson, 2013 ), I saw no relevance in mentioning the size of the larger sample from which we drew in order to tell the stories of how mothers responded to their learning that their husbands or life partners had sexually abused their children. We included an exact count of the larger sample because we assumed that it would be the journal’s expectations. We also gave particulars of the demographics. Except for social class and ethnicity, we saw little relevance for the other descriptors. These status variables were relevant to us because most of the sample was white and middle or upper class. This is important because much research on child sexual abuse is done with poor people, and there are stereotypes that poor families and families of color are more likely to experience incest than are white middle and upper class families. Overall, as with some other issues related to writing, the adequacy of the sample description depends on the methodological principles of the research and the journal’s editorial policies.

Recruitment

Accounts of recruitment procedures are important because researchers want to show that their work is ethical. Respect for the autonomy or freedom of choice of participants needs to be demonstrated. In addition, often the persons in whose lives we are interested have vulnerabilities. To show that the research procedures have not exploited these vulnerabilities is part of ethical considerations. Most articles have these accounts. Furthermore, when there are accounts of recruitment procedures, it becomes obvious why the sample is not randomly selected. Irvine’s (2013) account of recruitment is exemplary. She recruited through veterinary clinics that took care of the pets of homeless persons. She did not approach potential participants herself. Doing so risked making refusals difficult. The staff informed persons of the research and its purposes. If individuals said they were interested, they gave permission for the staff to give their names to researchers. The research interviews took place in the clinics.

The ethics of recruitment revolve around values, such as respect for autonomy, dignity, and worth. Other ethical issues that are important to mention in reports include the use of incentives for participation. Although many human subjects committees now require monetary incentives for participation, this has ethical implications. Irvine (2013) solved this by giving gift cards after the interviews were completed. Reports on ethical issues have a place in methods sections.

Data Collection and Analysis

Accounts of data collection and analysis are part of the methods section. Data collection procedures should be detailed for many reasons. Primary among them is the need for transparency in terms of the ethical standards the researchers followed, as well as the need to allow for replication of the study. Such details also provide guidelines for others who might be interested in using the methods. In addition, there are many different schools of thought and procedures for each of the methods used with the three general types of data collection: interviews, observations, and documents. It is helpful to state which particular data collection procedures the researchers used. Researchers often provide examples of the kinds of questions asked and procedures used for recording observations and excerpts from documents. Some researchers may omit such an accounting, as with some autoethnographies and articles that turn research material into performances.

How researchers analyzed data is part of the methods sections. As with data collection, there are so many types of analysis that researchers need to describe the particular forms that they used. For figuring out how to report on data analysis, researchers would do well to study articles in journals in which they want to publish. Irvine (2013) used a method of analysis I have never heard of called “personal narrative analysis” (p. 8). She gave enough detail to provide the general idea of what she did and a sufficient number of citations for additional information.

The level of detail can vary. In some sociology journals, for example, researchers may say little about analysis and sometimes little about data collection. This is because the journal editors, reviewers, and those who publish in and read the articles have assumptions that they for the most part take for granted. Even in these journals, however, researchers may want to account for their analytic procedures, especially if they are writing on topics outside of what is usual in such journals.

Other journals require a great deal of detail. In those instances, researchers first decide what they think is essential and then shape their accounts to fit what appears to be usual practice in the journal. The following paragraphs describe data analysis in a recently accepted article on signs of child sexual abuse in families ( Gilgun & Anderson, 2013 ).

Data Analysis

In the analysis of data, the first author read the transcripts multiple times and coded them for instances related to disclosures of child sexual abuse and associated signs of the abuse, such as how and when the women first learned of the abuse or suspected it was occurring in their families, their responses, and their reflections on the signs of abuse they might have missed, as well as child and perpetrator behaviors that they did not realize were related to child sexual abuse. Their initial and longer term responses and reflections were also coded. The second author independently read and coded about one-third of the transcripts using this coding scheme to arrive at a 100 percent agreement.

Sources of the codes were our professional experiences in the area of child sexual abuse, the review of research, and the first author’s familiarity with the content of the interviews because she had been the interviewer. These codes served as sensitizing concepts, which, as Blumer (1986) explained, are ideas that guide researchers to see aspects of phenomena that they might otherwise not notice. Although altering researchers’ ideas to what might be significant serves an obvious useful purpose, sensitizing concepts might also may blind researchers to other aspects of phenomena that might be important. Therefore, we also used negative case analysis, which is a procedure that guides researchers to look for aspects of phenomena that contradict or do not fit with emerging understandings. In this way, researchers are positioned to see patterns, variations within patterns, exceptions, and contradictions in findings ( Becker et al., 1961 ; Bogdan & Biklen, 2007 ; Cressey, 1953 ; Lindesmith, 1947 ).

As we wrote this section, we were aware of the limited space that we had to fill. Yet we were committed to accounting for where our codes came from for reviewers and editors who may be unfamiliar with pre-established codes. As discussed earlier, many reports are written as if codes appear by magic. We decided that, in this report, we would be as clear as possible about where our codes came from. We also reasoned that we would have to call on the authority of well-respected methodologists if reviewers and editors had questions about what we had done. Furthermore, we were aware of the dated nature of the references; we could do nothing about that because there has not been much written recently about pre-established codes. I have written about this quite a bit, but as one of the authors, I not only had to be anonymous during the review process, but I could not be the sole authority.

Generalizability

Many reviewers and editors have questions about the generalizability of the results of qualitative research. Authors themselves sometimes question the generalizability of their own findings. That’s why it remains important to provide clear guidelines in research reports about how the authors view the usefulness of their findings. The following ideas may be helpful to authors as they write their reports and to reviewers who are positioned as gatekeepers. The results of qualitative research are not meant to be generalized in a probabilistic sense. But because dropouts and refusals limit the randomness of samples, most forms of research can’t be generalized in a probabilistic sense.

Conversely, as Cronbach (1975) wrote almost forty years ago, the results of any form of research are working hypotheses that must be tested in local settings. Thus, the applicability of qualitative or any other kind of research can be demonstrated only through attempts at application. Do the findings illuminate other situations? Do the results provide researchers, policy makers, and direct practitioners with ideas on how to proceed? Those who apply the research expect to have to adjust findings to fit particular new situations. Many researchers and some journal editors and reviewers know through common sense and everyday experience how to use the results of qualitative research. Our personal lives are extended case studies. What we learn in one situation, we carry over into another. We know we have to test what we have learned in past situations for fit with new situations. If we do not, we impose our ideas on situations that may demand new perspectives. This common practice of applying results to all situations is disrespectful of local conditions and autonomy of persons. We want to avoid such disrespect in how we suggest readers use the results of our research.

Trustworthiness and Authenticity

Pointing out the trustworthiness of procedures and the findings that result from them sometimes are parts of methods sections. Related to trustworthiness are issues of authenticity ( Guba & Lincoln, 2005 ). Both trustworthiness and authenticity arise from immersion, seeking to understand the perspectives of others in context, reflexivity, and seeking multiple points of view. Researchers who have applied these principles will produce reports that are trustworthy and authentic. In addition, the reports will have grab. Extended discussions related to these issues are beyond the scope of this chapter and the scope of research reports as well.

I get more requests for revisions of methods sections, especially for accounts of data collection and analysis, than for any other parts of a manuscript. This is not surprising, given the multiple possible variations. I never know who the reviewers will be and what their expectations are. I rely first on my beliefs about what I want in the procedures section and then I study articles the journal has already publishes. I include what journal editors appear to expect, but I also add information that I think is important, even when it is not part of what I see in methods sections.

Findings Sections

Findings sections in research reports include both descriptive and conceptual material. Descriptive material is composed of researchers’ paraphrasing and summarizing of what they found and excerpts from interviews, fieldnotes, and documents. The descriptive material, at its best, is detailed and lively; it not only is informative, it has grab. This material contributes to understandings of human experiences in context. In addition, descriptive material is the basis of researchers’ theorizing and it also provides documentation and illustrations of assertions that researchers make.

