Abstract
Qualitative research has long been challenged and criticized on issues relating to validity and objectivity. Much debate and discourse have thoroughly explored these concerns and provided coherent reasoning to allay apprehensions and provide researchers with a wealth of advice and guidance on the rigorous conduct and reporting of qualitative studies. Basic principles of trustworthiness are at the core of the evidence and include credibility, dependability, confirmability, and transferability.
Efforts to achieve these principles need to be invested from conception of the research question, through research design, conduct, reporting, and dissemination. There are validated reporting checklists which offer valuable aide-mémoires or prompts to researchers in this journey. These are also used as standards in the review of research to assess aspects of trustworthiness and subsequently quality of the research and the findings. This chapter includes a summary of primary design techniques that aim to improve “trustworthiness” of qualitative research which, if adopted, contribute toward generating evidence of greater value and potential impact.
There are other recognized strategies that can be used as tools by researchers in their endeavor to convince readers, reviewers, and potentially decision-makers of the true value of their work. It is notable that there is not a one-size-fits-all approach. Instead, researchers are urged to be cognizant of the importance of coherency and transparency in the approach, conduct, and reporting of their research to ensure it is best considered, appreciated, and utilized to inform policy and practice. Although this chapter provides an overview and description of tools and strategies to enhance trustworthiness of qualitative research, it is acknowledged that each would require a chapter in its own right to capture the theoretical evolution of these concepts and fully educate the reader. The chapter does not include examples from the pharmacy literature where the criteria have been applied, nor does it provide a comprehensive description of the competing viewpoints of establishing quality in the published literature. Therefore, it is recommended that qualitative researchers consider the following information as a research toolbox, where they are likely to need to consult more detailed manuals of the individual tools in order to fully appreciate their utility and application.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Amin MEK, Nørgaard LS, Cavaco AM, Witry MJ, Hillman L, Cernasev A, Desselle SP. Establishing trustworthiness and authenticity in qualitative pharmacy research. Res Soc Adm Pharm. 2020;16(10):1472–82. https://doi.org/10.1016/j.sapharm.2020.02.005.
Atkinson P, Pugsley L. Making sense of ethnography and medical education. Med Educ. 2005;39(2):228–34.
Black AL, Crimmins G, Dwyer R, Lister V. Engendering belonging: thoughtful gatherings with/in online and virtual spaces. Gend Educ. 2020;32(1):115–29. https://doi.org/10.1080/09540253.2019.1680808.
Bowen GA. Naturalistic inquiry and the saturation concept: a research note. Qual Res. 2008;8(1):137–52. https://doi.org/10.1177/1468794107085301.
Clandinin DJ. Narrative inquiry: a methodology for studying lived experience. Res Stud Music Educ. 2006;27(1):44–54.
Collingridge DS, Gantt EE. The quality of qualitative research. Am J Med Qual. 2008;23(5):389–95.
Converse M. Philosophy of phenomenology: how understanding aids research. Nurse Res. 2012;20(1):28.
Dagnachew N, Meshesha SG, Mekonen ZT. A qualitative exploration of barriers in accessing community pharmacy services for persons with disability in Addis Ababa, Ethiopia: a cross sectional phenomenological study. BMC Health Serv Res. 2021;21:467. https://doi.org/10.1186/s12913-021-06488-z.
Denzin NK, Lincoln YS. The SAGE handbook of qualitative research. 5th ed. Thousand Oaks: Sage; 2017.
Elo S, Kääriäinen M, Kanste O, Pölkki T, Utriainen K, Kyngäs H. Qualitative content analysis: a focus on trustworthiness. SAGE Open. 2014. https://doi.org/10.1177/2158244014522633.
Frambach JM, van der Vleuten CPM, Durning SJ. AM last page. Quality criteria in qualitative and quantitative research. Acad Med. 2013;88(4):552. https://doi.org/10.1097/ACM.0b013e31828abf7f.
Fudge N, Swinglehurst D. ‘It’s all about patient safety’: an ethnographic study of how pharmacy staff construct medicines safety in the context of polypharmacy. BMJ Open. 2021;11(2):e042504.
Gephart Jr RP. Qualitative research and the Academy of Management Journal. Academy of management journal. 2004;47(4):454–62.
Giacomini M, Cook DJ. Qualitative research. In: Guyatt GH, Rennie D, Meade MO, Cook DJ, editors. Users’ guides to the medical literature: a manual for evidence-based clinical practice. 3rd ed. McGraw-Hill; 2016. p. 1–14.
