qualitative research questions examples in nursing

Introduction to qualitative nursing research

This type of research can reveal important information that quantitative research can’t.

• Qualitative research is valuable because it approaches a phenomenon, such as a clinical problem, about which little is known by trying to understand its many facets.
• Most qualitative research is emergent, holistic, detailed, and uses many strategies to collect data.
• Qualitative research generates evidence and helps nurses determine patient preferences.

Research 101: Descriptive statistics

Differentiating research, evidence-based practice, and quality improvement

How to appraise quantitative research articles

All nurses are expected to understand and apply evidence to their professional practice. Some of the evidence should be in the form of research, which fills gaps in knowledge, developing and expanding on current understanding. Both quantitative and qualitative research methods inform nursing practice, but quantitative research tends to be more emphasized. In addition, many nurses don’t feel comfortable conducting or evaluating qualitative research. But once you understand qualitative research, you can more easily apply it to your nursing practice.

What is qualitative research?

Defining qualitative research can be challenging. In fact, some authors suggest that providing a simple definition is contrary to the method’s philosophy. Qualitative research approaches a phenomenon, such as a clinical problem, from a place of unknowing and attempts to understand its many facets. This makes qualitative research particularly useful when little is known about a phenomenon because the research helps identify key concepts and constructs. Qualitative research sets the foundation for future quantitative or qualitative research. Qualitative research also can stand alone without quantitative research.

Although qualitative research is diverse, certain characteristics—holism, subjectivity, intersubjectivity, and situated contexts—guide its methodology. This type of research stresses the importance of studying each individual as a holistic system (holism) influenced by surroundings (situated contexts); each person develops his or her own subjective world (subjectivity) that’s influenced by interactions with others (intersubjectivity) and surroundings (situated contexts). Think of it this way: Each person experiences and interprets the world differently based on many factors, including his or her history and interactions. The truth is a composite of realities.

Qualitative research designs

Because qualitative research explores diverse topics and examines phenomena where little is known, designs and methodologies vary. Despite this variation, most qualitative research designs are emergent and holistic. In addition, they require merging data collection strategies and an intensely involved researcher. (See Research design characteristics .)

Although qualitative research designs are emergent, advanced planning and careful consideration should include identifying a phenomenon of interest, selecting a research design, indicating broad data collection strategies and opportunities to enhance study quality, and considering and/or setting aside (bracketing) personal biases, views, and assumptions.

Many qualitative research designs are used in nursing. Most originated in other disciplines, while some claim no link to a particular disciplinary tradition. Designs that aren’t linked to a discipline, such as descriptive designs, may borrow techniques from other methodologies; some authors don’t consider them to be rigorous (high-quality and trustworthy). (See Common qualitative research designs .)

Sampling approaches

Sampling approaches depend on the qualitative research design selected. However, in general, qualitative samples are small, nonrandom, emergently selected, and intensely studied. Qualitative research sampling is concerned with accurately representing and discovering meaning in experience, rather than generalizability. For this reason, researchers tend to look for participants or informants who are considered “information rich” because they maximize understanding by representing varying demographics and/or ranges of experiences. As a study progresses, researchers look for participants who confirm, challenge, modify, or enrich understanding of the phenomenon of interest. Many authors argue that the concepts and constructs discovered in qualitative research transcend a particular study, however, and find applicability to others. For example, consider a qualitative study about the lived experience of minority nursing faculty and the incivility they endure. The concepts learned in this study may transcend nursing or minority faculty members and also apply to other populations, such as foreign-born students, nurses, or faculty.

Qualitative nursing research can take many forms. The design you choose will depend on the question you’re trying to answer.

A sample size is estimated before a qualitative study begins, but the final sample size depends on the study scope, data quality, sensitivity of the research topic or phenomenon of interest, and researchers’ skills. For example, a study with a narrow scope, skilled researchers, and a nonsensitive topic likely will require a smaller sample. Data saturation frequently is a key consideration in final sample size. When no new insights or information are obtained, data saturation is attained and sampling stops, although researchers may analyze one or two more cases to be certain. (See Sampling types .)

Some controversy exists around the concept of saturation in qualitative nursing research. Thorne argues that saturation is a concept appropriate for grounded theory studies and not other study types. She suggests that “information power” is perhaps more appropriate terminology for qualitative nursing research sampling and sample size.

Data collection and analysis

Researchers are guided by their study design when choosing data collection and analysis methods. Common types of data collection include interviews (unstructured, semistructured, focus groups); observations of people, environments, or contexts; documents; records; artifacts; photographs; or journals. When collecting data, researchers must be mindful of gaining participant trust while also guarding against too much emotional involvement, ensuring comprehensive data collection and analysis, conducting appropriate data management, and engaging in reflexivity.

Data usually are recorded in detailed notes, memos, and audio or visual recordings, which frequently are transcribed verbatim and analyzed manually or using software programs, such as ATLAS.ti, HyperRESEARCH, MAXQDA, or NVivo. Analyzing qualitative data is complex work. Researchers act as reductionists, distilling enormous amounts of data into concise yet rich and valuable knowledge. They code or identify themes, translating abstract ideas into meaningful information. The good news is that qualitative research typically is easy to understand because it’s reported in stories told in everyday language.

Evaluating a qualitative study

Evaluating qualitative research studies can be challenging. Many terms—rigor, validity, integrity, and trustworthiness—can describe study quality, but in the end you want to know whether the study’s findings accurately and comprehensively represent the phenomenon of interest. Many researchers identify a quality framework when discussing quality-enhancement strategies. Example frameworks include:

• Trustworthiness criteria framework, which enhances credibility, dependability, confirmability, transferability, and authenticity
• Validity in qualitative research framework, which enhances credibility, authenticity, criticality, integrity, explicitness, vividness, creativity, thoroughness, congruence, and sensitivity.

With all frameworks, many strategies can be used to help meet identified criteria and enhance quality. (See Research quality enhancement ). And considering the study as a whole is important to evaluating its quality and rigor. For example, when looking for evidence of rigor, look for a clear and concise report title that describes the research topic and design and an abstract that summarizes key points (background, purpose, methods, results, conclusions).

Application to nursing practice

Qualitative research not only generates evidence but also can help nurses determine patient preferences. Without qualitative research, we can’t truly understand others, including their interpretations, meanings, needs, and wants. Qualitative research isn’t generalizable in the traditional sense, but it helps nurses open their minds to others’ experiences. For example, nurses can protect patient autonomy by understanding them and not reducing them to universal protocols or plans. As Munhall states, “Each person we encounter help[s] us discover what is best for [him or her]. The other person, not us, is truly the expert knower of [him- or herself].” Qualitative nursing research helps us understand the complexity and many facets of a problem and gives us insights as we encourage others’ voices and searches for meaning.

When paired with clinical judgment and other evidence, qualitative research helps us implement evidence-based practice successfully. For example, a phenomenological inquiry into the lived experience of disaster workers might help expose strengths and weaknesses of individuals, populations, and systems, providing areas of focused intervention. Or a phenomenological study of the lived experience of critical-care patients might expose factors (such dark rooms or no visible clocks) that contribute to delirium.

Successful implementation

Qualitative nursing research guides understanding in practice and sets the foundation for future quantitative and qualitative research. Knowing how to conduct and evaluate qualitative research can help nurses implement evidence-based practice successfully.

When evaluating a qualitative study, you should consider it as a whole. The following questions to consider when examining study quality and evidence of rigor are adapted from the Standards for Reporting Qualitative Research.

Jennifer Chicca is a PhD candidate at the Indiana University of Pennsylvania in Indiana, Pennsylvania, and a part-time faculty member at the University of North Carolina Wilmington.

Amankwaa L. Creating protocols for trustworthiness in qualitative research. J Cult Divers. 2016;23(3):121-7.

Cuthbert CA, Moules N. The application of qualitative research findings to oncology nursing practice. Oncol Nurs Forum . 2014;41(6):683-5.

Guba E, Lincoln Y. Competing paradigms in qualitative research . In: Denzin NK, Lincoln YS, eds. Handbook of Qualitative Research. Thousand Oaks, CA: SAGE Publications, Inc.;1994: 105-17.

Lincoln YS, Guba EG. Naturalistic Inquiry . Thousand Oaks, CA: SAGE Publications, Inc.; 1985.

Munhall PL. Nursing Research: A Qualitative Perspective . 5th ed. Sudbury, MA: Jones & Bartlett Learning; 2012.

Nicholls D. Qualitative research. Part 1: Philosophies. Int J Ther Rehabil . 2017;24(1):26-33.

Nicholls D. Qualitative research. Part 2: Methodology. Int J Ther Rehabil . 2017;24(2):71-7.

Nicholls D. Qualitative research. Part 3: Methods. Int J Ther Rehabil . 2017;24(3):114-21.

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.

Polit DF, Beck CT. Nursing Research: Generating and Assessing Evidence for Nursing Practice . 10th ed. Philadelphia, PA: Wolters Kluwer; 2017.

Thorne S. Saturation in qualitative nursing studies: Untangling the misleading message around saturation in qualitative nursing studies. Nurse Auth Ed. 2020;30(1):5. naepub.com/reporting-research/2020-30-1-5

Whittemore R, Chase SK, Mandle CL. Validity in qualitative research. Qual Health Res . 2001;11(4):522-37.

Williams B. Understanding qualitative research. Am Nurse Today . 2015;10(7):40-2.

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Nursing: Forming Questions

• Getting Started
• Background Info
• 6S/Foreground Info
• Further Research
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• Nursing Theory

A Good Question...

• Focuses your information needs
• Identifies key seach concepts
• Points you in the direction of potential resources

Background Questions

These questions are general in nature and provide foundational information on a single concept.  Background questions cover:

• Terminology
• General Pathology
• Patient Education Resources
• General Drug Information
• Examination/Assessment Procedures

What is the pathology of asthma ?

What drugs are used to treat hypertension ?

How do I perform a psychological assessment ?

What education resources exist for patients with gestational diabetes ?

How is hepatitis b diagnosed?

What does a normal heartbeat sound like?

These questions are best answered using the resources found in the Background Info page of this guide.

Foreground Questions

These questions bring together multiple concepts related to a specific clinical situation or research topic.  They may be divided into two  broad categories:

• Qualitative Questions  aim to discover meaning or gain an understanding of a phenomena or experience.  They ask about an individual's or population's experience of certain situations or circumstances
• Quantitative Questions  aim to discover cause and effect relationships, often through comparison. Comparison may occur between two or more individuals or groups based on outcomes associated with differences in exposures or interventions. Comparison may also be made to 'no intervention', standard care or standard practice, 'no exposure'.

These questions are best answered using the resources found in the 6S/Foreground Info page of this guide.

Forming Foreground Questions

Building an effective foreground question can be challenging.  The following models will help:

Qualitative Questions: The PS Model

P - Patient/Population

S - Situation

How do/does ___ [P] ____ experience _____ [S] _____?

What is the experience of ____ [P] ___ [S] ____?

Ex. How do  caregiver- spouses of Alzheimer patients  experience  placing their spouse in a nursing home ?

___________________________________________________________________________

Quantitative Questions: The PICO(T) Model

A quantitative approach can answer many different types of questions, but all can be formatted by following the  PICO(T) Model  outlined below:     

PICO(T) Templates

In ___ [ P ]___,  do/does ___[ I ]___ result in ___[ O ]____ when compared with ___[ C ]___ over ___[ T ]____?

E.g.) In nursing home residents with osteoporosis , do hip protectors result in fewer injuries from slips, trips, and falls when compared with standard osteoporosis drug therapy over the course of their stay ?

Are ___[ P ]___  with  ___[ I ]___  over ____[ T ]____ more likely to ___[ O ]____ when compared with ___[ C ]___ ?

E.g.) Are   female non-smokers   with  daily exposure to second-hand smoke  over  a period of ten years or greater  more likely to  develop breast cancer  when compared with  female non-smokers without daily exposure to second-hand smoke ?

Is/are ___[ I ]___ performed on ___[ P ]___   more effective than ___[ C ]___  over ___[ T ]____in ___[ O ]____?

E.g.) Are   self-reporting interviews and parent reports  performed on   children aged 5-10   more effective than  parent reports alone  over a  four-week consultation process  in  diagnosing depression ?

In ___[ P ]___,  do/does ___[ I ]___ result in ___[ O ]____ when compared with ___[ C ]___ over ___[ T ]____?

E.g.) In  emergency room visitors , do   hand sanitizing stations  result in   fewer in-hospital infections  when compared  with no hand sanitizing stations  over  a year-long pilot period ?

Do/does ___[ I ]___ performed on ___[ P ]___   lead to  ___[ O ]___  over ___[ T ]____compared with ___[ C ]____?

E.g.) Do  regular text message reminders  performed on  patients recently diagnosed with diabetes  lead to  a lower occurrence of forgotten insulin doses  over  the first six months of treatment  compared with  no reminders ?

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• Correspondence to Kate Seers RCN Research Institute, School of Health & Social Studies, University of Warwick, Coventry, CV4 7AL, Warwick, UK; kate.seers{at}warwick.ac.uk

https://doi.org/10.1136/ebnurs.2011.100352

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Good qualitative research uses a systematic and rigorous approach that aims to answer questions concerned with what something is like (such as a patient experience), what people think or feel about something that has happened, and it may address why something has happened as it has. Qualitative data often takes the form of words or text and can include images.

Qualitative research covers a very broad range of philosophical underpinnings and methodological approaches. Each has its own particular way of approaching all stages of the research process, including analysis, and has its own terms and techniques, but there are some common threads that run across most of these approaches. This Research Made Simple piece will focus on some of these common threads in the analysis of qualitative research.

So you have collected all your qualitative data – you may have a pile of interview transcripts, field-notes, documents and notes from observation. The process of analysis is described by Richards and Morse 1 as one of transformation and interpretation.

It is easy to be overwhelmed by the volume of data – novice qualitative researchers are sometimes told not to worry and the themes will emerge from the data. This suggests some sort of epiphany, (which is how it happens sometimes!) but generally it comes from detailed work and reflection on the data and what it is telling you. There is sometimes a fine line between being immersed in the data and drowning in it!

A first step is to sort and organise the data, by coding it in some way. For example, you could read through a transcript, and identify that in one paragraph a patient is talking about two things; first is fear of surgery and second is fear of unrelieved pain. The codes for this paragraph could be ‘fear of surgery’ and ‘fear of pain’. In other areas of the transcript fear may arise again, and perhaps these codes will be merged into a category titled ‘fear’. Other concerns may emerge in this and other transcripts and perhaps best be represented by the theme ‘lack of control’. Themes are thus more abstract concepts, reflecting your interpretation of patterns across your data. So from codes, categories can be formed, and from categories, more encompassing themes are developed to describe the data in a form which summarises it, yet retains the richness, depth and context of the original data. Using quotations to illustrate categories and themes helps keep the analysis firmly grounded in the data. You need to constantly ask yourself ‘what is happening here?’ as you code and move from codes, to categories and themes, making sure you have data to support your decisions. Analysis inevitably involves subjective choices, and it is important to document what you have done and why, so a clear audit trail is provided. The coding example above describes codes inductively coming from the data. Some researchers may use a coding framework derived from, for example, the literature, their research questions or interview prompts, (Ritchie and Spencer 2 ) or a combination of both approaches.