Conceptual material comprises the analysis and is made up of inferences such as the general statements, concepts, and hypotheses that researchers develop from the material (data). One way to think about the relationship between descriptive and conceptual material is to think of descriptive material as composed of first-order concepts and conceptual material as composed of second-order concepts. Each type depends on the other. Credible conceptual material is based on descriptive material, some of which is contained in the article. Qualitative research yields mountains of data, a fraction of which can be placed into a published article.

As with other sections of research reports, findings sections have many possible variations that depend on the purpose of the research and the methodologies on which the research is based. Thus, the findings can range from heavily descriptive to heavily conceptual. Heavily conceptual research reports arise from research whose purpose is theoretical, in which researchers set out to test, refine, reformulate, or develop theory. Theoretical reports require some descriptive material to show the basis of theoretical statements, but they are often relatively short on descriptive material.

Reports that are primarily descriptive are composed of excerpts from data. Theoretical material appears in often subtle ways, such as in the form of concepts that organize findings. Irvine’s (2013) study of homeless people and their pets is largely descriptive, composed of excerpts from the interviews and Irvine’s paraphrases and narration of what she did, how, and when. The findings were narrative case studies based on interviews and observations. The details of the narratives were vivid and had the kind of grab that Glaser (1978) recommended. They showed multiples perspectives and variations on what it meant to homeless informants to have pets in their lives. The first three pages were a review of relevant literature and a presentation of method. The last five pages were a discussion of the findings.

As lengthy as the descriptive material is, conceptual material frames the entire report. In the literature review, Irvine introduced notions of positive identity, generativity, and redemption. She used them to analyze her data and organize findings, which were the narrative case studies. She used the concept of redemption as the core or organizing concept, going into some detail about how the research material supports the significance of this idea of pets as redemptive for homeless people.

This analysis is based squarely on the descriptive material. For instance, Irvine wrote that in the stories she presented in her article, “animals provide the vehicle for redemption.” She illustrated this point with a quote from one of the narratives and then reminded readers that the narratives “contain variations on the theme” of “ life is better because this animal is in it ” (p. 20; emphasis in original). Readers do not take this on faith because the basis of this general statement in presented multiple times in the case studies. Irvine has much more material on which she based these ideas, but there is not enough room in a journal-length article to show all of her evidence.

An example of an article that is theoretical in purpose and short on descriptive material is found in the work of Cordeau (2012) . She developed a grounded theory of the “transition from student to professional nurse” when student nurses work with “mannequins as simulated patients” (p. 90). Based on interviews, observations, and reports that the students wrote on their clinical experiences, the study was composed of about 10 percent descriptive material. This material included excerpts interviews and student reports. In the results section, she used this descriptive material to illustrate and possibly document the grounded theory she constructed. The theory’s “core category” was “linking,” which had four components, called properties. She documented the properties, primarily with her own thinking about her research material and also with excerpts from interviews, observations, and student reports.

Like Irvine’s (2013) study, the purpose of Cordeau’s (2012) work was applied where she wanted to build theory that would contribute to the development of clinical expertise in nursing students. She also devoted about one page of her study to applications.

Core Concepts

I’ve previously provided an extended discussion of core concepts. This section highlights some key points and illustrates them. Core concepts, often called core categories , organize findings. I prefer the term concept because concept is the term used in discussing theory, such as “concepts are the building blocks of theory,” and theory is one of several possible products of qualitative research. Researchers decide on which concepts are core in the course of analysis. Researchers are ready to write up their reports when they have settled on, named, and dimensionalized one or more core concepts. The terms “core concepts” and “core categories” are associated with grounded theory ( Charmaz, 2006 ; Corbin & Strauss, 2008 ), but they are useful in other types of qualitative research, such as interpretive phenomenology and narrative analysis. Core concepts both organize findings and, typically, bring together a great deal of information. The term “dimension” means that researchers account for as many aspects of the core concepts as they can in order to show the multiple perspectives and patterns that typically compose concepts.

In reporting on core concepts, I recommend that researchers name them, introduce them, describe them using excerpts from the research material, comment on them, and then situate each of the concepts and their commentaries within their scholarly contexts. As discussed earlier, this shows how the findings fit with what is already known, or add to, force modification of, or refute what is known. Although many researchers, do not situate findings in their scholarly contexts, they usually cover the other topics.

No matter how authors report findings, they should do so with grab. An example of a report exemplary for its grab is the work of Scott (2003) on what it means to be a professional with a physical disability. Scott began her article not with a literature review but with three reviewer comments on other articles she had written. She then stated that the present article was a response to these comments. She followed up with a description of three male students who waited to speak to her after class about her disability and the notion of embodiment that she discussed in class. She brought in related literature throughout the article. Through her own reflections, reports on how others have responded to her, reports on the accounts that three other women with disabilities gave to her as a person with cerebral palsy, and her literature review, Scott not only showed the meanings of disabilities to persons who have them, but also what others say about their own disabilities, what some people who are able-bodied say about women with disabilities, and how all of this connects to what is known about disabilities and to wide-spread beliefs about disabilities. Her article is full of grab, such as the header that read, “The Day I Became Human.” With the authors’ own experience as the centerpiece, this article exemplifies write-ups that demonstrate the meanings of lived experience in various contexts, immersion, grab, and implications for social action. The analysis she presented as part of her findings is exemplary.

In the production of quality research, no matter the type of write-up, there are no short cuts. Research reports based on poetry, for example, are held to the same standards as any other article: grab, immersion, lived experience in context, and implications for action. In addition, such research reports typically locate themselves within social and human sciences traditions. Furman’s (2007) reflections and analysis of poetry that he wrote over the course of many years provide an example of how poetry can be used in qualitative analysis. This kind of research is a type of document analysis. In performance studies, researchers create a theater production of informant’s accounts of their experiences whose purpose is to transform audiences and move them to action ( Saldaña, 2003 ). The performances are the equivalent of research reports and when they are effective, they have the four characteristics of qualitative research under discussion.

Discussion Sections

In traditional research reports, the discussion section follows the results section. In discussion sections, authors reflect on findings, including what the findings are, how findings contribute to understandings of phenomena of interest, the lines of inquiry the results open up, and implications for policy and practice. Other generic topics to consider are those related to the focus of the journal. For example, if the journal’s focus is related to health, then authors show how findings are related to health.

Discussion sections present the author with opportunities to advocate for how his or her research can be used. The applied purposes of Irvine’s (2013) research come through when she devoted an entire page to make observations about implications. She pointed out how her research contributes to a transformation of images of homeless persons as isolated to images of them as engaged in relationships not only with their pets but with other persons, too. She noted that rehousing homeless persons requires a change in policy that would allow them to have pets. Furthermore, she said that caring for a pet “can turn things around” (p. 24).

In the discussion section I wrote with Anderson ( Gilgun & Anderson, 2013 ), we addressed methodological issues, such as the probable existence of other patterns in addition to those we identified and the nonrandom nature of our sample. We also acknowledged the difficulties in working with families in which child sexual abuse has occurred. Since qualitative researchers want to understand lived experiences, we had to prepare ourselves to deal effectively in research areas that are difficult emotionally for us as researchers. Although we may acknowledge the emotional challenges of some topics in reflexivity statements, discussion sections are opportunities for authors to acknowledge the difficulties of using the results we produce. In the article I wrote with Anderson, we made such an acknowledgment, one that we hoped would facilitate more effective practice. We wrote

Practitioners themselves may experience shock, rage, and disgust. The practice of neutrality, in its therapeutic sense, is important in these cases ( Gil & Johnson, 1993 ; Rober, 2011 ). Neutrality means that practitioners maintain their analytic stances while at the same time they remain attuned not only to service users but also to themselves. When practicing neutrality, service providers regulate their own emotional responses in order to remain emotionally available to service users. Neutrality also means that service providers remain open-minded so that they can hear stories that they may not expect to hear; in other words, to make room for the unexpected ( Rober, 2011 ). Attunement to inner processes is a form of reflection that can facilitate the development of trust between service users and providers. When providers are reflective, they are less likely to tune out, close down, and otherwise stop listening to what services users express. When they listen and hear what service users say, they are more likely to facilitate the best possible outcomes in difficult situations ( Weingarten, 2012 ).

