Forman Jane, Creswell John W, Damschroder Laura, Kowalski Christine P, Krein Sarah L
VA Ann Arbor Healthcare System, Ann Arbor, MI, USA.
Am J Infect Control. 2008 Dec;36(10):764-71. doi: 10.1016/j.ajic.2008.03.010. Epub 2008 Oct 3.
Infection control professionals and hospital epidemiologists are accustomed to using quantitative research. Although quantitative studies are extremely important in the field of infection control and prevention, often they cannot help us explain why certain factors affect the use of infection control practices and identify the underlying mechanisms through which they do so. Qualitative research methods, which use open-ended techniques, such as interviews, to collect data and nonstatistical techniques to analyze it, provide detailed, diverse insights of individuals, useful quotes that bring a realism to applied research, and information about how different health care settings operate. Qualitative research can illuminate the processes underlying statistical correlations, inform the development of interventions, and show how interventions work to produce observed outcomes. This article describes the key features of qualitative research and the advantages that such features add to existing quantitative research approaches in the study of infection control. We address the goal of qualitative research, the nature of the research process, sampling, data collection and analysis, validity, generalizability of findings, and presentation of findings. Health services researchers are increasingly using qualitative methods to address practical problems by uncovering interacting influences in complex health care environments. Qualitative research methods, applied with expertise and rigor, can contribute important insights to infection prevention efforts.
感染控制专业人员和医院流行病学家习惯于使用定量研究。虽然定量研究在感染控制与预防领域极为重要,但它们往往无法帮助我们解释为何某些因素会影响感染控制措施的使用,也无法识别这些因素发挥作用的潜在机制。定性研究方法采用开放式技术(如访谈)收集数据,并运用非统计技术进行分析,能提供关于个体的详细、多样的见解,得出有助于应用研究更具现实意义的有用引述,以及不同医疗环境运作方式的信息。定性研究能够阐明统计相关性背后的过程,为干预措施的制定提供依据,并展示干预措施如何发挥作用以产生观察到的结果。本文描述了定性研究的关键特征,以及这些特征为感染控制研究中现有的定量研究方法所带来的优势。我们探讨了定性研究的目标、研究过程的性质、抽样、数据收集与分析、效度、研究结果的可推广性以及研究结果的呈现。卫生服务研究人员越来越多地运用定性方法,通过揭示复杂医疗环境中的相互作用影响来解决实际问题。运用专业知识和严谨态度应用定性研究方法,可为感染预防工作提供重要见解。