Qualitative data, such as transcripts from an interview, are often routed in the interaction between the participant and the researcher. Reflecting on how you, as a researcher, may have influenced both the data collected and the analysis is an important part of the analysis.

As well as keeping your brain very much in gear, you need to be really organised. You may use highlighting pens and paper to keep track of your analysis, or use qualitative software to manage your data (such as NVivio or Atlas Ti). These programmes help you organise your data – you still have to do all the hard work to analyse it! Whatever you choose, it is important that you can trace your data back from themes to categories to codes. There is nothing more frustrating than looking for that illustrative patient quote, and not being able to find it.

If your qualitative data are part of a mixed methods study, (has both quantitative and qualitative data) careful thought has to be given to how you will analyse and present findings. Refer to O’Caithain et al 3 for more details.

There are many books and papers on qualitative analysis, a very few of which are listed below. 4 , – , 6 Working with someone with qualitative expertise is also invaluable, as you can read about it, but doing it really brings it alive.

• Richards L ,
• Ritchie J ,
• O'Cathain ,
• Bradley EH ,
• Huberman AM

Competing interests None.

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Evidence Based Nursing Practice

• PICO(T) and Clinical Questions
• Literature Review
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• Additional Sources & Assistance
• MUHC Evidence Based Practice Model

PICO Templates

For an intervention/therapy:

In _______(P), what is the effect of _______(I) on ______(O) compared with _______(C) within ________ (T)?

For etiology:

Are ____ (P) who have _______ (I) at ___ (increased/decreased) risk for/of_______ (O) compared with ______ (P) with/without ______ (C) over _____ (T)?

Diagnosis or diagnostic test:

Are (is) _________ (I) more accurate in diagnosing ________ (P) compared with ______ (C) for _______ (O)?

Prevention:

For ________ (P) does the use of ______ (I) reduce the future risk of ________ (O) compared with _________ (C)?

Prognosis/Predictions

Does __________ (I) influence ________ (O) in patients who have _______ (P) over ______ (T)?

How do ________ (P) diagnosed with _______ (I) perceive ______ (O) during _____ (T)?

Based on Melnyk B., & Fineout-Overholt E. (2010). Evidence-based practice in nursing & healthcare. New York: Lippincott Williams & Wilkins .

Using PICO to Formulate Clinical Questions

PICO  (alternately known as PICOT ) is a mnemonic used to describe the four elements of a good clinical question. It stands for:

P --Patient/Problem I --Intervention C --Comparison O --Outcome

Many people find that it helps them clarify their question, which in turn makes it easier to find an answer. 

Use PICO to generate terms - these you'll use in your literature search for the current best evidence.   Once you have your PICO terms, you can then use them to re-write your question.  (Note, you can do this in reverse order if that works for you.)

Often we start with a vague question such as, "How effective is CPR, really?"  But, what do we mean by CPR?  And how do we define effective?  PICO is a technique to help us - or force us - to answer these questions.   Note that you may not end up with a description for each element of PICO. 

P -  our question above doesn't address a specific problem other than the assumption of a person who is not breathing. So, ask yourself questions such as, am I interested in a specific age cohort? (Adults, children, aged); a specific population (hospitalized, community dwelling); health cohort (healthy, diabetic, etc.)   

I - our question above doesn't have a stated intervention, but we might have one in mind such as 'hands-only'

C - Is there another method of CPR that we want to compare the hands-only to?  Many research studies do not go head to head with a comparison.  In this example we might want to compare to the standard, hands plus breathing

O - Again, we need to ask, what do we mean by 'effective'?  Mortality is one option with the benefit that it's easily measured. 

Our PICO statement would look like:

From our PICO, we can write up a clearer and more specific question, such as:

 In community dwelling adults, how effective is hands-only CPR versus hands plus breathing CPR at preventing mortality?

More information on formulating PICO questions

Now that we've clarified what we want to know, it will be much easier to find an answer.

Breaking Down Your PICO into a Search Strategy

We can use our PICO statement to list terms to search on.  Under each letter, we'll list all the possible terms we might use in our search. 

P - Community Dwelling:  It is much easier to search on 'hospitalized' than non-hospitalized subjects.  So I would leave these terms for last. It might turn out that I don't need to use them as my other terms from the I, C, or O of PICO might be enough.

community dwelling  OR out-of-hospital

P - adults: I would use the limits in MEDLINE or CINAHL for All Adults.  Could also consider the following depending upon the population you need:

adult OR adults OR aged OR elderly OR young adult

CPR  -  cardiopulmonary resuscitation

I - Hands-only

 hands-only OR compression-only OR chest compression OR compression OR Heart Massage

C - Hands plus breathing Breathing is a tougher term to match.

breathing OR mouth to mouth OR conventional OR traditional

O - Mortality:  If your outcomes terms are general, they may not as useful in the literature search.  They will still be useful in your evaluation of the studies.

mortality OR death OR Survival

Putting it together - a search statement from the above might look like this:

cardiopulmonary resuscitation AND (hands-only OR compression-only OR chest compression OR compression OR Heart Massage) AND (breathing OR mouth to mouth OR conventional OR traditional)

Note that the above strategy is only using terms from the I and the C of PICO.  Depending upon the results, you may need to narrow your search by adding in terms from the P or the O.  

An easy way to keep track of your search strategy is to use a table. This keeps the different parts of your PICO question and their various keywords and subject terms together. This document shows you how to use the tables and provides a few options to organize your table. Use whichever works best for you!  Search Strategy Tables to Break your PICO into Concepts .

PICO and Qualitative Questions

A qualitative PICO question focuses on in-depth perspectives and experiences.  It does not try to solve a problem by analyzing numbers, but rather to enrich understanding through words.  Therefore, the emphasis in qualitative PICO questions is on fully representing the information gathered, rather than primarily emphasizing ways the information can be broken down and expressed through measurable units (though measurability can also play an important role). 

A strength of a qualitative PICO question is that it can investigate what patient satisfaction looks like, for example, instead of only reporting that 25% of patients who took a survey reported that they are satisfied. 

When working with qualitative questions, an alternative to using PICO in searching for sources is the SPIDER search tool.  SPIDER is an acronym that breaks down like this:

P=Phenomena of Interest

E=Evaluation

R=Research Type

Cooke, A., Smith, D., & Booth, A. (2012). Beyond PICO: The SPIDER tool for qualitative evidence synthesis . Qualitative Health Research, 22 (10), 1435-1443. doi:10.1177/1049732312452938

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Qualitative Research Questions: Gain Powerful Insights + 25 Examples

We review the basics of qualitative research questions, including their key components, how to craft them effectively, & 25 example questions.

Einstein was many things—a physicist, a philosopher, and, undoubtedly, a mastermind. He also had an incredible way with words. His quote, "Everything that can be counted does not necessarily count; everything that counts cannot necessarily be counted," is particularly poignant when it comes to research. 

Some inquiries call for a quantitative approach, for counting and measuring data in order to arrive at general conclusions. Other investigations, like qualitative research, rely on deep exploration and understanding of individual cases in order to develop a greater understanding of the whole. That’s what we’re going to focus on today.

Qualitative research questions focus on the "how" and "why" of things, rather than the "what". They ask about people's experiences and perceptions , and can be used to explore a wide range of topics.

The following article will discuss the basics of qualitative research questions, including their key components, and how to craft them effectively. You'll also find 25 examples of effective qualitative research questions you can use as inspiration for your own studies.

Let’s get started!

What are qualitative research questions, and when are they used?

When researchers set out to conduct a study on a certain topic, their research is chiefly directed by an overarching question . This question provides focus for the study and helps determine what kind of data will be collected.

By starting with a question, we gain parameters and objectives for our line of research. What are we studying? For what purpose? How will we know when we’ve achieved our goals?

Of course, some of these questions can be described as quantitative in nature. When a research question is quantitative, it usually seeks to measure or calculate something in a systematic way.

For example:

• How many people in our town use the library?
• What is the average income of families in our city?
• How much does the average person weigh?

Other research questions, however—and the ones we will be focusing on in this article—are qualitative in nature. Qualitative research questions are open-ended and seek to explore a given topic in-depth.

According to the Australian & New Zealand Journal of Psychiatry , “Qualitative research aims to address questions concerned with developing an understanding of the meaning and experience dimensions of humans’ lives and social worlds.”

This type of research can be used to gain a better understanding of people’s thoughts, feelings and experiences by “addressing questions beyond ‘what works’, towards ‘what works for whom when, how and why, and focusing on intervention improvement rather than accreditation,” states one paper in Neurological Research and Practice .

Qualitative questions often produce rich data that can help researchers develop hypotheses for further quantitative study.

• What are people’s thoughts on the new library?
• How does it feel to be a first-generation student at our school?
• How do people feel about the changes taking place in our town?

As stated by a paper in Human Reproduction , “...‘qualitative’ methods are used to answer questions about experience, meaning, and perspective, most often from the standpoint of the participant. These data are usually not amenable to counting or measuring.”

Both quantitative and qualitative questions have their uses; in fact, they often complement each other. A well-designed research study will include a mix of both types of questions in order to gain a fuller understanding of the topic at hand.

If you would like to recruit unlimited participants for qualitative research for free and only pay for the interview you conduct, try using Respondent  today. 

Crafting qualitative research questions for powerful insights

Now that we have a basic understanding of what qualitative research questions are and when they are used, let’s take a look at how you can begin crafting your own.

According to a study in the International Journal of Qualitative Studies in Education, there is a certain process researchers should follow when crafting their questions, which we’ll explore in more depth.

1. Beginning the process 

Start with a point of interest or curiosity, and pose a draft question or ‘self-question’. What do you want to know about the topic at hand? What is your specific curiosity? You may find it helpful to begin by writing several questions.

For example, if you’re interested in understanding how your customer base feels about a recent change to your product, you might ask: 

• What made you decide to try the new product?
• How do you feel about the change?
• What do you think of the new design/functionality?
• What benefits do you see in the change?

2. Create one overarching, guiding question 

At this point, narrow down the draft questions into one specific question. “Sometimes, these broader research questions are not stated as questions, but rather as goals for the study.”

As an example of this, you might narrow down these three questions: 

into the following question: 

• What are our customers’ thoughts on the recent change to our product?

3. Theoretical framing 

As you read the relevant literature and apply theory to your research, the question should be altered to achieve better outcomes. Experts agree that pursuing a qualitative line of inquiry should open up the possibility for questioning your original theories and altering the conceptual framework with which the research began.

If we continue with the current example, it’s possible you may uncover new data that informs your research and changes your question. For instance, you may discover that customers’ feelings about the change are not just a reaction to the change itself, but also to how it was implemented. In this case, your question would need to reflect this new information: 

• How did customers react to the process of the change, as well as the change itself?

4. Ethical considerations 

A study in the International Journal of Qualitative Studies in Education stresses that ethics are “a central issue when a researcher proposes to study the lives of others, especially marginalized populations.” Consider how your question or inquiry will affect the people it relates to—their lives and their safety. Shape your question to avoid physical, emotional, or mental upset for the focus group.

In analyzing your question from this perspective, if you feel that it may cause harm, you should consider changing the question or ending your research project. Perhaps you’ve discovered that your question encourages harmful or invasive questioning, in which case you should reformulate it.

5. Writing the question 

The actual process of writing the question comes only after considering the above points. The purpose of crafting your research questions is to delve into what your study is specifically about” Remember that qualitative research questions are not trying to find the cause of an effect, but rather to explore the effect itself.

Your questions should be clear, concise, and understandable to those outside of your field. In addition, they should generate rich data. The questions you choose will also depend on the type of research you are conducting: 

• If you’re doing a phenomenological study, your questions might be open-ended, in order to allow participants to share their experiences in their own words.
• If you’re doing a grounded-theory study, your questions might be focused on generating a list of categories or themes.
• If you’re doing ethnography, your questions might be about understanding the culture you’re studying.

Whenyou have well-written questions, it is much easier to develop your research design and collect data that accurately reflects your inquiry.

In writing your questions, it may help you to refer to this simple flowchart process for constructing questions:

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25 examples of expertly crafted qualitative research questions

It's easy enough to cover the theory of writing a qualitative research question, but sometimes it's best if you can see the process in practice. In this section, we'll list 25 examples of B2B and B2C-related qualitative questions.

Let's begin with five questions. We'll show you the question, explain why it's considered qualitative, and then give you an example of how it can be used in research.

1. What is the customer's perception of our company's brand?

Qualitative research questions are often open-ended and invite respondents to share their thoughts and feelings on a subject. This question is qualitative because it seeks customer feedback on the company's brand. 

This question can be used in research to understand how customers feel about the company's branding, what they like and don't like about it, and whether they would recommend it to others.

2. Why do customers buy our product?

This question is also qualitative because it seeks to understand the customer's motivations for purchasing a product. It can be used in research to identify the reasons  customers buy a certain product, what needs or desires the product fulfills for them, and how they feel about the purchase after using the product.

3. How do our customers interact with our products?

Again, this question is qualitative because it seeks to understand customer behavior. In this case, it can be used in research to see how customers use the product, how they interact with it, and what emotions or thoughts the product evokes in them.

4. What are our customers' biggest frustrations with our products?

By seeking to understand customer frustrations, this question is qualitative and can provide valuable insights. It can be used in research to help identify areas in which the company needs to make improvements with its products.

5. How do our customers feel about our customer service?

Rather than asking why customers like or dislike something, this question asks how they feel. This qualitative question can provide insights into customer satisfaction or dissatisfaction with a company. 

This type of question can be used in research to understand what customers think of the company's customer service and whether they feel it meets their needs.

20 more examples to refer to when writing your question

Now that you’re aware of what makes certain questions qualitative, let's move into 20 more examples of qualitative research questions:

• How do your customers react when updates are made to your app interface?
• How do customers feel when they complete their purchase through your ecommerce site?
• What are your customers' main frustrations with your service?
• How do people feel about the quality of your products compared to those of your competitors?
• What motivates customers to refer their friends and family members to your product or service?
• What are the main benefits your customers receive from using your product or service?
• How do people feel when they finish a purchase on your website?
• What are the main motivations behind customer loyalty to your brand?
• How does your app make people feel emotionally?
• For younger generations using your app, how does it make them feel about themselves?
• What reputation do people associate with your brand?
• How inclusive do people find your app?
• In what ways are your customers' experiences unique to them?
• What are the main areas of improvement your customers would like to see in your product or service?
• How do people feel about their interactions with your tech team?
• What are the top five reasons people use your online marketplace?
• How does using your app make people feel in terms of connectedness?
• What emotions do people experience when they're using your product or service?
• Aside from the features of your product, what else about it attracts customers?
• How does your company culture make people feel?

As you can see, these kinds of questions are completely open-ended. In a way, they allow the research and discoveries made along the way to direct the research. The questions are merely a starting point from which to explore.