Doing research on lived experience can be difficult for informants and for researchers. Acknowledgment of the implications of these difficulties for users of the research has a place in discussion sections.

In summary, most articles are fairly straightforward in their write-ups: focused literature reviews, reflexivity statements in many cases, clear statements of purpose, clarity about sources of research questions and/or hypotheses, identification and definition of key concepts, identification of codes the researcher develops from literature reviews and reflexivity statements, succinct accounting of methods, and findings organized logically by core concepts around which the researcher organizes the multiple dimensions of those concepts. Excellent writing makes articles interesting and accessible. Some kinds of write-ups deviate from these components, but they are held to the same standards of immersion, experiences in context, multiple perspectives, and implications for action and other applications. When authors have the good fortune to have a recommendation to revise and resubmit, suggestions for revisions often improve the quality of the article.

The seemingly endless variations that are possible in the write-up of qualitative research makes writing and reviewing manuscripts challenging, especially when compared to traditions in which rigid rules prevail. However, it is important that approaches to qualitative research continue to evolve to meet with our ever-changing understandings of human phenomena. The clarity and transparency of reports are the fundamental guidelines for making judgments about quality. I often tell my students that the guidelines for doing qualitative research are flexible, and what is important is to be clear about what you did, why you did it, and what you came up with.

The notion of grab is central to write-up. Since qualitative research seeks to understand lived experiences, it is logical that findings report on the lived experiences in vivid terms, replete with quotes from data. This is not to undermine the importance of analysis, but grab is possible even in write-ups that require a great deal of analysis. Grab becomes possible because researchers must provide the evidence for the theories and concepts they develop.

When there are questions about priorities related to informants’ voices, researchers’ interpretations, and prior research, I hope that authors, reviewers, and editors remember that as important as analysis and previous work may be, the voices of informants bring these other important parts of manuscripts to life. Researchers make decisions about whose voices take priority.

There is no one way to respond to these dilemmas. Authors must make their own decisions about what is important to them and then search for journals that will welcome what they want to convey. It’s important to consider pushing the boundaries and writing an article in a way that the researcher thinks will best convey his or her findings.

The importance of quality data, quality analysis, and “grab” are foundational. I began this chapter with a discussion of the balance between description and analysis. I then considered core concepts as organizers of findings, the place of literature reviews, styles of presenting methods and methodologies, and the balance between the voices of informants and researchers. I concluded with the many variations in types of reports that result from the various purposes that qualitative research projects can have. There are many different types of qualitative research and many styles of write-ups. This chapter may sensitize readers to enduring issues in the writing of research reports. Like qualitative research itself, there are multiple points of view on how to write up qualitative research.

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Educational resources and simple solutions for your research journey

What is Qualitative Research? Methods, Types, Approaches and Examples

Qualitative research is a type of method that researchers use depending on their study requirements. Research can be conducted using several methods, but before starting the process, researchers should understand the different methods available to decide the best one for their study type. The type of research method needed depends on a few important criteria, such as the research question, study type, time, costs, data availability, and availability of respondents. The two main types of methods are qualitative research and quantitative research. Sometimes, researchers may find it difficult to decide which type of method is most suitable for their study. Keeping in mind a simple rule of thumb could help you make the correct decision. Quantitative research should be used to validate or test a theory or hypothesis and qualitative research should be used to understand a subject or event or identify reasons for observed patterns.  

Qualitative research methods are based on principles of social sciences from several disciplines like psychology, sociology, and anthropology. In this method, researchers try to understand the feelings and motivation of their respondents, which would have prompted them to select or give a particular response to a question. Here are two qualitative research examples :  

• Two brands (A & B) of the same medicine are available at a pharmacy. However, Brand A is more popular and has higher sales. In qualitative research , the interviewers would ideally visit a few stores in different areas and ask customers their reason for selecting either brand. Respondents may have different reasons that motivate them to select one brand over the other, such as brand loyalty, cost, feedback from friends, doctor’s suggestion, etc. Once the reasons are known, companies could then address challenges in that specific area to increase their product’s sales.  
• A company organizes a focus group meeting with a random sample of its product’s consumers to understand their opinion on a new product being launched.  

Table of Contents

What is qualitative research? 1

Qualitative research is the process of collecting, analyzing, and interpreting non-numerical data. The findings of qualitative research are expressed in words and help in understanding individuals’ subjective perceptions about an event, condition, or subject. This type of research is exploratory and is used to generate hypotheses or theories from data. Qualitative data are usually in the form of text, videos, photographs, and audio recordings. There are multiple qualitative research types , which will be discussed later.  

Qualitative research methods 2

Researchers can choose from several qualitative research methods depending on the study type, research question, the researcher’s role, data to be collected, etc.  

The following table lists the common qualitative research approaches with their purpose and examples, although there may be an overlap between some.  

Types of qualitative research 3,4

The data collection methods in qualitative research are designed to assess and understand the perceptions, motivations, and feelings of the respondents about the subject being studied. The different qualitative research types include the following:  

• In-depth or one-on-one interviews : This is one of the most common qualitative research methods and helps the interviewers understand a respondent’s subjective opinion and experience pertaining to a specific topic or event. These interviews are usually conversational and encourage the respondents to express their opinions freely. Semi-structured interviews, which have open-ended questions (where the respondents can answer more than just “yes” or “no”), are commonly used. Such interviews can be either face-to-face or telephonic, and the duration can vary depending on the subject or the interviewer. Asking the right questions is essential in this method so that the interview can be led in the suitable direction. Face-to-face interviews also help interviewers observe the respondents’ body language, which could help in confirming whether the responses match.  
• Document study/Literature review/Record keeping : Researchers’ review of already existing written materials such as archives, annual reports, research articles, guidelines, policy documents, etc.  
• Focus groups : Usually include a small sample of about 6-10 people and a moderator, to understand the participants’ opinion on a given topic. Focus groups ensure constructive discussions to understand the why, what, and, how about the topic. These group meetings need not always be in-person. In recent times, online meetings are also encouraged, and online surveys could also be administered with the option to “write” subjective answers as well. However, this method is expensive and is mostly used for new products and ideas.  
• Qualitative observation : In this method, researchers collect data using their five senses—sight, smell, touch, taste, and hearing. This method doesn’t include any measurements but only the subjective observation. For example, “The dessert served at the bakery was creamy with sweet buttercream frosting”; this observation is based on the taste perception.  

Qualitative research : Data collection and analysis

• Qualitative data collection is the process by which observations or measurements are gathered in research.  
• The data collected are usually non-numeric and subjective and could be recorded in various methods, for instance, in case of one-to-one interviews, the responses may be recorded using handwritten notes, and audio and video recordings, depending on the interviewer and the setting or duration.  
• Once the data are collected, they should be transcribed into meaningful or useful interpretations. An experienced researcher could take about 8-10 hours to transcribe an interview’s recordings. All such notes and recordings should be maintained properly for later reference.  
• Some interviewers make use of “field notes.” These are not exactly the respondents’ answers but rather some observations the interviewer may have made while asking questions and may include non-verbal cues or any information about the setting or the environment. These notes are usually informal and help verify respondents’ answers.  

2. Qualitative data analysis 

• This process involves analyzing all the data obtained from the qualitative research methods in the form of text (notes), audio-video recordings, and pictures.  
• Text analysis is a common form of qualitative data analysis in which researchers examine the social lives of the participants and analyze their words, actions, etc. in specific contexts. Social media platforms are now playing an important role in this method with researchers analyzing all information shared online.   