Given LM. The SAGE encyclopedia of qualitative research methods. Thousand Oaks: Sage; 2008.
Guba EG. Criteria for assessing the trustworthiness of naturalistic inquiries. Educ Technol Res Dev. 1981;29:75. https://doi.org/10.1007/BF02766777.
Hagood MC, Skinner EN. Moving beyond data transcription: rigor as issue in representation of digital literacies. Lit Res Theory Method Pract. 2015;64(1):429–42. https://doi.org/10.1177/2381336915617600.
Joffe H, Yardley L. Content and thematic analysis. In: Marks DF, Yardley L, editors. Research methods for clinical and health psychology. Sage; 2003. p. 56–68.
Johnson JL, Adkins D, Chauvin S. A review of the quality indicators of rigor in qualitative research. Am J Pharm Educ. 2020;84(1):7120. https://doi.org/10.5688/ajpe7120.
Korstjens I, Moser A. Series: practical guidance to qualitative research. Part 4: trustworthiness and publishing. Eur J Gen Pract. 2018;24(1):120–4. https://doi.org/10.1080/13814788.2017.1375092.
Krefting L. Rigor in qualitative research: the assessment of trustworthiness. Am J Occup Ther. 1991;45(3):214–22.
Kruijtbosch M, Göttgens-Jansen W, Floor-Schreudering A, van Leeuwen E, Bouvy ML. Moral dilemmas of community pharmacists: a narrative study. Int J Clin Pharm. 2018;40(1):74–83.
Kvale S. Validation and generalization of interview knowledge. In: Doing interviews. Sage; 2007. p. 121–9.
Lau SR, Traulsen JM. Are we ready to accept the challenge? Addressing the shortcomings of contemporary qualitative health research. Res Social Adm Pharm. 2017;13(2):332–8.
Leyva-Moral JM, Palmieri PA, Loayza-Enriquez BK, Vander Linden KL, Elias-Bravo UE, Guevara-Vasquez GM, Davila-Olano LY, Aguayo-Gonzalez MP. ‘Staying alive’ with antiretroviral therapy: a grounded theory study of people living with HIV in Peru. BMJ Glob Health. 2021;6(10):e006772.
Liao H, Hitchcock J. Reported credibility techniques in higher education evaluation studies that use qualitative methods: a research synthesis. Eval Program Plann. 2018;68:157–65.
Lincoln YS, Guba EG (1982) Establishing dependability and confirmability in naturalistic inquiry through an audit. In: Annual meeting of the American Educational Research Association. March 19–23, 1982. New York [online]: Eric.
Lincoln YS, Guba EG. Naturalistic inquiry. Thousand Oaks: Sage; 1985.
MacLure K, Stewart D. A qualitative case study of ehealth and digital literacy experiences of pharmacy staff. Res Soc Adm Pharm. 2018;14(6):555–63.
MacPhail C, Khoza N, Abler L, Ranganathan M. Process guidelines for establishing intercoder reliability in qualitative studies. Qual Res. 2016;16:198–212. https://doi.org/10.1177/1468794115577012.
Majid U, Vanstone M. Appraising qualitative research for evidence syntheses: a compendium of quality appraisal tools. Qual Health Res. 2018;28(13):2115–31. https://doi.org/10.1177/1049732318785358.
Mays N, Pope C. Qualitative research: rigour and qualitative research. BMJ. 1995;311(6997):109–12.
Mills A, Durepos G, Wiebe E. Encyclopedia of case study research. Sage; 2010. https://doi.org/10.4135/9781412957397.
Morse J. Reframing rigor in qualitative inquiry. In: Denzin NK, Lincoln YS, editors. The SAGE handbook of qualitative research. 5th ed. Sage; 2018. p. 1373–409.
Noble H, Smith J. Issues of validity and reliability in qualitative research. Evid Based Nurs. 2015;18(2):34–5.
O’Brien BC, Harris IB, Beckman TJ, Reed DA, Cook DA. Standards for reporting qualitative research: a synthesis of recommendations. Acad Med. 2014;89(9):1245–51. https://doi.org/10.1097/ACM.0000000000000388.
O’Connor C, Joffe H. Intercoder reliability in qualitative research: debates and practical guidelines. Int J Qual Methods. 2020;19:160940691989922. https://doi.org/10.1177/1609406919899220.