This video offers tips on how to write good qualitative research questions, produced by Qualitative Research Expert, Kimberly Baker.

Wrap-up: crafting your own qualitative research questions.

Over the course of this article, we've explored what qualitative research questions are, why they matter, and how they should be written. Hopefully you now have a clear understanding of how to craft your own.

Remember, qualitative research questions should always be designed to explore a certain experience or phenomena in-depth, in order to generate powerful insights. As you write your questions, be sure to keep the following in mind:

• Are you being inclusive of all relevant perspectives?
• Are your questions specific enough to generate clear answers?
• Will your questions allow for an in-depth exploration of the topic at hand?
• Do the questions reflect your research goals and objectives?

If you can answer "yes" to all of the questions above, and you've followed the tips for writing qualitative research questions we shared in this article, then you're well on your way to crafting powerful queries that will yield valuable insights.

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Asking the right questions in the right way is the key to research success. That’s true for not just the discussion guide but for every step of a research project. Following are 100+ questions that will take you from defining your research objective through  screening and participant discussions.

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PICOT Question Examples for Nursing Research

Are you looking for examples of nursing PICOT questions to inspire your creativity as you research for a perfect nursing topic for your paper? You came to the right place.

We have a comprehensive guide on how to write a good PICO Question for your case study, research paper, white paper, term paper, project, or capstone paper. Therefore, we will not go into the details in this post. A good PICOT question possesses the following qualities:

• A clinical-based question addresses the nursing research areas or topics.
• It is specific, concise, and clear.
• Patient, problem, or population.
• Intervention.
• Comparison.
• Includes medical, clinical, and nursing terms where necessary.
• It is not ambiguous.

For more information, read our comprehensive PICOT Question guide . You can use these questions to inspire your PICOT choice for your evidence-based papers , reports, or nursing research papers.

If you are stuck with assignments and want some help, we offer the best nursing research assignment help online. We have expert nursing writers who can formulate an excellent clinical, research, and PICOT question for you. They can also write dissertations, white papers, theses, reports, and capstones. Do not hesitate to place an order.

List of 180 Plus Best PICOT Questions to Get Inspiration From

Here is a list of nursing PICO questions to inspire you when developing yours. Some PICOT questions might be suitable for BSN and MSN but not DNP. If you are writing a change project for your DNP, try to focus on PICOT questions that align to process changes. 

• Among healthy newborn infants in low- and middle-income countries (P), does early skin-to-skin contact of the baby with the mother in the first hour of life (I) compared with drying and wrapping (C) have an impact on neonatal mortality, hypothermia or initiation/exclusivity/ duration of breastfeeding (O)?
• Is it necessary to test blood glucose levels 4 times daily for a patient suffering from Type 1 diabetes?
• Does raising the head of the bed of a mechanically ventilated patient reduce the chances of pneumonia?
• Does music therapy is an effective mode of PACU pain management for patients who are slowly coming out from their anesthesia?
• For all neonates (P), should vitamin K prophylaxis (I) be given for the prevention of vitamin K deficiency bleeding (O)?
• For young infants (0-2 months) with suspected sepsis managed in health facilities (P), should third generation cephalosporin monotherapy (I) replace currently recommended ampicillin-gentamicin combination (C) as first line empiric treatment for preventing death and sequelae (O)?
• In low-birth-weight/pre-term neonates in health facilities (P), is skin-to-skin contact immediately after birth (I) more effective than conventional care (C) in preventing hypothermia (O)?
• In children aged 2–59 months (P), what is the most effective antibiotic therapy (I, C) for severe pneumonia (O)?
• Is skin-to-skin contact of the infant with the mother a more assured way of ensuring neonatal mortality compared to drying and wrapping?
• Are oral contraceptives effective in stopping pregnancy for women above 30 years?
• Is spironolactone a better drug for reducing the blood pressure of teenagers when compared to clonidine?
• What is the usefulness of an LP/spinal tap after the beginning of antivirals for a pediatric population suffering from fever?
• In children aged 2–59 months in developing countries (P), which parenteral antibiotic or combination of antibiotics (I), at what dose and duration, is effective for the treatment of suspected bacterial meningitis in hospital in reducing mortality and sequelae (O)?
• Does the habit of washing hands third-generation workers decrease the events of infections in hospitals?
• Is the intake of zinc pills more effective than Vitamin C for preventing cold during winter for middle-aged women?
• In children with acute severe malnutrition (P), are antibiotics (I) effective in preventing death and sequelae (O)?
• Among, children with lower respiratory tract infection (P), what are the best cut off oxygen saturation levels (D), at different altitudes that will determine hypoxaemia requiring oxygen therapy (O)?
• In infants and children in low-resource settings (P), what is the most appropriate method (D) of detecting hypoxaemia in hospitals (O)?
• In children with shock (P), what is the most appropriate choice of intravenous fluid therapy (I) to prevent death and sequelae (O)?
• In fully conscious children with hypoglycaemia (P) what is the effectiveness of administering sublingual sugar (I)?
• Is using toys as distractions during giving needle vaccinations to toddlers an effective pain response management?
• What is the result of a higher amount of potassium intake among children with low blood pressure?
• Is cup feeding an infant better than feeding through tubes in a NICU setup?
• Does the intervention of flushing the heroin via lines a more effective way of treating patients with CVLs/PICCs?
• Is the use of intravenous fluid intervention a better remedy for infants under fatal conditions?
• Do bedside shift reports help in the overall patient care for nurses?
• Is home visitation a better way of dealing with teen pregnancy when compared to regular school visits in rural areas?
• Is fentanyl more effective than morphine in dealing with the pain of adults over the age of 50 years?
• What are the health outcomes of having a high amount of potassium for adults over the age of 21 years?
• Does the use of continuous feed during emesis a more effective way of intervention when compared to the process of stopping the feed for a short period?
• Does controlling the amount of sublingual sugar help completely conscious children suffering from hypoglycemia?
• Is the lithotomy position an ideal position for giving birth to women in labor?
• Does group therapy help patients with schizophrenia to help their conversational skills?
• What are the probable after-effects, in the form of bruises and other injuries, of heparin injection therapy for COPD patients?
• Would standardized discharge medication education improve home medication adherence in adults age 65 and older compared to-standardized discharge medication education?
• In patients with psychiatric disorders is medication non-compliance a greater risk compared with adults experiencing chronic illness?
• Is the use of beta-blockers for lowering blood pressure for adult men over the age of 70 years effective?
• Nasal swab or nasal aspirate? Which one is more effective for children suffering from seasonal flu?
• What are the effects of adding beta-blockers for lowering blood pressure for adult men over the age of 70 years?
• Does the process of stopping lipids for 4 hours an effective measure of obtaining the desired TG level for patients who are about to receive TPN?
• Is medical intervention a proper way of dealing with childhood obesity among school-going children?
• Can nurse-led presentations of mental health associated with bullying help in combating such tendencies in public schools?
• What are the impacts of managing Prevacid before a pH probe study for pediatric patients with GERD?
• What are the measurable effects of extending ICU stays and antibiotic consumption amongst children with sepsis?
• Does the use of infrared skin thermometers justified when compared to the tympanic thermometers for a pediatric population?
• What are the roles of a pre-surgery cardiac nurse in order to prevent depression among patients awaiting cardiac operation?
• Does the increase in the habit of smoking marijuana among Dutch students increase the chances of depression?
• What is the direct connection between VAP and NGT?
• Is psychological intervention for people suffering from dementia a more effective measure than giving them a placebo?
• Are alarm sensors effective in preventing accidents in hospitals for patients over the age of 65 years?
• Is the sudden change of temperature harmful for patients who are neurologically devastated?
• Is it necessary to test blood glucose levels, 4 times a day, for a patient suffering from Type 1 diabetes?
• Is the use of MDI derive better results, when compared to regular nebulizers, for pediatric patients suffering from asthma?
• What are the effects of IVF bolus in controlling the amount of Magnesium Sulfate for patients who are suffering from asthma?
• Is the process of stopping lipids for 4 hours an effective measure of obtaining the desired TG level for patients who are about to receive TPN?
• What are the standards of vital signs for a pediatric population?
• Is daily blood pressure monitoring help in addressing the triggers of hypertension among males over 65 years?
• Does receiving phone tweets lower blood sugar levels for people suffering from Type 1 diabetes?
• Are males over the age of 30 years who have smoked for more than 1 year exposed to a greater risk of esophageal cancer when compared to the same age group of men who have no history of smoking?
• Does the increase in the use of mosquito nets in Uganda help in the reduction of malaria among the infants?
• Does the increase in the intake of oral contraceptives increase the chances of breast cancer among 20-30 years old women in the UK?
• In postpartum women with postnatal depression (P), does group therapy (I) compared to individual therapy (C) improve maternal-infant bonding (O) after eight weeks (T)?
• In patients with chronic pain (P), does mindfulness-based cognitive therapy (I) compared to pharmacotherapy (C) improve quality of life (O) after 12 weeks (T)?
• In patients with type 2 diabetes (P), does continuous glucose monitoring (I) compared to self-monitoring of blood glucose (C) improve glycemic control (O) over a period of three months (T)?
• In patients with chronic kidney disease (P), does a vegetarian diet (I) compared to a regular diet (C) slow the decline in renal function (O) after one year (T)?
• In pediatric patients with acute otitis media (P), does delayed antibiotic prescribing (I) compared to immediate antibiotic prescribing (C) reduce antibiotic use (O) within one week (T)?
• In older adults with dementia (P), does pet therapy (I) compared to no pet therapy (C) decrease agitation (O) after three months (T)?
• In patients with chronic heart failure (P), does telemonitoring of vital signs (I) compared to standard care (C) reduce hospital readmissions (O) within six months (T)?
• In patients with anxiety disorders (P), does exposure therapy (I) compared to cognitive therapy (C) reduce anxiety symptoms (O) after 12 weeks (T)?
• In postpartum women with breastfeeding difficulties (P), does lactation consultation (I) compared to standard care (C) increase breastfeeding rates (O) after four weeks (T)?
• In patients with chronic obstructive pulmonary disease (P), does long-acting bronchodilator therapy (I) compared to short-acting bronchodilator therapy (C) improve lung function (O) after three months (T)?
• In patients with major depressive disorder (P), does bright light therapy (I) compared to placebo (C) reduce depressive symptoms (O) after six weeks (T)?
• In patients with diabetes (P), does telemedicine-based diabetes management (I) compared to standard care (C) improve glycemic control (O) over a period of six months (T)?
• In patients with chronic kidney disease (P), does a low-phosphorus diet (I) compared to a regular diet (C) decrease serum phosphate levels (O) after one year (T)?
• In pediatric patients with acute gastroenteritis (P), does probiotic supplementation (I) compared to placebo (C) reduce the duration of diarrhea (O) within 48 hours (T)?
• In patients with chronic pain (P), does acupuncture (I) compared to sham acupuncture (C) reduce pain intensity (O) after eight weeks (T)?
• In older adults at risk of falls (P), does a home modification program (I) compared to no intervention (C) reduce the incidence of falls (O) over a period of six months (T)?
• In patients with schizophrenia (P), does cognitive remediation therapy (I) compared to standard therapy (C) improve cognitive function (O) after one year (T)?
• In patients with chronic kidney disease (P), does angiotensin-converting enzyme inhibitors (I) compared to angiotensin receptor blockers (C) slow the progression of renal disease (O) over a period of two years (T)?
• In postoperative patients (P), does chlorhexidine bathing (I) compared to regular bathing (C) reduce the risk of surgical site infections (O) within 30 days (T)?
• In patients with type 2 diabetes (P), does a low-carbohydrate, high-fat diet (I) compared to a low-fat diet (C) improve glycemic control (O) over a period of six months (T)?
• In patients with chronic obstructive pulmonary disease (P), does pulmonary rehabilitation combined with telemonitoring (I) compared to standard pulmonary rehabilitation (C) improve exercise capacity (O) after three months (T)?
• In patients with heart failure (P), does a nurse-led heart failure clinic (I) compared to usual care (C) improve self-care behaviors (O) after six months (T)?
• In postpartum women with postnatal depression (P), does telephone-based counseling (I) compared to face-to-face counseling (C) reduce depressive symptoms (O) after eight weeks (T)?
• In patients with chronic migraine (P), does prophylactic treatment with topiramate (I) compared to amitriptyline (C) reduce the frequency of migraines (O) after three months (T)?
• In pediatric patients with acute otitis media (P), does watchful waiting (I) compared to immediate antibiotic treatment (C) reduce the duration of symptoms (O) within seven days (T)?
• In older adults with dementia (P), does reminiscence therapy (I) compared to usual care (C) improve cognitive function (O) after three months (T)?
• In patients with chronic heart failure (P), does telemonitoring combined with a medication reminder system (I) compared to telemonitoring alone (C) reduce hospital readmissions (O) within six months (T)?
• In patients with asthma (P), does self-management education (I) compared to standard care (C) reduce asthma exacerbations (O) over a period of one year (T)?
• In postoperative patients (P), does the use of wound dressings with antimicrobial properties (I) compared to standard dressings (C) reduce the incidence of surgical site infections (O) within 30 days (T)?
• In patients with chronic kidney disease (P), does mindfulness-based stress reduction (I) compared to usual care (C) improve psychological well-being (O) over a period of three months (T)?
• In adult patients with chronic pain (P), does biofeedback therapy (I) compared to relaxation techniques (C) reduce pain intensity (O) after eight weeks (T)?
• In patients with type 2 diabetes (P), does a low-glycemic index diet (I) compared to a high-glycemic-index diet (C) improve glycemic control (O) over a period of six months (T)?
• In patients with chronic obstructive pulmonary disease (P), does regular physical activity (I) compared to no physical activity (C) improve health-related quality of life (O) after three months (T)?
• In patients with major depressive disorder (P), does mindfulness-based cognitive therapy (I) compared to antidepressant medication (C) reduce depressive symptoms (O) after eight weeks (T)?
• In postpartum women (P), does perineal warm compresses (I) compared to standard perineal care (C) reduce perineal pain (O) after vaginal delivery (T)?
• In patients with chronic kidney disease (P), does a low-protein, low-phosphorus diet (I) compared to a low-protein diet alone (C) slow the progression of renal disease(O) after two years (T)?
• In pediatric patients with attention-deficit/hyperactivity disorder (P), does mindfulness-based interventions (I) compared to medication alone (C) improve attention and behavior (O) after six months (T)?
• In patients with chronic pain (P), does cognitive-behavioral therapy (I) compared to physical therapy (C) reduce pain interference (O) after 12 weeks (T)?
• In elderly patients with osteoarthritis (P), does aquatic exercise (I) compared to land-based exercise (C) improve joint flexibility and reduce pain (O) after eight weeks (T)?
• In patients with multiple sclerosis (P), does high-intensity interval training (I) compared to moderate-intensity continuous training (C) improve physical function (O) after three months (T)?
• In postoperative patients (P), does preoperative carbohydrate loading (I) compared to fasting (C) reduce postoperative insulin resistance (O) within 24 hours (T)?
• In patients with chronic obstructive pulmonary disease (P), does home-based tele-rehabilitation (I) compared to center-based rehabilitation (C) improve exercise capacity (O) after six months (T)?
• In patients with rheumatoid arthritis (P), does tai chi (I) compared to pharmacological treatment (C) reduce joint pain and improve physical function (O) after six months (T)?
• In postpartum women with postpartum hemorrhage (P), does early administration of tranexamic acid (I) compared to standard administration (C) reduce blood loss (O) within two hours (T)?
• In patients with hypertension (P), does mindfulness meditation (I) compared to relaxation techniques (C) reduce blood pressure (O) after eight weeks (T)?
• In elderly patients with hip fractures (P), does multidisciplinary geriatric care (I) compared to standard care (C) improve functional outcomes (O) after three months (T)?
• In patients with chronic kidney disease (P), does aerobic exercise (I) compared to resistance exercise (C) improve renal function (O) after six months (T)?
• In patients with major depressive disorder (P), does add-on treatment with omega-3 fatty acids (I) compared to placebo (C) reduce depressive symptoms (O) after 12 weeks (T)?
• In postoperative patients (P), does preoperative education using multimedia materials (I) compared to standard education (C) improve patient satisfaction (O) after surgery (T)?
• In patients with type 2 diabetes (P), does a plant-based diet (I) compared to a standard diet (C) improve glycemic control (O) after three months (T)?
• In patients with chronic obstructive pulmonary disease (P), does high-flow oxygen therapy (I) compared to standard oxygen therapy (C) improve exercise tolerance (O) after three months (T)?
• In patients with heart failure (P), does nurse-led telephone follow-up (I) compared to standard care (C) reduce hospital readmissions (O) within six months (T)?
• In postpartum women with postnatal depression (P), does online cognitive-behavioral therapy (I) compared to face-to-face therapy (C) reduce depressive symptoms (O) after eight weeks (T)?
• In patients with chronic migraine (P), does mindfulness-based stress reduction (I) compared to medication alone (C) reduce the frequency and severity of migraines (O) after three months (T)?
• In older adults with delirium (P), does structured music intervention (I) compared to standard care (C) reduce the duration of delirium episodes (O) during hospitalization (T)?
• In patients with chronic low back pain (P), does yoga (I) compared to physical therapy (C) reduce pain intensity (O) after six weeks (T)?
• In pediatric patients with acute otitis media (P), does watchful waiting with pain management (I) compared to immediate antibiotic treatment (C) reduce the need for antibiotics (O) within one week (T)?
• In patients with schizophrenia (P), does family psychoeducation (I) compared to standard treatment (C) improve medication adherence (O) over a period of six months (T)?
• In patients with chronic kidney disease (P), does a low-phosphorus diet (I) compared to a regular diet (C) slow the progression of renal disease (O) after one year (T)?
• In postoperative patients (P), does wound irrigation with saline solution (I) compared to povidone-iodine solution (C) reduce the incidence of surgical site infections (O) within 30 days (T)?
• In patients with type 1 diabetes (P), does continuous subcutaneous insulin infusion (I) compared to multiple daily injections (C) improve glycemic control (O) over a period of six months (T)?
• In postoperative patients (P), does the use of prophylactic antibiotics (I) compared to no antibiotics (C) reduce the incidence of surgical site infections (O) within 30 days (T)?
• In patients with chronic obstructive pulmonary disease (P), does smoking cessation counseling (I) compared to no counseling (C) decrease the frequency of exacerbations (O) over a period of six months (T)?
• In patients with diabetes (P), does a multidisciplinary team approach (I) compared to standard care (C) improve self-management behaviors (O) over a period of one year (T)?
• In pregnant women with gestational hypertension (P), does bed rest (I) compared to regular activity (C) reduce the risk of developing preeclampsia (O) before delivery (T)?
• In patients with chronic kidney disease (P), does angiotensin-converting enzyme inhibitors (I) compared to placebo (C) slow the progression of renal disease (O) over a period of two years (T)?
• In older adults with hip fractures (P), does early surgical intervention (I) compared to delayed surgery (C) improve functional outcomes (O) after six months (T)?
• In patients with major depressive disorder (P), does exercise (I) compared to antidepressant medication (C) reduce depressive symptoms (O) after eight weeks (T)?
• In children with autism spectrum disorder (P), does applied behavior analysis (I) compared to standard therapy (C) improve social communication skills (O) over a period of one year (T)?
• In postoperative patients (P), does the use of incentive spirometry (I) compared to no spirometry (C) decrease the incidence of postoperative pulmonary complications (O) within seven days (T)?
• In patients with hypertension (P), does a combination of diet modification and exercise (I) compared to medication alone (C) lower blood pressure (O) after six months (T)?
• In patients with chronic obstructive pulmonary disease (P), does home oxygen therapy (I) compared to no oxygen therapy (C) improve exercise capacity (O) after threemonths (T)?
• In patients with heart failure (P), does a multidisciplinary heart failure management program (I) compared to standard care (C) reduce hospital readmissions (O) within six months (T)?
• In postpartum women with postnatal depression (P), does mindfulness meditation (I) compared to relaxation techniques (C) reduce depressive symptoms (O) after eight weeks (T)?
• In patients with chronic kidney disease (P), does a low-sodium diet (I) compared to a regular diet (C) lower blood pressure (O) after six months (T)?
• In pediatric patients with attention-deficit/hyperactivity disorder (P), does neurofeedback training (I) compared to medication (C) improve attention and behavior (O) after six months (T)?
• In patients with chronic pain (P), does transcranial direct current stimulation (I) compared to sham stimulation (C) reduce pain intensity (O) after eight weeks (T)?
• In older adults with osteoporosis (P), does a structured exercise program (I) compared to no exercise (C) improve bone mineral density (O) after six months (T)?
• In patients with type 2 diabetes (P), does a low-carbohydrate, high-protein diet (I) compared to a standard diet (C) improve glycemic control (O) over a period of six months (T)?
• In patients with chronic obstructive pulmonary disease (P), does mindfulness-based stress reduction (I) compared to usual care (C) improve dyspnea symptoms (O) after three months (T)?
• In postpartum women with postnatal depression (P), does online peer support (I) compared to individual therapy (C) reduce depressive symptoms (O) after eight weeks (T)?
• In patients with chronic kidney disease (P), does resistance training (I) compared to aerobic training (C) improve muscle strength (O) after six months (T)?
• In pediatric patients with asthma (P), does a written asthma action plan (I) compared to verbal instructions (C) reduce emergency department visits (O) within six months (T)?
• In patients with chronic pain (P), does yoga (I) compared to pharmacological treatment (C) reduce pain interference (O) after eight weeks (T)?
• In older adults at risk of falls (P), does a multifactorial falls prevention program (I) compared to no intervention (C) reduce the rate of falls (O) over a period of six months (T)?
• In patients with schizophrenia (P), does cognitive-behavioral therapy (I) compared to medication alone (C) reduce positive symptom severity (O) after six months (T)?
• In postpartum women with breastfeeding difficulties (P), does breast massage (I) compared to no massage (C) improve milk flow (O) after four weeks (T)?
• In patients with chronic obstructive pulmonary disease (P), does long-term oxygen therapy (I) compared to short-term oxygen therapy (C) improve survival rates (O) after one year (T)?
• In patients with major depressive disorder (P), does repetitive transcranial magnetic stimulation (I) compared to sham treatment (C) reduce depressive symptoms (O) after six weeks (T)?
• In patients with diabetes (P), does a digital health app (I) compared to standard care (C) improve medication adherence (O) over a period of six months (T)?
• In patients with chronic kidney disease (P), does a low-potassium diet (I) compared to a regular diet (C) lower serum potassium levels (O) after one year (T)?
• In pediatric patients with acute gastroenteritis (P), does oral rehydration solution (I) compared to intravenous fluid therapy (C) reduce hospital admissions (O) within 48 hours (T)?
• In patients with chronic pain (P), does hypnotherapy (I) compared to no hypnotherapy (C) reduce pain intensity (O) after eight weeks (T)?
• In older adults at risk of falls (P), does a tai chi program (I) compared to no exercise program (C) improve balance and stability (O) after six months (T)?
• In patients with chronic heart failure (P), does a home-based self-care intervention (I) compared to standard care (C) reduce hospital readmissions (O) within six months (T)?
• In patients with anxiety disorders (P), does acceptance and commitment therapy (I) compared to cognitive-behavioral therapy (C) reduce anxiety symptoms (O) after 12 weeks (T)?
• In postpartum women with breastfeeding difficulties (P), does the use of nipple shields (I) compared to no nipple shields (C) improve breastfeeding success (O) after four weeks (T)?
• In patients with chronic obstructive pulmonary disease (P), does a comprehensive self-management program (I) compared to usual care (C) improve health-related quality of life (O) after three months (T)?
• In patients with major depressive disorder (P), does internet-based cognitive-behavioral therapy (I) compared to face-to-face therapy (C) reduce depressive symptoms (O) after eight weeks (T)?
• Does the increase in the habit of smoking marijuana among Dutch students increase the likelihood of depression?
• Does the use of pain relief medication during surgery provide more effective pain reduction compared to the same medication given post-surgery?
• Does the increase in the intake of oral contraceptives increase the risk of breast cancer among women aged 20-30 in the UK?
• Does the habit of washing hands among healthcare workers decrease the rate of infections in hospitals?
• Does the use of modern syringes help in reducing needle injuries among healthcare workers in America?
• Does encouraging male work colleagues to talk about sexual harassment decrease the rate of depression in the workplace?
• Does bullying in boarding schools in Scotland increase the likelihood of domestic violence within a 20-year timeframe?
• Does breastfeeding among toddlers in urban United States decrease their chances of obesity as pre-schoolers?
• Does the increase in the intake of antidepressants among urban women aged 30 years and older affect their maternal health?
• Does forming work groups to discuss domestic violence among the rural population of the United States reduce stress and depression among women?
• Does the increased use of mosquito nets in Uganda help in reducing malaria cases among infants?
• Can colon cancer be more effectively detected when colonoscopy is supported by an occult blood test compared to colonoscopy alone?
• Does regular usage of low-dose aspirin effectively reduce the risk of heart attacks and stroke for women above the age of 80 years?
• Is yoga an effective medical therapy for reducing lymphedema in patients recovering from neck cancer?
• Does daily blood pressure monitoring help in addressing the triggers of hypertension among males over 65 years?
• Does a regular 30-minute exercise regimen effectively reduce the risk of heart disease in adults over 65 years?
• Does prolonged exposure to chemotherapy increase the risk of cardiovascular diseases among teenagers suffering from cancer?
• Does breastfeeding among toddlers in the urban United States decrease their chances of obesity as pre-schoolers?
• Are first-time mothers giving birth to premature babies more prone to postpartum depression compared to second or third-time mothers in the same condition?
• For women under the age of 50 years, is a yearly mammogram more effective in preventing breast cancer compared to a mammogram done every 3 years?
• After being diagnosed with blood sugar levels, is a four-times-a-day blood glucose monitoring process more effective in controlling the onset of Type 1 diabetes?