There are usually five steps in the qualitative data analysis process: 5

• Prepare and organize the data  
• Transcribe interviews  
• Collect and document field notes and other material  
• Review and explore the data  
• Examine the data for patterns or important observations  
• Develop a data coding system  
• Create codes to categorize and connect the data  
• Assign these codes to the data or responses  
• Review the codes  
• Identify recurring themes, opinions, patterns, etc.  
• Present the findings  
• Use the best possible method to present your observations  

The following table 6 lists some common qualitative data analysis methods used by companies to make important decisions, with examples and when to use each. The methods may be similar and can overlap.  

Characteristics of qualitative research methods 4

• Unstructured raw data : Qualitative research methods use unstructured, non-numerical data , which are analyzed to generate subjective conclusions about specific subjects, usually presented descriptively, instead of using statistical data.  
• Site-specific data collection : In qualitative research methods , data are collected at specific areas where the respondents or researchers are either facing a challenge or have a need to explore. The process is conducted in a real-world setting and participants do not need to leave their original geographical setting to be able to participate.  
• Researchers’ importance : Researchers play an instrumental role because, in qualitative research , communication with respondents is an essential part of data collection and analysis. In addition, researchers need to rely on their own observation and listening skills during an interaction and use and interpret that data appropriately.  
• Multiple methods : Researchers collect data through various methods, as listed earlier, instead of relying on a single source. Although there may be some overlap between the qualitative research methods , each method has its own significance.  
• Solving complex issues : These methods help in breaking down complex problems into more useful and interpretable inferences, which can be easily understood by everyone.  
• Unbiased responses : Qualitative research methods rely on open communication where the participants are allowed to freely express their views. In such cases, the participants trust the interviewer, resulting in unbiased and truthful responses.  
• Flexible : The qualitative research method can be changed at any stage of the research. The data analysis is not confined to being done at the end of the research but can be done in tandem with data collection. Consequently, based on preliminary analysis and new ideas, researchers have the liberty to change the method to suit their objective.  

When to use qualitative research   4

The following points will give you an idea about when to use qualitative research .  

• When the objective of a research study is to understand behaviors and patterns of respondents, then qualitative research is the most suitable method because it gives a clear insight into the reasons for the occurrence of an event.  
• A few use cases for qualitative research methods include:  
• New product development or idea generation  
• Strengthening a product’s marketing strategy  
• Conducting a SWOT analysis of product or services portfolios to help take important strategic decisions  
• Understanding purchasing behavior of consumers  
• Understanding reactions of target market to ad campaigns  
• Understanding market demographics and conducting competitor analysis  
• Understanding the effectiveness of a new treatment method in a particular section of society  

A qualitative research method case study to understand when to use qualitative research 7

Context : A high school in the US underwent a turnaround or conservatorship process and consequently experienced a below average teacher retention rate. Researchers conducted qualitative research to understand teachers’ experiences and perceptions of how the turnaround may have influenced the teachers’ morale and how this, in turn, would have affected teachers’ retention.  

Method : Purposive sampling was used to select eight teachers who were employed with the school before the conservatorship process and who were subsequently retained. One-on-one semi-structured interviews were conducted with these teachers. The questions addressed teachers’ perspectives of morale and their views on the conservatorship process.  

Results : The study generated six factors that may have been influencing teachers’ perspectives: powerlessness, excessive visitations, loss of confidence, ineffective instructional practices, stress and burnout, and ineffective professional development opportunities. Based on these factors, four recommendations were made to increase teacher retention by boosting their morale.  

Advantages of qualitative research 1

• Reflects real-world settings , and therefore allows for ambiguities in data, as well as the flexibility to change the method based on new developments.  
• Helps in understanding the feelings or beliefs of the respondents rather than relying only on quantitative data.  
• Uses a descriptive and narrative style of presentation, which may be easier to understand for people from all backgrounds.  
• Some topics involving sensitive or controversial content could be difficult to quantify and so qualitative research helps in analyzing such content.  
• The availability of multiple data sources and research methods helps give a holistic picture.  
• There’s more involvement of participants, which gives them an assurance that their opinion matters, possibly leading to unbiased responses.   

Disadvantages of qualitative research 1

• Large-scale data sets cannot be included because of time and cost constraints.  
• Ensuring validity and reliability may be a challenge because of the subjective nature of the data, so drawing definite conclusions could be difficult.  
• Replication by other researchers may be difficult for the same contexts or situations.  
• Generalization to a wider context or to other populations or settings is not possible.  
• Data collection and analysis may be time consuming.  
• Researcher’s interpretation may alter the results causing an unintended bias.  

Differences between qualitative research and quantitative research 1

Frequently asked questions on qualitative research  , q: how do i know if qualitative research is appropriate for my study  .

A: Here’s a simple checklist you could use:  

• Not much is known about the subject being studied.  
• There is a need to understand or simplify a complex problem or situation.  
• Participants’ experiences/beliefs/feelings are required for analysis.  
• There’s no existing hypothesis to begin with, rather a theory would need to be created after analysis.  
• You need to gather in-depth understanding of an event or subject, which may not need to be supported by numeric data.  

Q: How do I ensure the reliability and validity of my qualitative research findings?  

A: To ensure the validity of your qualitative research findings you should explicitly state your objective and describe clearly why you have interpreted the data in a particular way. Another method could be to connect your data in different ways or from different perspectives to see if you reach a similar, unbiased conclusion.   

To ensure reliability, always create an audit trail of your qualitative research by describing your steps and reasons for every interpretation, so that if required, another researcher could trace your steps to corroborate your (or their own) findings. In addition, always look for patterns or consistencies in the data collected through different methods.  

Q: Are there any sampling strategies or techniques for qualitative research ?   

A: Yes, the following are few common sampling strategies used in qualitative research :  

1. Convenience sampling  

Selects participants who are most easily accessible to researchers due to geographical proximity, availability at a particular time, etc.  

2. Purposive sampling  

Participants are grouped according to predefined criteria based on a specific research question. Sample sizes are often determined based on theoretical saturation (when new data no longer provide additional insights).  

3. Snowball sampling  

Already selected participants use their social networks to refer the researcher to other potential participants.  

4. Quota sampling  

While designing the study, the researchers decide how many people with which characteristics to include as participants. The characteristics help in choosing people most likely to provide insights into the subject.  

Q: What ethical standards need to be followed with qualitative research ?  

A: The following ethical standards should be considered in qualitative research:  

• Anonymity : The participants should never be identified in the study and researchers should ensure that no identifying information is mentioned even indirectly.  
• Confidentiality : To protect participants’ confidentiality, ensure that all related documents, transcripts, notes are stored safely.  
• Informed consent : Researchers should clearly communicate the objective of the study and how the participants’ responses will be used prior to engaging with the participants.  

Q: How do I address bias in my qualitative research ?  

  A: You could use the following points to ensure an unbiased approach to your qualitative research :  

• Check your interpretations of the findings with others’ interpretations to identify consistencies.  
• If possible, you could ask your participants if your interpretations convey their beliefs to a significant extent.  
• Data triangulation is a way of using multiple data sources to see if all methods consistently support your interpretations.  
• Contemplate other possible explanations for your findings or interpretations and try ruling them out if possible.  
• Conduct a peer review of your findings to identify any gaps that may not have been visible to you.  
• Frame context-appropriate questions to ensure there is no researcher or participant bias.

We hope this article has given you answers to the question “ what is qualitative research ” and given you an in-depth understanding of the various aspects of qualitative research , including the definition, types, and approaches, when to use this method, and advantages and disadvantages, so that the next time you undertake a study you would know which type of research design to adopt.  