Ormston R, Spencer L, Barnard M, Snape D. The foundations of qualitative research. Qual Res Pract. 2014;2(7):52–5.
Polit DF, Beck CT. Essentials of nursing research: appraising evidence for nursing practice. 8th ed. Philadelphia: Wolters Kluwer/Lippincott Williams & Wilkins; 2014.
Ponterotto JG. Brief note on the origins, evolution, and meaning of the qualitative research concept thick description. Qual Rep. 2006;11(3):538–49.
Pratt JM, Yezierski EJ. A novel qualitative method to improve access, elicitation, and sample diversification for enhanced transferability applied to studying chemistry outreach. Chem Educ Res Pract. 2018;19(2):410–30.
Pyett PM. Validation of qualitative research in the “real world”. Qual Health Res. 2003;13(8):1170–9. https://doi.org/10.1177/1049732303255686.
Rathbone A, Nazar H, Harburn J, Todd A, Husband AK. Exploring undergraduate pharmacy student experiences of learning human anatomy using cadaveric specimens. Am J Pharm Educ. 2019;83(8):7103. https://doi.org/10.5688/ajpe7103.
Saunders B, Sim J, Kingstone T, Baker S, Waterfield J, Bartlam B, Burroughs H, Jinks C. Saturation in qualitative research: exploring its conceptualization and operationalization. Qual Quant. 2018;52(4):1893–907. https://doi.org/10.1007/s11135-017-0574-8.
Schreier M. Qualitative content analysis in practice. Thousand Oaks: Sage; 2012.
Shenton AK. Strategies for ensuring trustworthiness in qualitative research projects. Educ Inf. 2004;22(2):63–75.
Smith B. Generalizability in qualitative research: misunderstandings, opportunities and recommendations for the sport and exercise sciences. Qual Res Sport Exerc Health. 2018;10(1):137–49.
Stoner JB. Obtaining confirmability in qualitative research. In: Obaikor FE, Bakken JP, Rotatori AF, editors. Current issues and trends in special education: research, technology, and teacher preparation. Wagon Lane: Emerald Group; 2010. p. 28–37.
Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health Care. 2007;19(6):349–57. https://doi.org/10.1093/intqhc/mzm042.
Tracy SJ. Qualitative quality: eight “big-tent” criteria for excellent qualitative research. Qual Inq. 2010;16(10):837–51.
Van Manen M. Researching lived experience: human science for an action sensitive pedagogy. Routledge; 2016.
Varpio L, Ajjawi R, Monrouxe LV, O’Brien BC, Rees CE. Shedding the cobra effect: problematising thematic emergence, triangulation, saturation and member checking. Med Educ. 2017;51(1):40–50. https://doi.org/10.1111/medu.13124.
Watling CJ, Lingard L. Grounded theory in medical education research: AMEE guide no. 70. Med Teach. 2012;34(10):850–61.
Witry MJ, Doucette WR. Community pharmacists, medication monitoring, and the routine nature of refills: a qualitative study. J Am Pharm Assoc. 2014;54(6):594–603. https://doi.org/10.1331/JAPhA.2014.14065.
Wu W, Hall AK, Braund H, Bell CR, Szulewski A. The development of visual expertise in ECG interpretation: an eye-tracking augmented re situ interview approach. Teach Learn Med. 2020;33:258–69. https://doi.org/10.1080/10401334.2020.1844009.
Yin RK. Case study research: design and methods. Sage; 2009.
Yong FR, Hor SY, Bajorek BV. A participatory research approach in community pharmacy research: the case for video-reflexive ethnography. Res Soc Adm Pharm. 2021;18:2157. https://doi.org/10.1016/j.sapharm.2021.04.013.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Section Editor information
Rights and permissions
Copyright information
© 2023 Springer Nature Switzerland AG
About this entry
Cite this entry
Nazar, Z.J., Nazar, H., Rainkie, D., El-Awaisi, A., ElJaam, M. (2023). Evidence Produced While Using Qualitative Methodologies Including Research Trustworthiness. In: Babar, ZUD. (eds) Encyclopedia of Evidence in Pharmaceutical Public Health and Health Services Research in Pharmacy. Springer, Cham. https://doi.org/10.1007/978-3-030-64477-2_76
Download citation
DOI: https://doi.org/10.1007/978-3-030-64477-2_76
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-64476-5
Online ISBN: 978-3-030-64477-2
eBook Packages: MedicineReference Module Medicine