Related: How to write an abstract poster presentation.

You can never go wrong with getting expertly written examples as a source for your inspiration. They factor in all the qualities of a good PICO question, which sets you miles ahead in your research process.

If you need a personalized approach to choosing a good PICOT question and writing a problem and purpose statement, our nursing paper acers can help you.

Nursing research specialists work with nursing students, professional nurses, and medical students to advance their academic and career goals. We offer private, reliable, confidential, and top-quality services.

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Defining the Question: Foreground & Background Questions

In order to most appropriately choose an information resource and craft a search strategy, it is necessary to consider what  kind  of question you are asking: a specific, narrow "foreground" question, or a broader background question that will help give context to your research?

Foreground Questions

A "foreground" question in health research is one that is relatively specific, and is usually best addressed by locating primary research evidence. 

Using a structured question framework can help you clearly define the concepts or variables that make up the specific research question. 

 Across most frameworks, you’ll often be considering:

• a who (who was studied - a population or sample)
• a what (what was done or examined - an intervention, an exposure, a policy, a program, a phenomenon)
• a how ([how] did the [what] affect the [who] - an outcome, an effect). 

PICO is the most common framework for developing a clinical research question, but multiple question frameworks exist.

PICO (Problem/Population, Intervention, Comparison, Outcome)

Appropriate for : clinical questions, often addressing the effect of an intervention/therapy/treatment

Example : For adolescents with type II diabetes (P) does the use of telehealth consultations (I) compared to in-person consultations  (C) improve blood sugar control  (O)?

Framing Different Types of Clinical Questions with PICO

Different types of clinical questions are suited to different syntaxes and phrasings, but all will clearly define the PICO elements.  The definitions and frames below may be helpful for organizing your question:

Intervention/Therapy

Questions addressing how a clinical issue, illness, or disability is treated.

"In__________________(P), how does__________________(I) compared to_________________(C) affect______________(O)?"

Questions that address the causes or origin of disease, the factors which produce or predispose toward a certain disease or disorder.

"Are_________________(P), who have_________________(I) compared with those without_________________(C) at_________________risk for/of_________________(O) over_________________(T)?" 

Questions addressing the act or process of identifying or determining the nature and cause of a disease or injury through evaluation.

In_________________(P) are/is_________________(I) compared with_________________(C) more accurate in diagnosing_________________(O)?

Prognosis/Prediction:

Questions addressing the prediction of the course of a disease.

In_________________(P), how does_________________(I) compared to_________________ (C) influence_________________(O)?

Questions addressing how one experiences a phenomenon or why we need to approach practice differently.

"How do_________________(P) with_________________(I) perceive_________________(O)?" 

Adapted from: Melnyk, B. M., & Fineout-Overholt, E. (2011). Evidence-based practice in nursing & healthcare: A guide to best practice. Philadelphia: Wolters Kluwer/Lippincott Williams & Wilkins.

Beyond PICO: Other Types of Question Frameworks

PICO is a useful framework for clinical research questions, but may not be appropriate for all kinds of reviews.  Also consider:

PEO (Population, Exposure, Outcome)

Appropriate for : describing association between particular exposures/risk factors and outcomes

Example : How do  preparation programs (E) influence the development of teaching competence  (O) among novice nurse educators  (P)?

SPIDER (Sample, Phenomenon of Interest, Design, Evaluation, Research Type)

Appropriate for : questions of experience or perspectives (questions that may be addressed by qualitative or mixed methods research)

Example : What are the experiences and perspectives (E) of  undergraduate nursing students  (S)  in clinical placements within prison healthcare settings (PI)?

SPICE (Setting, Perspective, Intervention/phenomenon of Interest, Comparison, Evaluation)

Appropriate for : evaluating the outcomes of a service, project, or intervention

Example : What are the impacts and best practices for workplace (S) transition support programs (I) for the retention (E) of newly-hired, new graduate nurses (P)?