References:  

• McLeod, S. A. Qualitative vs. quantitative research. Simply Psychology [Accessed January 17, 2023]. www.simplypsychology.org/qualitative-quantitative.html    
• Omniconvert website [Accessed January 18, 2023]. https://www.omniconvert.com/blog/qualitative-research-definition-methodology-limitation-examples/  
• Busetto L., Wick W., Gumbinger C. How to use and assess qualitative research methods. Neurological Research and Practice [Accessed January 19, 2023] https://neurolrespract.biomedcentral.com/articles/10.1186/s42466-020-00059  
• QuestionPro website. Qualitative research methods: Types & examples [Accessed January 16, 2023]. https://www.questionpro.com/blog/qualitative-research-methods/  
• Campuslabs website. How to analyze qualitative data [Accessed January 18, 2023]. https://baselinesupport.campuslabs.com/hc/en-us/articles/204305675-How-to-analyze-qualitative-data  
• Thematic website. Qualitative data analysis: Step-by-guide [Accessed January 20, 2023]. https://getthematic.com/insights/qualitative-data-analysis/  
• Lane L. J., Jones D., Penny G. R. Qualitative case study of teachers’ morale in a turnaround school. Research in Higher Education Journal . https://files.eric.ed.gov/fulltext/EJ1233111.pdf  
• Meetingsnet website. 7 FAQs about qualitative research and CME [Accessed January 21, 2023]. https://www.meetingsnet.com/cme-design/7-faqs-about-qualitative-research-and-cme     
• Qualitative research methods: A data collector’s field guide. Khoury College of Computer Sciences. Northeastern University. https://course.ccs.neu.edu/is4800sp12/resources/qualmethods.pdf  

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Based on 22+ years of experience in academia, Editage All Access empowers researchers to put their best research forward and move closer to success. Explore our top AI Tools pack, AI Tools + Publication Services pack, or Build Your Own Plan. Find everything a researcher needs to succeed, all in one place –  Get All Access now starting at just $14 a month !    

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• Open access
• Published: 24 October 2024

Registrars as teachers: a qualitative study exploring the experiences of Australian general practice registrars in teaching roles

• Katie Fisher 1 , 2 ,
• Irena Patsan 1 , 2 ,
• Linda Klein 1 , 2 ,
• Alexandria Turner 1 , 2 , 3 ,
• Dave Runciman 1 , 2 ,
• Alison Fielding 1 , 2 ,
• Michael Tran 4 ,
• Dimity Pond 5 ,
• Michelle Guppy 6 ,
• Chris Starling 7 ,
• Angelo D’Amore 2 , 8 ,
• Andrew Davey 1 , 2 &
• Parker Magin 1 , 2 , 9  

BMC Medical Education volume  24 , Article number:  1203 ( 2024 ) Cite this article

Metrics details

GP registrars (specialist vocational trainees in general practice) are interested in teaching, and there are considerable benefits to teaching during training. There are, however, significant barriers for registrars as teachers, including inadequate funding, time pressures, and limited teacher training. Current evidence does not include medical educator (ME) perspectives or compare teaching settings (e.g. university vs. in-practice). Further evidence is needed to inform programs supporting registrar teaching roles.

This project aimed to explore the experiences of Australian GP registrars as teachers in different contexts and from multiple stakeholder perspectives.

A qualitative study with GP registrars, GP supervisors, MEs, and medical students was conducted. Participants were registrars and new (within 12 months) Fellows with teaching experience during training, supervisors who supervised a registrar in the preceding 12 months, Royal Australian College of General Practitioner MEs, and medical students with experiences of being taught by registrars. Recruitment was open to participants nationwide and sampling was purposive, aiming for a maximum variation sample. Data collection was performed via videoconference and analysed using reflexive thematic analysis.

Interviews were conducted with 15 registrars, 10 supervisors, and one ME. Two focus groups involved four MEs and five medical students respectively. Registrar participants taught in a variety of settings, including in-practice, universities, hospitals, and at educational workshop days. Three had experience in GP academic posts and one as a registrar ME. There were four major themes. 1) Near-peer teaching by registrars is valuable - both for medical students and registrars. 2) Teaching makes you a better GP - participants noted the transferability of teaching skills to clinical practice. 3) The importance of the teaching context – this was identified as an important determinant for registrars in teaching roles. 4) Registrar teaching strengthens the GP workforce – participants noted that teaching could elevate general practice as a specialty and increase interest in GP training.

Conclusions

Study participants saw teaching as a core skill for GPs, with transferability to their clinical practice. Registrar participants wanted greater promotion and support for teaching opportunities that counted towards attainment of Fellowship. These findings have implications for teaching practices, MEs, universities, and training providers.

Peer Review reports

General practice registrars (vocational trainees in general practice/family medicine) are interested in teaching [ 1 , 2 , 3 ]. However, unlike hospital settings where registrar involvement in teaching is normalised and expected, unique challenges to teaching exist within primary care settings [ 4 ]. Chief among them appears to be a cultural attitude towards general practitioner (GP) registrar involvement in teaching, which is seen as a deviation from the norm [ 4 ]. An Australian survey found that only 52% of GPs agreed that registrars had the capability to teach in general practice [ 2 ]. GP registrar teaching also tends to be ad-hoc and informal, without prior training or protected time [ 5 ]. These findings are in contrast to the Royal Australian College of General Practitioners’ (RACGP) curriculum, which includes the core competency “GPs mentor and teach” [ 6 ]. Unlike Australia and the United Kingdom, North America has formally adopted ‘residents-as-teachers’ curricula into their vocational training programs, and this has resulted in a high proportion of family medicine trainees being involved in teaching [ 7 , 8 ].

Australian GP registrars are therefore an underutilised teaching resource in the context of an increasing medical student cohort [ 9 ] and growing demand for general practice community placements. An increasing mis-match of teaching demand and teaching capacity will be further contributed to by the projected shortfall of 11,392 (28%) full-time GPs in Australia by 2032 [ 10 ]. Exposing medical students to high-quality GP placements early in their training can improve perceptions of general practice as a career pathway and increase recruitment to training [ 11 , 12 ], which is necessary for strengthening the future GP workforce.

However, significant barriers exist to GP registrars’ involvement in teaching, including inadequate funding, time pressures, and limited teacher training [ 2 , 13 , 14 ]. In addition, Australian GP registrars have raised concerns about adequate remuneration, as practice incentive payments (PIP) for teaching are not usually allocated to the registrar [ 13 , 14 , 15 ]. Some registrars have also reported that teaching was not a high priority during their training due to competing clinical needs [ 16 ].

Published literature in this area is incomplete. First, whilst there are studies addressing in-practice GP supervisors’ perspectives of GP registrars as teachers, few include perspectives of external medical educators (MEs). MEs have unique insights due to their involvement in vocational GP training. Further, there are no studies comparing teaching contexts (e.g., in-practice versus university versus hospital settings), with literature focussing on in-practice teaching experiences.

This study aimed to explore the experiences of GP registrars as teachers in different contexts and from multiple stakeholder perspectives.

Study design

This qualitative study used semi-structured interviews and focus groups within a reflexive thematic analysis methodology with an interpretative paradigm [ 17 , 18 ].

Australian context

In Australia, GP registrars are vocational trainees in general practice/family medicine. On completion of specialty training, GP registrars obtain fellowship with one of the two Australian GP colleges, thereby becoming a GP Fellow. Most Australian registrars will obtain fellowship with the Royal Australian College of General Practitioners (RACGP).

GP registrars train in an apprenticeship-like model, working clinically under the guidance of an experienced GP (supervisor), with a formal education program delivered by regional medical educators (MEs). MEs are GP Fellows with an interest in medical education and relevant education experience in a GP context.

In terms of formal teaching opportunities in training, there are two main roles that registrars can apply for, both of which are salaried. One is the Registrar Medical Educator (RME) role, which is a part-time extended skills role in medical education that is offered by the RACGP. RMEs are eligible to apply for this role once they have completed their first two six-month GP training terms (GPT1 and GPT2). The second is an Australian General Practice Training Academic Post, which is a 12-month part-time role working at an Australian university and involves a combination of research and teaching experience. This term is usually completed alongside part-time clinical work.

Informally, registrars can participate in teaching opportunities within their practices. However, there is no dedicated funding for this teaching unless the registrar’s practice agrees to include this in their paid working hours, or if the practice agrees to allocate the teaching PIP to the registrar. For registrar income, most Australian GP registrars are employed under a contract, where they are paid a base rate of pay, with a ‘top-up’ payment, being the difference between their base rate and a percentage of their billings (with the practice receiving the remaining percentage). The fewer patients a registrar sees, and therefore the less they bill, the lower their take-home pay will be.