PCC (Problem/population, Concept, Context)

Appropriate for : broader (scoping) questions

Example : How do nursing schools  (Context) teach, measure, and maintain nursing students ' (P)  technological literacy  (Concept))throughout their educational programs?

Background Questions

To craft a strong and reasonable foreground research question, it is important to have a firm understanding of the concepts of interest.  As such, it is often necessary to ask background questions, which ask for more general, foundational knowledge about a disorder, disease, patient population, policy issue, etc. 

For example, consider the PICO question outlined above:

"For adolescents with type II diabetes does the use of telehealth consultations compared to in-person consultations  improve blood sugar control ?

To best make sense of the literature that might address this PICO question, you would also need a deep understanding of background questions like:

• What are the unique barriers or challenges related to blood sugar management in adolescents with TII diabetes?
• What are the measures of effective blood sugar control?
• What kinds of interventions would fall under the umbrella of 'telehealth'?
• What are the qualitative differences in patient experience in telehealth versus in-person interactions with healthcare providers?
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Qualitative Research

• What is Qualitative Research
• PEO for Qualitative Questions
• SPIDER for Mixed Methods Qualitative Research Questions
• Finding Qualitative Research Articles
• Critical Appraisal of Qualitative Research Articles
• Mixed Methods Research
• Qualitative Synthesis

PEO: Answering a Qualitative Question

PEO is an acronym that can help you create a search strategy for finding research to answer a qualitative research question.

• Patient, Population or Problem you are investigating
• Exposure to an illness, a risk factor, screening, rehabilitation service, etc.
• Outcome or themes include experiences, attitudes, feelings, improvement in condition, mobility, responsiveness to treatment, care, quality of life or daily living.

Example of PEO in Action

FINAL BOOLEAN SEARCH:

(Acute care OR acute setting OR hospital* OR inpatient* OR ward*) AND (Nurs* OR professional* OR practitioner* OR staff OR personnel) AND (Dementia OR alzheimer*) AND ( Attitude* OR opinion* OR perception* OR perspective* OR belief*)

• << Previous: What is Qualitative Research
• Next: SPIDER for Mixed Methods Qualitative Research Questions >>
• Last Updated: Aug 28, 2023 2:47 PM
• URL: https://researchguides.gonzaga.edu/qualitative

Nursing Research Guide

• General Search Strategies
• Searching by Author & Theory
• Searching for Qualitative Studies
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• NSC 890: PICOT Searches

What is qualitative research?

Qualitative research  in Nursing approaches a clinical question from a place of unknowing in an attempt to understand the complexity, depth, and richness of a particular situation from the perspective of the person or persons impacted by the situation (i.e., the subjects of the study).

Study subjects may include the patient(s), the patient's caregivers, the patient's family members, etc. Qualitative research may also include information gleaned from the investigator's or researcher's observations.

While typically more subjective than quantitative research (which focuses on measurements and numbers), qualitative research still employs a systematic approach.

Qualitative research  is generally preferred over quantitative research (which on measurements and numbers) when the clinical question centers around life experiences or meaning.

Adapted from:

• Wilson, B., Austria, M.J., & Casucci, T. (2021 March 21).  Understanding Quantitative and Qualitative Approaches  
• Chicca, J. (2020 June 5).  Introduction to qualitative nursing research.   American Nurse Journal.

Where can I find qualitative research?

Qualitative research can be found in numerous databases. Some good starting options are:

• CINAHL Ultimate Journal articles and eBooks in nursing and allied health.
• MEDLINE (EBSCOhost Web) Journal articles in medicine, life sciences, health care, and biomedical research.
• APA PsycINFO Articles from journals, newspapers, and magazines, along with eBooks in nearly every social science subject area.
• PubMed Citation search of journal articles and books in health and life sciences.

How can I find qualitative research?

Cinahl and/or  medline.

• Start at the Advanced Search  screen.
• Add a search term that represents the topic you are interested in into one (or more) of the search boxes.
• Scroll down until you see the Limit your results  section.
• Qualitative - High Sensitivity (broadest category/broad search)
• Qualitative - High Specificity (narrowest category/specific search)
• Qualitative - Best Balance (somewhere in between)
• Select or click the search button.

APA PsycINFO

• Start at the Advanced Search  screen.
• Use the  Methodology menu to select  Qualitative .

• Use the drop-down menu next the Enter search term  box to set the search to MeSH Terms
• Qualitative Research
• Nursing Methodology Research

How can I use keywords to search for qualitative research?

Try adding adding a keyword that might specifically identify qualitative research. You could add the term qualitative  to your search and/or your could add different types of qualitative research according to your specific needs and/or research assignment.

For example, consider the following types of qualitative research in light of the types of questions a researcher might be trying to answer with each qualitative research type: 

•   Clinical question: What happens to the quality of nursing practice when we implement a peer-mentoring system?
• Clinical question: How is patient autonomy promoted by a unit?
• Clinical question: What is the nursing role in end-of-life decisions?
• Clinical question: What discourses are used in nursing practice and how do they shape practice?
• Clinical question: How does Filipino culture influence childbirth experiences?
• Clinical question: What are the immediate underlying psychological and environmental causes of incivility in nursing?
• Clinical question: How does the basic social process of role transition happen within the context of advanced practice nursing transitions?
• Clinical question: When and why did nurses become researchers?
• Clinical question: How does one live with a diagnosis of scleroderma?
• Clinical question:  What is the lived experience of nurses who were admitted as patients on their home practice units?

Adapted from: Chicca, J. (2020 June 5).  Introduction to qualitative nursing research . American Nurse Journal.

Need more help?

Finding relevant qualitative research can be both difficult and time consuming. Once you conduct a search, you will need to review your search results and look at individual articles, their subject terms, and abstracts to determine if they are truly qualitative research articles. And that's a determination that only you can make.

If you still need help after trying the search strategies and tips suggested on this research guide, we encourage you to schedule an in-person or Zoom research appointment . Health Services librarian Rachel Riffe-Albright is a great bet, but any librarian would be happy to help!

Additonal resources on qualitative research

The following are research guides created by other academic libraries. While you likely will not have access to any of their linked resources, the tips and tricks shared may be useful to you as you search for qualitative research:

• What is Qualitative Research? from UTA Libraries at University of Texas Arlington
• Finding Qualitative Research Articles from Ashland University Library
• Finding Qualitative Research Articles from the Health Sciences Library at University of Washington
• Advanced Search Guide: Qualitative and Quantitative Studies from Southern Connecticut State University Library
• Finding Qualitative and Quantitative Studies in CINAHL from Southern Connecticut State University Library
• << Previous: Searching by Author & Theory
• Next: Searching for Systematic Reviews & Controlled Trials >>
• Last Updated: Apr 22, 2024 2:39 PM
• URL: https://libguides.eku.edu/nursing

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Nursing Resources : Qualitative vs Quantitative

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Differences between Qualitative & Quantitative Research

" Quantitative research ," also called " empirical research ," refers to any research based on something that can be accurately and precisely measured.  For example, it is possible to discover exactly how many times per second a hummingbird's wings beat and measure the corresponding effects on its physiology (heart rate, temperature, etc.).

" Qualitative research " refers to any research based on something that is impossible to accurately and precisely measure.  For example, although you certainly can conduct a survey on job satisfaction and afterwards say that such-and-such percent of your respondents were very satisfied with their jobs, it is not possible to come up with an accurate, standard numerical scale to measure the level of job satisfaction precisely.

It is so easy to confuse the words "quantitative" and "qualitative," it's best to use "empirical" and "qualitative" instead.

Hint: An excellent clue that a scholarly journal article contains empirical research is the presence of some sort of statistical analysis

See "Examples of Qualitative and Quantitative" page under "Nursing Research" for more information.

• John M. Pfau Library

Examples of Qualitative vs Quantitiative

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• v.56(1); 2023 Jan

Qualitative Research in Healthcare: Necessity and Characteristics

1 Department of Preventive Medicine, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea

2 Ulsan Metropolitan City Public Health Policy’s Institute, Ulsan, Korea

3 Department of Nursing, Chung-Ang University, Seoul, Korea

Eun Young Choi

4 College of Nursing, Sungshin Women’s University, Seoul, Korea

Seung Gyeong Jang

5 Department of Preventive Medicine, University of Ulsan College of Medicine, Seoul, Korea

Quantitative and qualitative research explore various social phenomena using different methods. However, there has been a tendency to treat quantitative studies using complicated statistical techniques as more scientific and superior, whereas relatively few qualitative studies have been conducted in the medical and healthcare fields. This review aimed to provide a proper understanding of qualitative research. This review examined the characteristics of quantitative and qualitative research to help researchers select the appropriate qualitative research methodology. Qualitative research is applicable in following cases: (1) when an exploratory approach is required on a topic that is not well known, (2) when something cannot be explained fully with quantitative research, (3) when it is necessary to newly present a specific view on a research topic that is difficult to explain with existing views, (4) when it is inappropriate to present the rationale or theoretical proposition for designing hypotheses, as in quantitative research, and (5) when conducting research that requires detailed descriptive writing with literary expressions. Qualitative research is conducted in the following order: (1) selection of a research topic and question, (2) selection of a theoretical framework and methods, (3) literature analysis, (4) selection of the research participants and data collection methods, (5) data analysis and description of findings, and (6) research validation. This review can contribute to the more active use of qualitative research in healthcare, and the findings are expected to instill a proper understanding of qualitative research in researchers who review qualitative research reports and papers.

Graphical abstract

INTRODUCTION

The definition of research varies among studies and scholars, and it is difficult to devise a single definition. The Oxford English Dictionary defines research as “a careful study of a subject, especially in order to discover new facts or information about it” [ 1 ], while Webster’s Dictionary defines research as “studious inquiry or examination - especially: investigation or experimentation aimed at the discovery and interpretation of facts, revision of accepted theories or laws in the light of new facts, or practical application of such new or revised theories or laws” [ 2 ]. Moreover, research is broadly defined as the process of solving unsolved problems to broaden human knowledge [ 3 ]. A more thorough understanding of research can be gained by examining its types and reasons for conducting it.

The reasons for conducting research may include practical goals, such as degree attainment, job promotion, and financial profit. Research may be based on one’s own academic curiosity or aspiration or guided by professors or other supervisors. Academic research aims can be further divided into the following: (1) accurately describing an object or phenomenon, (2) identifying general laws and establishing well-designed theories for understanding and explaining a certain phenomenon, (3) predicting future events based on laws and theories, and (4) manipulating causes and conditions to induce or prevent a phenomenon [ 3 ].

The appropriate type of research must be selected based on the purpose and topic. Basic research has the primary purpose of expanding the existing knowledge base through new discoveries, while applied research aims to solve a real problem. Descriptive research attempts to factually present comparisons and interpretations of findings based on analyses of the characteristics, progression, or relationships of a certain phenomenon by manipulating the variables or controlling the conditions. Experimental or analytical research attempts to identify causal relationships between variables through experiments by arbitrarily manipulating the variables or controlling the conditions [ 3 ]. In addition, research can be quantitative or qualitative, depending on the data collection and analytical methods. Quantitative research relies on statistical analyses of quantitative data obtained primarily through investigation and experiment, while qualitative research uses specific methodologies to analyze qualitative data obtained through participant observations and in-depth interviews. However, as these types of research are not polar opposites and the criteria for classifying research types are unclear, there is some degree of methodological overlap.

What is more important than differentiating types of research is identifying the appropriate type of research to gain a better understanding of specific questions and improve problems encountered by people in life. An appropriate research type or methodology is essential to apply findings reliably. However, quantitative research based on the philosophical ideas of empiricism and positivism has been the mainstay in the field of healthcare, with academic advancement achieved through the application of various statistical techniques to quantitative data [ 4 ]. In particular, there has been a tendency to treat complicated statistical techniques as more scientific and superior, with few qualitative studies in not only clinical medicine, but also primary care and social medicine, which are relatively strongly influenced by the social sciences [ 5 , 6 ].

Quantitative and qualitative research use different ways of exploring various social phenomena. Both research methodologies can be applied individually or in combination based on the research topic, with mixed quantitative and qualitative research methodologies becoming more widespread in recent years [ 7 ]. Applying these 2 methods through a virtuous cycle of integration from a complementary perspective can provide a more accurate understanding of human phenomena and solutions to real-world problems.

This review aimed to provide a proper understanding of qualitative research to assist researchers in selecting the appropriate research methodology. Specifically, this review examined the characteristics of quantitative and qualitative research, the applicability of qualitative research, and the data sources collected and analyzed in qualitative research.

COMPARISON OF QUALITATIVE AND QUANTITATIVE RESEARCH

A clearer understanding of qualitative research can be obtained by comparing qualitative and quantitative research, with which people are generally familiar [ 8 , 9 ]. Quantitative research focuses on testing the validity of hypotheses established by the researcher to identify the causal relationships of a specific phenomenon and discovering laws to predict that phenomenon ( Table 1 ). Therefore, it emphasizes controlling the influence of variables that may interfere with the process of identifying causality and laws. In contrast, qualitative research aims to discover and explore new hypotheses or theories based on a deep understanding of the meaning of a specific phenomenon. As such, qualitative research attempts to accept various environmental factors naturally. In quantitative research, importance is placed on the researcher acting as an outsider to take an objective view by keeping a certain distance from the research subject. In contrast, qualitative research encourages looking inside the research subjects to understand them deeply, while also emphasizing the need for researchers to take an intersubjective view that is formed and shared based on a mutual understanding with the research subjects.

Comparison of methodological characteristics between quantitative research and qualitative research

The data used in quantitative research can be expressed as numerical values, and data accumulated through questionnaire surveys and tests are often used in analyses. In contrast, qualitative research uses narrative data with words and images collected through participant observations, in-depth interviews, and focus group discussions used in the analyses. Quantitative research data are measured repeatedly to enhance their reliability, while the analyses of such data focus on superficial aspects of the phenomenon of interest. Qualitative research instead focuses on obtaining deep and rich data and aims to identify the specific contents, dynamics, and processes inherent within the phenomenon and situation.

There are clear distinctions in the advantages, disadvantages, and goals of quantitative and qualitative research. On one hand, quantitative research has the advantages of reliability and generalizability of the findings, and advances in data collection and analysis methods have increased reliability and generalizability. However, quantitative research presents difficulties with an in-depth analysis of dynamic phenomena that cannot be expressed by numbers alone and interpreting the results analyzed in terms numbers. On the other hand, qualitative research has the advantage of validity, which refers to how accurately or appropriately a phenomenon was measured. However, qualitative research also has the disadvantage of weak generalizability, which determines whether an observed phenomenon applies to other cases.

APPLICATIONS OF QUALITATIVE RESEARCH AND ITS USEFULNESS IN THE HEALTHCARE FIELD

Qualitative research cannot be the solution to all problems. A specific methodology should not be applied to all situations. Therefore, researchers need to have a good understanding of the applicability of qualitative research. Generally, qualitative research is applicable in following cases: (1) when an exploratory approach is required on a topic that is not well known, (2) when something cannot be explained fully with quantitative research, (3) when it is necessary to newly present a specific view on a research topic that is difficult to explain with existing views, (4) when it is inappropriate to present the rationale or theoretical proposition for designing hypotheses, as in quantitative research, and (5) when conducting research that requires detailed descriptive writing with literary expressions [ 7 ]. In particular, qualitative research is useful for opening new fields of research, such as important topics that have not been previously examined or whose significance has not been recognized. Moreover, qualitative research is advantageous for examining known topics from a fresh perspective.

In the healthcare field, qualitative research is conducted on various topics considering its characteristics and strengths. Quantitative research, which focuses on hypothesis validation, such as the superiority of specific treatments or the effectiveness of specific policies, and the generalization of findings, has been the primary research methodology in the field of healthcare. Qualitative research has been mostly applied for studies such as subjective disease experiences and attitudes with respect to health-related patient quality of life [ 10 - 12 ], experiences and perceptions regarding the use of healthcare services [ 13 - 15 ], and assessments of the quality of care [ 16 , 17 ]. Moreover, qualitative research has focused on vulnerable populations, such as the elderly, children, disabled [ 18 - 20 ], minorities, and socially underprivileged with specific experiences [ 21 , 22 ].

For instance, patient safety is considered a pillar of quality of care, which is an aspect of healthcare with increasing international interest. The ultimate goal of patient safety research should be the improvement of patient safety, for which it is necessary to identify the root causes of potential errors and adverse events. In such cases, qualitative rather than quantitative research is often required. It is also important to identify whether there are any barriers when applying measures for enhancing patient safety to clinical practice. To identify such barriers, qualitative research is necessary to observe healthcare workers directly applying the solutions step-by-step during each process, determine whether there are difficulties in applying the solutions to relevant stakeholders, and ask how to improve the process if there are difficulties.

Patient safety is a very broad topic, and patient safety issues could be categorized into preventing, recognizing, and responding to patient safety issues based on related metrics [ 23 ]. Responding to issues that pertain to the handling of patient safety incidents that have already occurred has received relatively less interest than other categories of research on this topic, particularly in Korea. Until 2017, almost no research was conducted on the experiences of and difficulties faced by patients and healthcare workers who have been involved in patient safety incidents. This topic can be investigated using qualitative research.

A study in Korea investigated the physical and mental suffering experienced during the process of accepting disability and medical litigation by a patient who became disabled due to medical malpractice [ 21 ]. Another qualitative case study was conducted with participants who lost a family member due to a medical accident and identified psychological suffering due to the incident, as well as secondary psychological suffering during the medical litigation process, which increased the expandability of qualitative research findings [ 24 ]. A quantitative study based on these findings confirmed that people who experienced patient safety incidents had negative responses after the incidents and a high likelihood of sleep or eating disorders, depending on their responses [ 25 ].

A study that applied the grounded theory to examine the second victim phenomenon, referring to healthcare workers who have experienced patient safety incidents, and presented the response stages experienced by second victims demonstrated the strength of qualitative research [ 26 ]. Subsequently, other studies used questionnaire surveys on physicians and nurses to quantify the physical, mental, and work-related difficulties experienced by second victims [ 27 , 28 ]. As such, qualitative research alone can produce significant findings; however, combining quantitative and qualitative research produces a synergistic effect. In the healthcare field, which remains unfamiliar with qualitative research, combining these 2 methodologies could both enhance the validity of research findings and facilitate open discussions with other researchers [ 29 ].

In addition, qualitative research has been used for diverse sub-topics, including the experiences of patients and guardians with respect to various diseases (such as cancer, myocardial infarction, chronic obstructive pulmonary disease, depression, falls, and dementia), awareness of treatment for diabetes and hypertension, the experiences of physicians and nurses when they come in contact with medical staff, awareness of community health environments, experiences of medical service utilization by the general public in medically vulnerable areas, the general public’s awareness of vaccination policies, the health issues of people with special types of employment (such as delivery and call center workers), and the unmet healthcare needs of persons with vision or hearing impairment.

GENERAL WORKFLOW OF QUALITATIVE RESEARCH

Rather than focusing on deriving objective information, qualitative research aims to discern the quality of a specific phenomenon, obtaining answers to “why” and “how” questions. Qualitative research aims to collect data multi-dimensionally and provide in-depth explanations of the phenomenon being researched. Ultimately, the purpose of qualitative research is set to help researchers gain an understanding of the research topic and reveal the implications of the research findings. Therefore, qualitative research is generally conducted in the following order: (1) selection of a research topic and question, (2) selection of a theoretical framework and methods, (3) literature analysis, (4) selection of the research participants (or participation target) and data collection methods, (5) data analysis and description of findings, and (6) research validation ( Figure 1 ) [ 30 ]. However, unlike quantitative research, in which hypothesis setting and testing take place unidirectionally, a major characteristic of qualitative research is that the process is reversible and research methods can be modified. In other words, the research topic and question could change during the literature analysis process, and theoretical and analytical methods could change during the data collection process.

General workflow of qualitative research.

Selection of a Research Topic and Question

As with any research, the first step in qualitative research is the selection of a research topic and question. Qualitative researchers can select a research topic based on their interests from daily life as a researcher, their interests in issues within the healthcare field, and ideas from the literature, such as academic journals. The research question represents a more specific aspect of the research topic. Before specifically starting to conduct research based on a research topic, the researcher should clarify what is being researched and determine what research would be desirable. When selecting a research topic and question, the research should ask: is the research executable, are the research topic and question worth researching, and is this a research question that a researcher would want to research?

Selection of Theoretical Framework and Methods

A theoretical framework refers to the thoughts or attitudes that a researcher has about the phenomenon being researched. Selecting the theoretical framework first could help qualitative researchers not only in selecting the research purpose and problem, but also in carrying out various processes, including an exploration of the precedent literature and research, selection of the data type to be collected, data analysis, and description of findings. In qualitative research, theoretical frameworks are based on philosophical ideas, which affect the selection of specific qualitative research methods. Representative qualitative research methods include the grounded theory, which is suitable for achieving the goal of developing a theory that can explain the processes involved in the phenomenon being researched; ethnographic study, which is suitable for research topics that attempt to identify and interpret the culture of a specific group; phenomenology, which is suitable for research topics that attempt to identify the nature of research participants’ experiences or the phenomenon being researched; case studies, which aim to gain an in-depth understanding of a case that has unique characteristics and can be differentiated from other cases; action research, which aims to find solutions to problems faced by research participants, with the researchers taking the same position as the participants; and narrative research, which is suitable for research topics that attempt to interpret the entire life or individual experiences contained within the stories of research participants. Other methodologies include photovoice research, consensual qualitative research, and auto-ethnographic research.

Literature Analysis

Literature analysis results can be helpful in specifically selecting the research problem, theoretical framework, and research methods. The literature analysis process compels qualitative researchers to contemplate the new knowledge that their research will add to the academic field. A comprehensive literature analysis is encouraged both in qualitative and quantitative research, and if the prior literature related to the subject to be studied is insufficient, it is sometimes evaluated as having low research potential or research value. Some have claimed that a formal literature review should not be performed before the collection of field data, as it could create bias, thereby interfering with the investigation. However, as the qualitative research process is cyclic rather than unidirectional, the majority believes that a literature review can be performed at any time. Moreover, an ethical review prior to starting the research is a requirement; therefore, the research protocol must be prepared and submitted for review and approval prior to conducting the research. To prepare research protocols, the existing literature must be analyzed at least to a certain degree. Nonetheless, qualitative researchers must keep in mind that their emotions, bias, and expectations may interject themselves during the literature review process and should strive to minimize any bias to ensure the validity of the research.

Selection of the Research Participants and Data Collection Methods

The subjects of qualitative research are not necessarily humans. It is more important to find the research subject(s) from which the most in-depth answers to the research problem can be obtained. However, the subjects in most qualitative studies are humans, as most research question focus on humans. Therefore, it is important to obtain research participants with sufficient knowledge, experience, and attitudes to provide the most appropriate answers to the research question. Quantitative research, which views generalizability as a key research goal, emphasizes the selection of research participants (i.e., the research sample that can represent the study’s population of interest), whereas qualitative research emphasizes finding research participants who can best describe and demonstrate the phenomenon of interest.

In qualitative research, the participant selection method is referred to as purposeful sampling (or purposive sampling), which can be divided into various types. Sampling methods have various advantages, disadvantages, and characteristics. For instance, unique sampling (extreme case sampling) has the advantage of being able to obtain interesting research findings by researching phenomena that have previously received little or no interest, and the disadvantage of deriving research findings that are interesting to only some readers if the research is conducted on an overly unique situation. Maximum variation sampling, also referred to as theoretical sampling, is commonly used in qualitative research based on the grounded theory. Selecting the appropriate participant sampling method that suits the purpose of research is crucial ( Table 2 ).

Sampling methods of selecting research participants in qualitative research

Once the researcher has decided how to select study participants, the data collection methods must be determined. Just as with participant sampling, various data collection methods are available, all of which have various advantages and disadvantages; therefore, the method must be selected based on the research question and circumstances. Unlike quantitative research, which usually uses a single data source and data collection method, the use of multiple data sources and data collection methods is encouraged in qualitative research [ 30 ]. Using a single data source and data collection method could cause data collection to be skewed by researcher bias; therefore, using multiple data sources and data collection methods is ideal. In qualitative research, the following data types are commonly used: (1) interview data obtained through one-on-one in-depth interviews and focus group discussions, (2) observational data from various observation levels, (3) documented data collected from personal or public documents, and (4) image data, such as photographs and videos.

Interview data are the most commonly used data source in qualitative research [ 31 ]. In qualitative research, an interview refers to communication that takes place based on a clear sense of purpose of acquiring certain information, unlike conversations that typically take place in daily life. The level of data acquired through interviews varies significantly depending on the researcher’s personal qualifications and abilities, as well as his or her level of interest and knowledge regarding the research topic. Therefore, interviewers must be trained to go beyond simply identifying the clearly expressed experiences of research participants to exploring their inner experiences and emotions [ 32 ]. Interview data can be classified based on the level of structuralization of the data collection method, sample size, and interview method. The characteristics of each type of interview are given in Table 3 .

Detailed types of interview methods according to the characteristics of in-depth interviews and focus group discussion

Observations, which represent a key data collection method in anthropology, refer to a series of actions taken by the researcher in search of a deep understanding by systematically examining the appearances of research participants that take place in natural situations [ 33 ]. Observations can be categorized as participant and non-participant, insider and outsider, disguised and undisguised, short- and long-term, and structured and unstructured. However, a line cannot be drawn clearly to differentiate these categories, and the degree of each varies along a single spectrum. Therefore, it is necessary for a qualitative researcher to select the appropriate data collection method based on the circumstances and characteristics of the research topic.

Various types of document data can be used in qualitative research. Personal documents include diaries, letters, and autobiographies, while public documents include legal documents, public announcements, and civil documents. Online documents include emails and blog or bulletin board postings, while other documents include graffiti. All these document types may be used as data sources in qualitative research. In addition, image data acquired by the research participant or researcher, such as photographs and videos, serve as useful data sources in qualitative research. Such data sources are relatively objective and easily accessible, while they contain a significant amount of qualitative meaning despite the low acquisition cost. While some data may have been collected for research purposes, other data may not have been originally produced for research. Therefore, the researcher must not distort the original information contained in the data source and must verify the accuracy and authenticity of the data source in advance [ 30 ].

This review examined the characteristics of qualitative research to help researchers select the appropriate qualitative research methodology and identify situations suitable for qualitative research in the healthcare field. In addition, this paper analyzed the selection of the research topic and problem, selection of the theoretical framework and methods, literature analysis, and selection of the research participants and data collection methods. A forthcoming paper will discuss more specific details regarding other qualitative research methodologies, such as data analysis, description of findings, and research validation. This review can contribute to the more active use of qualitative research in the healthcare field, and the findings are expected to instill a proper understanding of qualitative research in researchers who review and judge qualitative research reports and papers.

Ethics Statement

Since this study used secondary data source, we did not seek approval from the institutional review board. We also did not have to ask for the consent of the participants.

Acknowledgments

CONFLICT OF INTEREST

The authors have no conflicts of interest associated with the material presented in this paper.

AUTHOR CONTRIBUTIONS

Conceptualization: Pyo J, Lee W, Choi EY, Jang SG, Ock M. Data curation: Pyo J, Ock M. Formal analysis: Pyo J, Ock M. Funding acquisition: None. Validation: Lee W, Choi EY, Jang SG. Writing - original draft: Pyo J, Ock M. Writing - review & editing: Pyo J, Lee W, Choi EY, Jang SG, Ock M.

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Examples of Research Questions

Phd in nursing science program, examples of broad clinical research questions include:.

• Does the administration of pain medication at time of surgical incision reduce the need for pain medication twenty-four hours after surgery?
• What maternal factors are associated with obesity in toddlers?
• What elements of a peer support intervention prevent suicide in high school females?
• What is the most accurate and comprehensive way to determine men’s experience of physical assault?
• Is yoga as effective as traditional physical therapy in reducing lymphedema in patients who have had head and neck cancer treatment?
• In the third stage of labor, what is the effect of cord cutting within the first three minutes on placenta separation?
• Do teenagers with Type 1 diabetes who receive phone tweet reminders maintain lower blood sugars than those who do not?
• Do the elderly diagnosed with dementia experience pain?
•  How can siblings’ risk of depression be predicted after the death of a child?
•  How can cachexia be prevented in cancer patients receiving aggressive protocols involving radiation and chemotherapy?

Examples of some general health services research questions are:

• Does the organization of renal transplant nurse coordinators’ responsibilities influence live donor rates?
• What activities of nurse managers are associated with nurse turnover?  30 day readmission rates?
• What effect does the Nurse Faculty Loan program have on the nurse researcher workforce?  What effect would a 20% decrease in funds have?
• How do psychiatric hospital unit designs influence the incidence of patients’ aggression?
• What are Native American patient preferences regarding the timing, location and costs for weight management counseling and how will meeting these preferences influence participation?
•  What predicts registered nurse retention in the US Army?
• How, if at all, are the timing and location of suicide prevention appointments linked to veterans‘ suicide rates?
• What predicts the sustainability of quality improvement programs in operating rooms?
• Do integrated computerized nursing records across points of care improve patient outcomes?
• How many nurse practitioners will the US need in 2020?

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DISTINCTIONS

Forming answerable search questions using frameworks

• Research question frameworks
• Example PICO
• Build your own PICO

PEO framework

The PEO framework is useful for building research questions that have a qualitative focus.

Example question:  What are nurses attitudes towards revalidation? ​

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150 Qualitative and Quantitative Nursing Research Topics for Students

Do not be lazy to spend some time researching and brainstorming. You can either lookup for the popular nursing research topics on social media networks or news or ask a professional writer online to take care of your assignment. What you should not do for sure is refuse to complete any of your course projects. You need every single task to be done if you wish to earn the highest score by the end of a semester.

In this article, we will share 150 excellent nursing research topics with you. Choose one of them or come up with your own idea based on our tips, and you’ll succeed for sure!