Participants

Registrars, supervisors, MEs, and medical students were invited to express interest in participation via email. Sampling frames included all registrars and supervisors involved in training via RACGP and all MEs employed by the RACGP at the time of recruitment. For medical students, emails were distributed by the following universities: University of Newcastle, University of New England, University of Tasmania, Monash University, and Charles Darwin University. These universities were contacted as the study investigators had affiliations or established contacts for these institutions. Logistics dictated contacting all Australian universities with medical schools to obtain approvals for student recruitment, which was not practicable.

Email invitations were sent to 4,844 registrars, 6,331 supervisors and 325 MEs nationwide. Responses were received from 40 registrars, 48 supervisors, and 7 MEs. The total number of invitations sent to medical students is not known as universities were directly responsible for disseminating invitations to students, however, there were 12 medical student responses received.

Inclusion criteria were:

GP registrars: registrars and New Fellows (achieved Fellowship within the previous 12 months) with teaching experiences during their GP training.

GP supervisors: supervisors working in teaching practices where GP registrars have opportunities to teach, and who have supervised at least one registrar within the previous 12 months.

MEs: all RACGP MEs were eligible to participate.

Medical students: medical students with experiences of being taught by a GP registrar.

Participants were selected via purposive sampling using a brief questionnaire, with maximum variation sampling considering demographics and teaching experiences and, for registrars, their interest in future teaching. Registrars, supervisors, and medical students were compensated for their time in the form of digital gift cards. MEs were able to participate during their paid working hours.

Data collection

KF and IP led the data collection and analysis. KF is a female GP and researcher who taught medical students as a registrar, and IP is a female senior research assistant with experience in GP vocational training research and a clinical background in nutrition and dietetics. The rest of the authorship team was comprised of undergraduate/postgraduate MEs, primary care researchers, and GPs. The team’s diversity brought a variety of views and experiences relating to the data. Authors practiced reflexivity, acknowledging their role in the research, and critically appraised their subjective perspective.

Semi-structured interviews and focus groups were performed via videoconference. Interviews were conducted with supervisors and registrars, who were the main stakeholders of this research. Two focus groups, one with MEs and the second with medical students, were performed to provide further context and a deeper understanding of findings from the registrar and supervisor interviews. Focus groups allowed for multiple perspectives to be collected to further enrich the data and enabled project completion within the grant funding period. Informed consent and confidentiality were confirmed prior to interview/focus group commencement. Interview and focus group questions are included in the Supplementary File.

KF and IP led one focus group each while the other took notes. For the two focus groups, the researchers and participants were joined by a senior researcher, LK. Interviews and focus groups were conducted between September 2023 and February 2024. Interview duration ranged from 19 to 60 min, and the focus groups took 73 min and 67 min for MEs and medical students respectively.

KF had taught one of the medical student participants prior to study commencement. KF and IP had working relationships with three ME participants prior to study commencement, through mutual employment at the RACGP.

Interviews and focus groups were audio-recorded, transcribed, and analysed in NVivo qualitative analysis software (version 14.23.1(38)). Memo notes were taken during, and immediately after, data collection. Transcripts were returned to interview participants for respondent validation (but not to focus group participants as deidentified transcripts had potential for participants to alter others’ responses).

Vygotsky’s social constructivist theory was used as a theoretical lens during thematic analysis. This educational theory places emphasis on the influence of the social environment and peer interactions on learning [ 19 ]. The transcripts were co-coded inductively by KF and IP, using a combination of semantic and latent coding. KF, IP and LK met regularly to reflect on the interpretation of the data and the theoretical assumptions of Vygotsky’s social constructivist theory. Other members of the authorship team provided input on the findings as the analysis proceeded. KF and IP reflexively iterated the codes and themes were generated by grouping codes. Themes were mapped to produce a framework for the findings.

Thematic saturation was reached for registrars and supervisors, but not for MEs and medical students. However, medical student and ME perspectives provided rich context and explanatory depth for the registrar and supervisor interviews [ 20 ].

Ethics approval for this project was granted by the RACGP National Research & Evaluation Ethics Committee (NREEC 23–181).

Fifteen registrars, 10 supervisors, and one ME (who was unavailable for the focus group) completed interviews. Five medical students and four MEs participated in focus groups. Participant characteristics are presented in Table  1 , with teaching experiences for registrar participants summarised in Table  2 . Most registrar participants had teaching experiences before commencing GP training and all registrars expressed a desire to teach in the future. Registrar participants taught a variety of learners, including medical students, junior doctors, other registrars, GP Fellows, and allied health practitioners.

Theme 1: near-peer teaching by registrars is valuable

Near-peer teaching was defined as registrars teaching medical students and/or prevocational doctors. Participants described the value of this teaching, with benefits for registrars and their near-peer learners.

Medical student participants had overwhelmingly positive learner experiences with registrars. Students described registrars as approachable and more likely to actively involve them in clinical consultations when compared to more senior GPs. Students described teaching from registrars as a “low pressure environment” where they were given permission to make mistakes. Registrars were also passionate about parallel consulting (where the learner sees a patient independently and is joined by the registrar later) and felt this offered the most benefit for medical students on their GP placements.

“I found the registrars were a lot more willing to get me involved and actually discuss consults and some of their thought processes , whereas the senior GPs it was more just sitting and observing. And whenever we had free time , they [registrars] were a lot more willing to teach me.” – Medical Student 3 .

“I think [medical students] really like the near-peer aspect of it. They feel like it’s targeted to them , they’re understood as people who are about to become interns because the registrars are only a few years ahead. And I think the students get a vision of what general practice training looks like.” – Supervisor 7 .

Medical students also described registrars as guideline-driven and evidence-based in their practice, which they found helpful for their exam preparation and intern readiness.

“[Registrar] was very focused on exams and , in my case , preparing me for internship in giving me tips from GP that would be relevant in my first year of working.” – Medical Student 2 .

Educators (supervisors and MEs) noted benefits of near-peer teaching for registrar confidence and professional identity development. Registrars often spoke about “imposter syndrome” and not feeling experienced enough to teach junior learners, however, educators noted that near-peer teaching could be a validation process that affirmed registrars’ knowledge when compared to more junior learners.

“There’s often this sense of ‘am I allowed to be teaching?’ You’ve got this imposter syndrome thing going on even though you may have valid clinical experience in the topic and have spent a ridiculous amount of hours reviewing all the literature and evidence for that topic.” – Registrar 3 . “‘There’s people in the pipeline who know less than me’ is always a nice thing for registrars. I think that’s quite confidence building.” – Supervisor 7 .

Theme 2: teaching makes you a better GP

Most registrar participants felt that teaching benefited their clinical practice, keeping them up to date with clinical knowledge, resulting in better exam preparation and patient care. Registrars and educators also noted benefits for reflective practice and improved clinical reasoning. All ME participants felt that teaching was a transferrable and important skill for registrars to learn during their training.

“I think [teaching] forces you to reflect on your own clinical practice. It prompts that constant self-reflection in terms of ‘how am I practising differently?’ and ‘how am I approaching this patient differently from this student or from this learner?’” – Registrar 7 . “I think there’s a lot of skills that we learn in a teaching role that are transferrable to clinical practice. I’m a better clinician for being an educator and vice-versa I think.” – Medical Educator 4 .

Participants noted that improved communication skills were a benefit of teaching experiences, better preparing registrars for teaching their own patients. Several participants noted that the word ‘doctor’ literally translates to ‘teacher’ and defines the job.

“Every patient encounter is teaching. You’re teaching your patients. I don’t think you can practice in the community as a GP without being a teacher as well and I think learning how to teach…is absolutely vital to being a GP.” – Supervisor 8 .

Theme 3: the importance of the teaching context

The teaching context was identified as an important determinant of registrars’ teaching experiences. The contexts included teaching practices and the supervisory relationship, universities, and training providers and the ME relationship.