Table of Contents

Selecting the Top Ideas for Your Essays in Healthcare & Medicine

Would you like to learn how to write a research paper topic for nursing students? We will share some tips before offering lists of ideas.

Start with the preliminary research. You can get inspired on various websites offering ideas for students as well as academic help. Gather with your classmates and brainstorm by putting down different themes that you can cover. You should take your interests into consideration, but still, remember that ideas must relate to your lessons recently covered in class. You have to highlight keywords and main phrases to use in your text.

Before deciding on one of the numerous nursing school research topics, you should consult your tutor. Make sure that he or she approves the idea. Start writing only after that.

50 Popular Nursing Research Topics

Are you here to find the most popular research topics? They change with each new year as the innovations and technologies move on. We have collected the top discussed themes in healthcare for you.

• Problems Encountered by the Spouses of the Patients with Dyslexia
• Ethics in Geriatrics
• Checklist for the Delivery Room Behavior
• Parkinson Disease: Causes and Development
• Exercises Used to Improve Mental Health
• Effective Tips for Antenatal Treatment
• Syndrome of the Restless Legs: How to Treat It
• Behavior Assessment in Pediatric Primary Care
• Why Can Mother’s Health Be under the Threat During the Child Birth?
• Recommendations for Creating Strong Nursing Communities
• Alzheimer’s Disease and Proper Treatment
• Pre-Term Labor Threats
• Music Therapy and Lactation
• Influence of Ageism on Mental Health
• Newborn Resuscitation Practices
• Effective Therapy for Bladder Cancer
• Approaches to Improving Emotional Health of Nurses
• Skin-to-skin Contact by mothers and Its Consequences
• Does a Nurse Have a Right to Prescribe Drugs?
• Research on Atrial Fibrillation
• Pros & Cons of Water Birth
• Prevention Measures for Those Who Have to Contact Infectious Diseases
• Stroke Disease and Ways to Cure It
• The Role of Governmental Policies on the Hiring of Healthcare Professionals
• Demands for the Critical Care
• Joint Issue Research in Elderly Population
• Why Should Nurses and Healthcare Workers Cooperate?
• The Role of Good Leadership Skills in Nursing Profession
• How to Minimize the Threat of Cardiovascular Problems
• What Should a Nurse Do When an Elderly Refuses to Eat?
• Main Reasons for the Depression to Occur
• Methods Used to Detect an Abused Elderly Patient
• Treatment and Prevention of Acne and Other Skin Problems
• Consequences of the So-Called “Cold Therapy”
• End-of-Life Care Interventions That Work
• Risk factors for Osteoporosis in Female Population
• Alcohol Addiction and How to Get Rid of It
• Emerging Ethical Problems in Pain Management
• Psychiatric Patient Ethics
• How to Teach Female Population about Menopause Management
• Reasons for Aged Patients to Use Alcohol in Nursing Homes
• Family Engagement in Primary Healthcare
• Do the Race and Gender of a Patient Play a Role in Pain Management?
• PTSD in the Veterans of the United States Army
• How to Prepare a Nurse for Primary Healthcare
• The Correlation between Teen Aggression and Video Games
• Outcomes of Abdominal Massage in Critically Sick Population
• Developing an Effective Weight Loss Program: Case Study
• Comparing and Contrasting Public Health Nursing Models in Various Regions
• Mirror Therapy for Stroke Patients Who Are Partially Paralyzed

50 Interesting Nursing Research Topics

Do you wish to impress the target audience? Are you looking for the most interesting nursing research topics? It is important to consider time and recently covered themes. People tend to consider a topic an interesting one only if it is relevant. We have prepared the list of curious ideas for your project.

• Reasons for Hypertensive Diseases
• Self-Care Management and Sickle Cell Grown-Up Patients
• Schizophrenia Symptoms, Treatment, and Diagnostics
• Acute Coronary Syndrome Care
• Getting Ready with Caesarean Section
• What Are Some of the Cold and Cough Medicines?
• Why Do Patients Suffer from Anxiety Disorders?
• Use of the Forbidden Substances in Medicine
• How to Make Wise and Safe Medical Decisions
• CV Imaging Procedure
• Complementary vs. Alternative Therapy
• Can Some Types of Grains Prevent Cardiovascular Diseases?
• Restrictions of Medical Contracts
• How to Cope with High Levels of Stress
• Legal Threats with Non-English Patients
• The Basics of Palliative Care
• Clinical Cardiology Innovations
• How to Reduce Body Temperature in Household Conditions
• What Causes Type II Diabetes?
• Ways to Control Blood Pressure at Home
• Dental/Oral Health in the US
• Is There a Gender Bias in Nursing Profession?
• Gyno Education for the Young Girls
• Bipolar Disorder and Its Main Symptoms
• Methods Used to Recover after Physical Traumas
• The Principles of Sports Medicine
• The Gap between Female and Male Healthcare Professionals
• Increasing the Efficiency of Asthma Management in Educational Establishments
• Different Roles of Clinical Nurses
• Case Study: Successful Treatment of Migraine
• In-depth Analysis of the Ovarian Disorder
• Distant Intensive Treatment Until Questions
• Proper Treatment of Sleep Disorders
• How to Overcome Stressful Situations during Night Shifts
• Effective Methods to Prevent Breast Cancer
• Future of Healthcare & Medicine (Based on Modern Innovations)
• Approaches to Treating Insomnia
• Reproductive Endocrinology
• Diversity in the Field of Medicine
• Issues Associated with Menopause
• Causes and Effects of the Vaginal Atrophy
• Is Child’s Health Insurance a Right or a Privilege?
• Best Practices for Nursing Practitioners
• What Does the Phenomenon of Phantom Pains Stand for?
• Ethical Aspects of Infertility
• Protocol for Headache Treatment
• Moral Aspects of Euthanasia
• Treatment of Homeless People
• Why Should Healthcare System Be Made Free Everywhere in the World?
• Pain Restrictions Evaluation

50 Good Nursing Research Topics

Here is one more list of the nursing topics for research paper. We hope that at least one of these ideas will inspire you or give a clue.

• Advantages of Pet Therapy in Kids with the Autism Disorder
• Contemporary Approaches to Vaccinating Teenagers
• eHealth: The Effectiveness of Telecare and eCare
• Burn-Out in the Nursing Profession: Effective Ways to Handle Stress
• Healing of Bone Injuries
• Providing Spiritual Care: Does It Make Sense?
• Rheumatoid Arthritis: Opioid Usage
• Symptoms in ER That Cannot Be Explained by Medicine
• Contemporary Neonatal Practices
• Disorders with the Sexual Heath of an Average Woman
• Typical Causes of Headache
• Top Measures Used to Prevent Pregnancy
• Strategies Used by Government to Finance Healthcare System
• The Possible Consequences of Abortion for Women
• Evaluation of Childbirth Efficacy
• Quality Evaluation Techniques in Healthcare & Medicine
• Maternal Practices in Urban Areas
• Childcare Services Integration in Primary Medicine
• Rules for Pregnant Women Who Suffer from Obesity
• Mental Causes of Anorexia Nervosa
• Self-Instruction Kits
• Post-Natal Period Recommendations
• Midwifery Continuous Treatment & Care
• Case Study: Analyzing Positive Birth Experience
• Issues Related to the Gestational Weight Gain
• The Importance of Healthy Nutrition and Hydration
• What Are the Obligations of Every Nurse in Any Situation?
• Causes, Symptoms, and Treatment of ADHD
• Management of Disease and Prevention Methods
• The Importance of Kid and Teen Vaccination
• Termination of Pregnancy: Risks for Female Health
• Obligations of Every Pharmacist
• How to Prevent Child Obesity
• How to Stick to the Safe Sex Culture
• What Are the Main Symptoms of Autism?
• Ethics of the Healthcare Sales Promotion Campaigns
• Pros and Cons of Telemedicine
• Ethics in Pediatric Care
• Therapies Used to Treat Speech Disorders
• Medical Uniform Code Principles
• Psychological Sides of Infant Treatment
• Reasons for Seizures to Happen in Young Adolescents
• Healthcare Home Service and Self-Medicine
• How to Deal with Various Types of Eating Disorders
• Treatment of Patients in Prison
• Patient Security and Human Factors
• Bad Habits and Illnesses Impacted by Social Media and Pop Culture
• Apology Legislation and Regulations
• Antibiotic Resistance in Small Kids
• Nursing Marijuana Management & Control

You should also know that there are qualitative and quantitative nursing research topics. If you decide to base your study on numbers and figures, you should think about the second category. In quantitative research papers, writers must provide statistical data and interpret it to defend a thesis statement or find a solution to the existing problem.

Keep in mind that you can always count on the help of our professional essay writers. They will come up with the good nursing research topics and even compose the whole paper for you if you want.

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• Open access
• Published: 25 June 2024

A qualitative study of geriatric specialist nurses’ experiences to navigate delirium in the elderly

• Mei Wu 1 , 2   na1 ,
• Zhen Chen 3   na1 ,
• Yamin Xu 4 ,
• Liting Zhao 1 ,
• Lirong Zhao 5 &

BMC Nursing volume  23 , Article number:  426 ( 2024 ) Cite this article

The experiences and perceptions of geriatric specialist nurses are pivotal to understanding the complexities of managing delirium and to developing effective nursing interventions. This qualitative study aims to explore these experiences and perceptions to inform the enhancement of clinical geriatric nursing and care practices.

Utilizing a qualitative exploratory design, this research engaged a convenience sample of geriatric specialist nurses at a tertiary hospital in Shanghai, China through focus groups and semi-structured interviews. Data were rigorously analyzed using Colaizzi’s phenomenological method, which facilitated the identification of themes that emerged from the narratives of the geriatric specialist nurses.

The thematic analysis yielded three major themes that encapsulate the nurses’ experiences and perceptions. Theme 1: Understanding of Delirium, highlighted the nurses’ awareness of the condition’s significance, yet it was often deprioritized due to the pressing demands of managing more acute and immediately life-threatening conditions. Theme 2: Barriers in Application, brought to light the multifaceted challenges faced by nurses, including language barriers, the frequency and consistency of delirium assessments, the social determinants of health, and the nurses’ own competencies in assessment. Theme 3: Evolution of Nursing Approaches, detailed the adaptive strategies employed by nurses, such as managing nursing adverse events, improving communication with patients’ families, and adopting a proactive stance towards long-term patient outcomes.

Conclusions

The findings suggest that while geriatric specialist nurses recognize the importance of delirium assessment, there are several barriers to effective application. The study underscores the imperative for the advancement of more refined delirium assessment and care protocols, tailored to address the unique requirements of geriatric nursing care.

Peer Review reports

Introduction

Delirium is characterized as a clinical syndrome encompassing acute disturbances in consciousness, attention, and cognitive or perceptual functions, which are subject to fluctuations throughout the day. This transient neuropsychiatric condition is marked by a rapid onset and variability in symptom presentation, reflecting the dynamic nature of the underlying pathophysiological processes [ 1 , 2 ]. Postoperative delirium emerges as a prevalent postoperative complication, predominantly affecting the geriatric population. The reported incidence among elderly patients varies widely, from 5 to 50%, with specific procedures such as spinal and joint surgeries exhibiting a notably higher rate of approximately 15.2% [ 3 , 4 ]. In the demographic of patients over 65 years of age who have undergone non-cardiac surgeries, the incidence of postoperative delirium is observed to range between 6.1% and 57.1%, culminating in an aggregate rate of 11.1% [ 5 ]. Among the elderly who have sustained a hip fracture, the onset of delirium within the initial 1 to 3 postoperative days is particularly concerning, with reported incidence rates as high as 17–61% [ 6 , 7 ], underscoring the heightened vulnerability of those who have undergone intricate and urgent surgical interventions. Delirium within the Intensive Care Unit (ICU) settings present a significant clinical challenge, with an estimated 35% of ICU patients experiencing misdiagnosis or diagnostic oversight concerning delirium [ 8 , 9 ]. The ICU environment, characterized by its distinctive conditions, may be particularly conducive to the development of delirium. The incidence of delirium in ICU patients is influenced by a multitude of factors, including but not limited to age, type of surgery, the elective or emergency nature of the procedure, and the utilization of various delirium assessment instruments [ 10 , 11 ]. The collective data underscore the imperative need for vigilant monitoring and proactive management of postoperative delirium, particularly in the context of elderly patients and ICU environments [ 12 , 13 ]. The implementation of preventive strategies and the prompt recognition of delirium are paramount to optimizing patient prognoses and averting adverse outcomes [ 14 ].

However, its low recognition rate is not consistent with the high incidence rate. The low recognition rate of delirium in hospitals [ 15 ] around the world has become an important issue, and medical staff’ recognition rate of delirium is less than 25% [ 16 , 17 , 18 ]. The unrecognized rate of delirium (defined as delirium not determined by the patient’s therapist and nurse) is about 33-95% [ 19 ]. The low recognition rate is due to its lack of symptomatic characteristics [ 20 ]and the variability of symptoms [ 18 ]. The identification of delirium is a huge challenge for nurses. Trogrlic et al. [ 21 ]summarized the literature on delirium from 2000 to 2010, and found that the cognitive and attitude level of delirium in ICU such as medical staff the main obstacle affecting delirium identification. Inouye et al. [ 22 ] found that the accuracy rate of nurses in identifying delirium in 797 patients was only 31% of that of researchers. Augmenting the proficiency of healthcare providers in the recognition of delirium is of paramount importance. The accurate and timely identification of delirium is a critical component in the continuum of care for patients at risk. Enhancing providers’ ability to detect delirium can lead to earlier intervention, which is instrumental in mitigating the severity and duration of the episode, thereby potentially improving patient outcomes and reducing healthcare-associated complications.

Delirium assessment in hospitals can help healthcare professionals to manage patient safety, which is of great significance for some critically ill patients and elderly patients [ 23 ]. Previous studies have reported that Individuals with delirium are found to have a higher mortality rate, extended hospital stays, and increased medical expenditures compared to their elderly counterparts who are free from delirium [ 24 , 25 , 26 ]. Delirium, when it occurs, is often overlooked by nursing staff, particularly when they are not well-versed in the nuances of delirium assessment and have limited experience with the application of standardized delirium assessment tools. This lack of expertise can lead to a diminished capacity to recognize and respond to the signs of delirium, thereby affecting the quality of care and the clinical outcomes for affected patients. The underdiagnosis of delirium not only reflects a gap in clinical perception but also highlights the need for targeted education and training to enhance nurses’ competencies in this critical area of geriatric care [ 27 , 28 ]. The study surveyed the real-world uptake of delirium detection methods has shown that the Confusion Assessment Method was used in 65/146 (45%) units and 4AT was with 80% of units reporting use in the UK [ 29 ]. The significance of comprehensive delirium assessment in effective delirium management is increasingly acknowledged within the medical community. However, the empirical understanding of nurses’ experiences, particularly in relation to the challenges and ambiguities encountered during delirium assessment, remains under-explored.