Sub-theme: teaching practices and the supervisory relationship

Registrar participants with positive teaching experiences described elements of a rich teaching culture within their practices, including protected teaching time in their appointment book and the role of teaching being shared amongst clinicians in the practice.

“This practice is pretty good because whenever we’ve got a student , we know from four weeks in advance that on this day , this particular session , the student will be sitting in and our practice manager will book people accordingly , leaving a bit more catch-up time.” – Registrar 2 .

Registrars and supervisors noted that remuneration and practice income were significant barriers to teaching in-practice, with income generation being tied only to patient attendances and there being limited funding for teaching. Some registrars reported not receiving the teaching PIP, however, several of the interviewed supervisors felt strongly that this payment should be allocated to registrars if they teach medical students.

“That payment [PIP] , […] you actually don’t see any of that money for having a student sitting in.” – Registrar 12 .

Another common barrier for registrars was lack of opportunity. Some registrar participants noted that their practices had a culture of allocating medical students to senior GPs. Some registrars felt unfounded assumptions were made about whether they wanted to teach and felt that supervisors should be encouraged to find teaching opportunities for registrars in their practices.

“I think it was just ingrained in that practice that the medical students went with the two principal doctors , the way it’d been for many years , and it didn’t change.” – Registrar 4 . “I think asking registrars if they want to teach. I think people just assume registrars are so busy with the exams and trying to get their head around GP training , that they don’t actually get asked.” – Registrar 5 .

In contrast, educator and registrar participants spoke about readiness to teach as an important consideration. Most supervisors felt that registrars in their first 6-month general practice term (GPT-1) would benefit from learning how general practice works before taking on teaching roles. Medical student participants also noted that Fellowship examination periods were not an optimal time for registrars to teach.

“I really wouldn’t want to give them [GPT-1s] a student straight away until a bit further on. So it just depends on where they’re placing our students , the timing , and also the confidence of the registrar.” – Supervisor 6 . “I can think of one registrar that I was with who was- to be fair they were about to sit their Fellowship exam , so they were quite stressed. So that experience wasn’t great , I didn’t really get much out of it. It was very much sitting in the corner of the room.” – Medical Student 3 .

One supervisor felt that registrars should have sufficient experience beyond that of their near-peer learners, commenting that registrars could teach medical students but not closer peers.

“What you really need is to be two pages ahead of the person you’re teaching. Not half a page or one page ahead. So , I would trust a registrar with two to three years hospital experience to teach a medical student. I would trust a new Fellow to teach a pre-vocational registrar.” – Supervisor 2 .

Sub-theme: university teaching

University-based teaching opportunities varied by region. For three registrar participants, their experiences in university teaching were part of the Academic Post program. For others, it was part-time or casual work performed in addition to clinical duties (for example, teaching case- and problem-based learning tutorials). Opportunities for casual university teaching tended to be informally advertised, with most participants hearing about the work from their colleagues.

Unlike academic post registrars, casual/part-time university teaching rarely counted towards attainment of Fellowship. Some universities had formalised extended skills terms for medical education with RACGP accreditation, but this was not available nationwide. Overall, registrars wanted to see more formal teaching opportunities available to them in training.

“I don’t think there’s anything like – registrars have specialties , don’t they? They do GP anaesthetics. There’s nothing really for registrar teaching as a special skill. Maybe there should be.” – Supervisor 1 .

Rural registrars noted that there were unique logistical challenges for them to get involved in university teaching, namely travel time. Some also commented that academic posts often meant moving to an urban area for a 12-month period, which they felt would be detrimental to their rural communities.

“Travel for further teaching opportunities is a barrier as well. I’ve got a kid , so I’ve been offered to […] do OSCE assessment or travel and help out with nearby clinical schools an hour and 15 minutes away , and for me right now , with childcare and travel , it’s not realistic.” – Registrar 15.

Registrars who had experience in both in-practice and university settings, such as academic post registrars, noted that they found teaching to be more manageable in an academic setting, as they were able to fully devote their time to teaching activities. These registrars found in-practice teaching more difficult due to the demands of their clinical work.

“I find it really hard , because in clinic I feel I’m doing the learning. I feel I don’t have any extra energy in addition to what I’m doing clinically to dedicate to the student[…]. So I find it really challenging having them in-clinic , compared to [university] , it’s a very different environment , 100% of my focus is teaching and I find it easier.” – Registrar 11 .

Sub-theme: training providers and the ME relationship

MEs and the RACGP (being the main training provider in Australia) have an opportunity to support registrars in teaching roles. Firstly, registrars wanted their teaching experiences to count towards Fellowship and be formally recognised.

“I think a lot of registrars have an interest in teaching but it’s the opportunity to do it within training as well. Because I know some registrars tried to have a day a week in a medical education position but it wasn’t recognised in a training capacity.” – Registrar 12 .

Secondly, some registrars expressed a need for teaching skills training from the RACGP. This sentiment was more salient amongst registrars participating in teaching in-practice, compared to those in academic teaching roles who reported greater access to teacher training (for example, via Academic Post program or university departments). However, not all registrars identified a need for formal training, with many commenting that they learned by observing their supervisor or via experiential learning.

Thirdly, registrars were divided on how well they felt teaching opportunities, like academic posts and registrar ME roles, were promoted by the RACGP and their MEs. Some felt there was ample promotion whereas others reported seeking their own information or hearing about opportunities from peers.

“I think it’s honestly word of mouth , otherwise it’s [Academic Post program] not really widely distributed through RACGP or [regional training organisation] like what it was before.” – Registrar 13 .

Specific to the RACGP GP training curriculum, participants were divided on whether teaching should be compulsory in training, despite most participants commenting that teaching was a valuable skill. Many participants identified that not all registrars would be suited to teaching, particularly if they were struggling with their own learning needs.

“Teaching junior colleagues can’t be an obligation on registrars who aren’t ready for it , or who aren’t suited to it.” – Supervisor 2 . “If you don’t start with [teaching] when you’re training , how are you supposed to continue that as a consultant?” – Registrar 3 .

Regarding RACGP accredited extended skills terms, registrars and educators felt positively about a medical education post for interested registrars. Some participants noted that registrar ME positions were already available and filled this need, however, there are limited positions nationwide (generally one per training region). Contrary to other educator views, one supervisor felt that a medical education post would reduce registrars’ clinical exposure during a relatively short two-year training program (when compared to hospital-based training programs).

“Anything that takes registrars out of the consulting room better be damned valuable if it’s going to be worthwhile for the profession and for the community , and I doubt very much that registrars doing teaching is.” – Supervisor 2 .

However, registrars and educators noted that teaching did not necessarily have to detract from clinical exposure, with the opportunity to combine teaching with clinical medicine, for example, parallel consulting with junior learners.

“I don’t think it’s a significant detractor to have that time spent on education. And given all the other valuable things you’ll take from learning how to teach and communication benefits , learning how to update yourself , I actually think would be a really valuable experience.” – Registrar 10 .

Theme 4: registrar teaching strengthens the GP workforce

Sub-theme: teaching improves the reputation of general practice.

Participants noted that registrars teaching junior learners had the potential to improve the perception of general practice and increase medical student interest in a GP career. Participants contrasted general practice and hospital environments, noting that teaching could elevate general practice to align with other specialties.

“I think teaching is a really big part of other training specialties in hospitals and I think it elevates the practice , elevates the specialty […]. Yeah I think it’s elevating to teach.” – Registrar 9 .

Participants also noted that junior learners would have a better appreciation of general practice, even if they did not go on to pursue a general practice career.

“But we might be just helping [medical students] to see the value of general practice. And I think that works both ways. The medical student might come back as a GP , but they might also , from the hospital , understand general practice a bit better.” – Supervisor 10 .

To contrast these views, medical student participants did not note any differences in the career advice obtained from GP registrars compared to senior GPs, finding both perspectives useful for their own decision-making. Medical students also commented that they would prefer work-based experiences to support their career decisions, such as general practice placements in residency, which are not widely available.

Sub-theme: a teaching role improves career sustainability

Participants found that teaching roles improved job satisfaction and made their GP careers more sustainable in the long-term. Some registrars noted that teaching medical students in-practice allowed them to slow the pace of their clinical day and reduce social isolation. Many registrars spoke about the risk of burnout with full-time clinical work and found that splitting their week between clinical and educational work was favorable. ME participants echoed these views, noting the role their own education careers played in reducing burnout.

“The other thing I liked about [teaching] was , while I love clinical work , it reduces the clinical load because I’m happy to work full-time , but full-time clinical work in GP land is tiring.” – Registrar 12 . “Educating’s fun. I mean , we’re biased , we’re the ME group. Another thing it can do is really prolong careers and with me it prevents burnout.” – Medical Educator 3 .

Educator participants also noted that registrar teaching roles were an important part of succession planning, by training up the next generation of GP medical education workforce.

“Benefits in terms of their confidence and I think when they Fellow they’re much more likely to be keen to take on students , registrars and interns and be a supervisor” – Supervisor 3 .

Summary of the main findings

Teaching is a core competency within the RACGP curriculum [ 6 ], and participants recognised the importance of this skill. However, teaching is not currently a formal requirement of the RACGP training program, possibly reflecting existing cultural attitudes towards GP registrars as teachers. Participants were divided on whether teaching should be mandatory during training, noting the competing priorities of the training program and considerations around readiness to teach. Registrars and educators noted benefits and challenges that were consistent with previous research [ 21 ], however, positives far outweighed the negatives. A novel finding in this study was the transferability of teaching skills to clinical practice, with participants noting the benefits in teaching their patients and providing more evidence-based care. Our findings also suggest that teaching has the potential to strengthen the GP workforce, by increasing interest in GP training and providing career sustainability.

The training context and their relevant stakeholders play an important role in supporting registrars to adopt teaching roles. There exists an opportunity for supervisors, MEs, universities, and training providers to promote teaching pathways for registrars. Most participants felt that increased teaching in general practice had the potential to elevate the specialty and provide greater parity with hospital-based training programs.

Consideration of findings with our theoretical lens

Our findings on the utility of near-peer teaching can be seen through the lens of existing educational theory, including Vygotsky’s social constructivist theory [ 16 , 19 , 22 ]. Thampy et al. saw the benefits of the ‘near-peer tutor’ having social and cognitive congruence with the learner, allowing registrars to more readily identify their learners’ zone of proximal development (ZPD), which, in Vygotsky’s model, represents the difference between a learner’s current knowledge level and the potential level they can achieve through social interaction with a more experienced tutor [ 16 , 19 ]. This was supported by medical student participants, who noted social congruence with registrars, who were described as more approachable, and cognitive congruence, with registrars being more examination- and internship-oriented. Students also described teaching with registrars as a “low pressure environment”, which allowed them to make mistakes and thereby develop within their ZPD. These findings are congruent with existing literature [ 15 , 16 , 23 , 24 , 25 ].

Our findings also suggest that near-peer teaching assists with registrars’ professional identity development, both as teachers and clinicians. Educator participants commented on the role that near-peer teaching played in improving registrars’ confidence levels and consolidating their clinical knowledge. This is consistent with undergraduate medical education research [ 22 ], which describes the near-peer tutors’ professionalisation being facilitated within a social-learning environment, including role-modelling behaviour to tutees and via experiential learning.

While Vygotsky’s social constructivist theory is useful for considering our findings on the value of near-peer teaching, it is unable to permit exploration of the tension between clinical and educational roles within general practice. Some of our participants could appreciate the complementary nature of these roles, and the benefits of such coupling. There were even suggestions that better integration of near-peer teaching into the vocational training clinical setting could contribute to to the sustainability of general practice in Australia.

Teaching extended skills term

It has been suggested that an accredited teaching career pathway, or teaching fellowship, could assist in increasing uptake of registrars in teaching roles [ 15 , 26 ]. A teaching fellowship would allow senior GP registrars to work in dedicated teaching positions, complete teaching skills training, and facilitate capacity-building for medical education in general practice. This concept was received positively by registrars, although there were some concerns about reduced clinical exposure in the relatively short two-year training program.

Our findings demonstrated that this type of accredited extended skills term was available at some Australian universities, however, this was not widely available nationwide. The limited number of accredited positions may reflect the existing cultural attitudes towards GP registrars as teachers. Increasing the availability of these positions could help to normalise teaching in training, similar to North America’s ‘resident-as-teacher’ programs [ 7 ].

Implications for stakeholders and further research

Our findings have implications for relevant stakeholders, including teaching practices and supervisors, medical educators, universities, and the RACGP as the major training provider in Australia. Increasing the number of formal teaching pathways in training will require funding and RACGP accreditation. In addition, registrars would benefit from the provision of formal teacher training before commencing teaching roles and the RACGP is well placed to deliver this training.

Future pilot programs are needed to develop sustainable and practical models of teacher training within Australian general practices, which is where most teaching will occur due to limited university appointments. Formal and recognised teacher training is also necessary to change the perception of registrars as teachers within general practice, and to support the interdependency of clinical and educational roles in primary care more broadly. Future research is needed to explore the feasibility and scalability of a registrar teaching program nationwide.

The RACGP could consider greater promotion of teaching pathways and look to expand registrar ME positions nationwide. Teaching practices and GP supervisors can also support registrars in their teaching endeavours by considering ways to involve them in teaching opportunities with the practice (for example, evidence-based journal clubs and practice education meetings), allowing protected ‘catch-up’ time in their appointment books for teaching, and remunerating the registrar where appropriate. Lastly, university-affiliated teaching opportunities would be better incentivised if they were counted towards attainment of GP Fellowship via RACGP accreditation.

Strengths and limitations

This project recruited participants from around Australia, using maximum variation sampling, which improves transferability of our findings, and allows for comparisons between important stakeholder groups. Reflexivity and investigator collaboration were performed regularly, including memo notes and regular discussion between IP and KF during co-coding and thematic analysis. Finally, credibility was increased by employing respondent validation, with participants verifying their transcripts and editing to ensure accuracy.

Medical student responses may have been influenced by a perceived power imbalance during the focus group. Students may have been unwilling to share negative experiences because of social desirability bias. In addition, the majority of students were from one region within NSW, which could reduce the transferability of these findings.

Lastly, all registrars who expressed an interest in participating in the study were interested in teaching in the future. Experiences and attitudes of registrars without an ongoing intent to teach are absent from the data.

Study participants saw teaching as a core skill for GPs, with transferability to their clinical practice. Near-peer teaching was seen as valuable for medical students, through social and cognitive congruence, and for registrars, in the development of their professional identity. Registrar participants wanted greater support for teaching opportunities that counted towards attainment of Fellowship. These findings have implications for teaching practices, MEs, universities, and training providers.

Data availability

The data that were used in this study cannot be publicly shared due to ethical and privacy concerns. Informed consent, in line with the approving ethics committee, only allows the use of de-identified extracts within research reporting and writing, to maintain the privacy of participants.

Abbreviations

curriculum vitae

general practitioner

general practice term 1

general practice term 2

medical educator

objective structured clinical examination

practice incentive payment

Royal Australian College of General Practitioners

registrar medical educator

zone of proximal development

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Acknowledgements

The authors would like to thank the GP supervisors, GP registrars, medical educators and medical students who participated in this study.

This research project was supported by the Royal Australian College of General Practitioners Education Research Grant (2023-01) with funding from the Australian Government under the Australian General Practice Training Program.

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KF led the design of the study. KF and IP led the qualitative analysis and writing of the manuscript. All authors contributed to the study design, implementation, and interpretation of findings. All authors contributed to the writing of, and approval of, the final manuscript.

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Fisher, K., Patsan, I., Klein, L. et al. Registrars as teachers: a qualitative study exploring the experiences of Australian general practice registrars in teaching roles. BMC Med Educ 24 , 1203 (2024). https://doi.org/10.1186/s12909-024-06220-5

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Received : 01 August 2024

Accepted : 18 October 2024

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DOI : https://doi.org/10.1186/s12909-024-06220-5

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