Theoretical framework

Colaizzi’s phenomenological approach is a widely utilized data analysis technique in qualitative research, particularly within the realm of phenomenological studies [ 30 ]. The goal of this method is to uncover the intrinsic meanings and essence of individuals’ lived experiences through a deep understanding [ 31 ]. The significance of the Colaizzi method lies in its structured approach to analyzing qualitative data, assisting researchers in revealing the profound experiences and sentiments of participants [ 32 ]. Moreover, the extension and adaptation of this method can enhance the rigor of research and broaden the scope of information sources, allowing for a more in-depth depiction of the phenomena under study. This not only aids in elevating the quality and depth of research but also offers richer and more concrete guidance for nursing practice. A qualitative inquiry into the authentic experiences of nurses as they engage in the assessment process is of considerable value. Such exploration can yield profound insights, ultimately contributing to the refinement of delirium assessment methodologies and the enhancement of clinical practice in geriatric care [ 33 ].

Therefore, the present study was designed to systematically evaluate the experiences and perceptions of geriatric nurse specialists regarding the management of delirium in elderly patients within the specialized domains of postoperative care and intensive care units. The objective was to generate empirical evidence that can significantly inform and enhance the standards of geriatric nursing care in these critical healthcare settings.

A prospective qualitative research methodology was employed, utilizing focus group interviews in conjunction with the Colaizzi’s phenomenological approach [ 34 ], to elicit an in-depth understanding of the experiences and perceptions of geriatric specialist nurses regarding the phenomenon of delirium in elderly patients within the context of postoperative care and intensive care units. This methodological choice was selected to capture a comprehensive and nuanced description of the nurses’ encounters with delirium, providing a rich dataset that can inform the development of targeted interventions and enhance the quality of geriatric care in these critical settings.

Settings and participants

The study sample was recruited from geriatric specialist nurses in the postoperative care and intensive care units of a tertiary hospital in Shanghai, China. Objective sampling was used to select geriatric specialist nurses who had the greatest possible experience and perceptions. The criteria for inclusion in this study were geriatric specialist nurses who were able to independently complete a delirium assessment after 2 months of delirium assessment. Nurses were identified and recruited through postoperative care and intensive care units assessed by researchers for delirium. If they agreed to participate, their contact information would be sent to the research team. The number of participants in the focus group reached saturation when there were no more new theme to be found during the conversations. The researcher was a different person to undertake the focus groups interview. After 3 focus group interviews, 19 nurses completed the focus group interviews.

Data collection

During the interview, the participants read the outline of the study and were informed by the researcher of the purpose and process of the study, the risks, and so on. They pointed out that participation was voluntary and received oral consent and recording permission.

The primary investigator (WM), executed all interviews with meticulous adherence to the study protocol. A total of three focus groups were convened, comprising 19 geriatric nurse specialists who contributed their expertise to the qualitative inquiry. These focus group interviews were strategically scheduled across three distinct time points to capture the temporal dynamics of the participants’ experiences and insights within the study’s framework. Conducting multiple focus group discussions enriches the dataset, facilitating a profound comprehension of the research subject. As time progresses, the rapport and trust among participants and with the researchers are likely to intensify, fostering an environment conducive to more candid and forthright dialogues. Subsequent discussions serve to deepen the investigator’s grasp of the perspectives and experiences shared by the participants, particularly in areas that may have emerged as requiring further elucidation or exploration post the initial session.

Based on the existing research and clinical experience of the study group, an interview guide (supplementary file 1 ) was developed for geriatric specialist nurses to assess their delirium experiences and perceptions. Interview questions were as follows: (I)How did you observe delirium? What was the priority of delirium in clinical nursing? (II)Did the current assessment form help you identify patients with delirium more easily? What were the problems and puzzles in the process of assessment? (III)Whether other ways did you think can help you? Show us some examples. (IV)Identify whether delirium affects patients’ outcomes. The problem was developed by the first author and examined by the project team. A small number of geriatric specialist nurses were tested in advance. Interviews were conducted with geriatric specialist nurses who were assessed for delirium for 2 months. The average length of each group interview was about 45 min. Voice record data was transcribed and saved as a text document. Every interview would record the notes on the scene to record the introspection and preliminary ideas. All the researchers received qualitative research training in qualitative research data collection methods, interview skills and analysis methods in advance, and carried out pre-experimental analysis to avoid the deviation of research results caused by qualitative research skills. All data must be analyzed by two researchers at the same time to avoid the deviation of the researchers’ own values and emotional integration in the process of data collection and analysis.

Data analysis

Upon the conclusion of each interview session, a meticulous process of data consolidation was initiated. Two researchers dedicated a full 24-hour period to meticulously reviewing the audio recordings, ensuring that every nuance and detail was captured with accuracy. This iterative listening process was conducted to enhance the depth of understanding and to identify the subtleties that might be present in the spoken narratives. Simultaneously, the researchers cross-referenced their comprehensive written notes taken during the interviews. These notes served as a valuable resource for contextualizing the verbal exchanges and for augmenting the transcription process. The transcription of the recordings was approached with the utmost rigor, striving to convert the spoken word into a written format that remained faithful to the original dialogues. In the present study, the data derived from the focus group interviews were meticulously analyzed using Colaizzi’s phenomenological approach, a well-established method for qualitative data analysis. This process involved several systematic steps to ensure a rigorous and authentic interpretation of the participants’ experiences. Initially, the interviews were transcribed verbatim, capturing every detail of the dialogue. The transcriptions were then thoroughly read and re-read to achieve a deep immersion in the data. Colaizzi’s data analysis focused on integrating the feelings of the interviewees, adding the steps for the researchers to analyze the conclusions, which was divided into seven stages: (1) detailed recording and careful repeated reading of all materials; (2) extraction of meaningful statements; (3) induction and extraction of meaning from repeated and important statements; (4) searched for common concepts or characteristics of meaning to form themes, topic groups and categories; (5) related the topic to the research phenomenon to make a complete description; (6) identified similar viewpoints; (7) returned the results to the interviewees to verify the authenticity of the content.

Ethical considerations

The study received approval from the Ethics Committee of Huadong Hospital, with the assigned approval number No.2018K051. Prior to the commencement of the study, the researcher engaged in dialogue with the participants, elucidating the study’s objectives, methodology, importance, and the assurance of confidentiality. A foundation of trust was established, and participants were informed of their voluntary nature of participation. They were assured that they could withdraw from the interview at any juncture. Additionally, participants were requested to provide their informed consent by signing a consent form. Each participant was represented by a numeric code.

Nineteen geriatric specialist nurses (eighteen females and one male), with a median of 31 years old were recruited. The range of cumulative working experience was 2–26 years, and the range of experience of working on the surgical ward or ICU was 1–22 years. Characteristics of the participants are showed in Table  1 .

The thematic analysis conducted in this study has systematically identified three principal themes that encapsulate the comprehensive experiences and perceptions of the nurses.

Understanding of delirium

Delirium is an important part of nursing cognition. However, the priority of acute and life-threatening is still the focus of health care. Nurse G1N2: “I know delirium can result from bad outcomes, but in the immediate care of patients, these threats, such as extubation, elevated body temperature, and altered vital signs, are still issues we need to address immediately.”

Before clinical training, nurses mainly rely on their own clinical experience to judge the occurrence of delirium. The content of the assessment includes the state of consciousness, lack of complete assessment, and did not understand the assessment scale of delirium. Nurse G1N1: “If a patient is told not to remove the oxygen saturation clip after surgery, and if we have talked to him three times and he still wanted to remove it, we would consider his delirious problem”; Nurse G1N2: " We will inquire of the patients who are not on ventilators with questions like “Where are you?” and “What surgery have you undergone?” If a patient is unable to respond, we will suspect the presence of delirium. “

Subjective assessments carry the inherent risk of introducing bias and error into the assessment process, a phenomenon that is particularly pertinent in the context of delirium, where the condition’s subtle manifestations can elude immediate clinical detection. The nuanced nature of delirium, especially in its early or mild stages, often presents a formidable challenge to healthcare providers, who may struggle to discern its presence amidst the myriad clinical presentations encountered in patient care. Nurse G1N4: “If a patient is quiet and doesn’t evaluate, it’s hard for us to detect delirium relative to those who are very upset.”

Barriers in application

In the process of using the scale, the assessment methods and tone of nurses may lead to differences in patients’ understanding. Moreover, as far as the problems on the assessment form are concerned, they are not routine enough and divorced from the actual problems, which makes it difficult for some elderly patients to understand their educational level. Nurse G1N7: “Some patients come from other provinces and municipalities, there are language communication barriers if the assessment is wrong because they do not understand, problems will occur in the accuracy of delirium assessment.” Nurse G2N10: “Some patients are not well educated enough to answer questions, and the results are controversial.” Nurse G1N5: “Can we judge delirium by asking a patient how many children they have so that it’s closer to the patient’s daily life?”

Frequency of assessment

Clinically, nurses evaluate patients with delirium according to the frequency of assessment recommended by the scale, but nurses have questions about it. Nurse G1N3: “After the surgery, I did the first-time assessment. The patient was able to answer correctly. After three times, the patient questioned my assessment and rejected my assessment. Is it necessary for at least nine full assessments in this situation?” Nurse G3N15: “I think at the first time, delirium did not occur, followed by other communication abnormalities, then it’s time to assess whether more appropriate.”

The intensity and frequency of postoperative delirium assessments for nurses will be adjusted based on the changes in the patient’s condition. Nurse G2N9 : “ When I suspect a patient is experiencing delirium, I will immediately report to the physician and pay closer attention to any changes in the patient’s condition”.

Social problems

Family members may lack comprehensive insight into the cognitive status of their elderly relatives prior to institutionalization, or they may misconstrue early signs of cognitive impairment as an inevitable aspect of the aging process. This misperception, coupled with the complexities of geriatric care, amplifies the challenges faced by nursing staff in the postoperative assessment of delirium. The task of accurately diagnosing postoperative cognitive changes is further complicated by the potential underestimation of pre-existing cognitive deficits by family members and the inherent variability in the presentation of delirium symptoms. Nurse G2N11: “Family members told us that their parents are well when explaining the patient’s cognitive status, but in fact, on admission, we assess that there is a certain cognitive dysfunction, so it is difficult to distinguish dementia from delirium, which makes it more difficult to assess delirium.”

The assessment competence of nurses

Although nurses were trained in professional delirium knowledge and assessment tools (supplementary file 2 and 3 ), the use of tools still depends on the professional clinical competence of nurses. For some junior nurses, there is a certain ability requirement, and the accuracy of the results may have deviated. Nurse G2N9: “The patient is in a state of sedation and ignores you in the ward. For some inexperienced nurses, they will think that the patient can cooperate with the treatment nurse well, and there is no delirium problem.”

Changes in the nursing pattern

Nursing adverse events.

Nurses found in the clinical work that the changes in patients’ condition easily result from delirium, which may lead to patients with unplanned extubation events, especially in some restless patients. These bring the improvement of nursing difficulty. By using the delirium assessment scale to assess the presence of delirium, nursing staff can protect the patient from extubation events. Nurse G3N13: “There was a patient who was able to answer questions when I evaluated him before, but suddenly in an evening assessment, he couldn’t answer my question and we were protective against him for fear of extubation.”

Communication with family members

Through the delirium assessment of patients, nurses pay more attention to effective communication between patients and family members of patients, educating patients to cooperate with nursing operations, enhancing the sense of security in the ward and confidence in disease rehabilitation. Nurse G2N8: “Because of illness, patients cannot stay and communicate with their family members for the time being, and family members also difficult to understand the actual situation of patients. After careful explanation of the assessment results, some changes have taken place between patients and family members in the care of patients with treatment.”

Avoiding disputes

For many ICU patients, because of the ward requirements, the patients’ families can not accompany them every time. The changes in the patient’s condition cannot be recognized by their families, and they will have a sense of distrust of the medical staff, especially when there appear to be unrelated cognitive problems with the disease. Family members cannot understand so it is easy to cause medical disputes. Through delirium assessment, nurses are aware of the changes in cognitive status, they can communicate with the family members of patients promptly, explain the problem, and get an understanding of the family members. Nurse G2N12: “When we communicate with family members of patients without delirium assessment, it is always difficult for us to explain the mental changes of patients, and through assessment, we can explain the changes of patients to family members carefully, so that family members can understand more and avoid disputes.”

Focusing on long-term complications

Delirium assessment enables nurses to realize that delirium in the ward may lead to changes in cognitive function in patients later, and it is very important for the quality of life of patients. Nurse G1N2: “Our ward is less likely to focus on continuing care after a month, two months, and three months… but if delirium occurs during hospitalization, we find that patients stay in hospital significantly longer, and later recovery is slower than patients with the same disease.”

Discussions

In our study, geriatric specialist nurses have a deep understanding of delirium and delirium assessment in their daily work, and a new understanding of previously unnoticed or neglected changes in cognitive status. While the immediate threat of delirium may not be perceived as the foremost concern, nurses have reported observing acute changes in vital signs, such as “elevated body temperature, increased heart rate, and decreased oxygen saturation,” which take precedence in their clinical assessments. This observation aligns with existing literature, indicating that nurses often regard delirium as a lower-priority issue within the ICU setting. The prevailing belief is that delirious patients are not typically viewed as being in significant discomfort, as they may not necessitate specialized treatment or support beyond standard care protocols. Although delirium assessment is incorporated into the overall physical examination, it is not commonly afforded the highest priority by healthcare professionals. This perspective may stem from the assumption that delirium does not warrant the same level of immediate intervention as other critical conditions presenting with more overtly alarming symptoms [ 35 ]. At the same time, 50% of nurses give priority to young adults with mixed delirium, and the last priority is inefficient delirium in older patients [ 36 , 37 ].

There were various barriers to the clinical use of the delirium scale, including language, educational level of the population, frequency of assessment, social problems, and nurses’ assessment ability. It has been reported that assisting the elderly residing in nursing homes is essential to fulfill their emotional and psychological needs, thereby safeguarding and enhancing their spiritual well-being [ 38 , 39 ]. Although the scale has been localized and localized in Chinese, there are still many practical problems in clinical use. The deficiency in nurses’ knowledge regarding delirium is a pivotal issue that significantly hampers heir assessment capabilities, as evidenced by recent studies [ 40 , 41 ]. This underscores the necessity for incorporating delirium knowledge training into the routine professional development curriculum for healthcare providers. Such training would not only enhance their diagnostic proficiency but also equip them with the necessary skills to implement effective care protocols for patients at risk of delirium [ 42 ]. Another important point that nurses have repeatedly mentioned is the frequency of assessment. According to the requirements of the scale [ 43 ], at least once every 8 h, but the such frequency will cause problems. Nurses worry that delirium assessments may embarrass patients, families, and professionals, and some patients show signs of frustration and anger [ 44 , 45 , 46 ]. The frequency of cognitive assessments is a topic of ongoing debate among healthcare stakeholders. However, the evidence indicates that alterations in cognitive status or behavior should serve as a primary indicator for assessment. It is more logical to conduct assessment in response to changes in a patient’s condition, employing a dynamic approach to selecting the timing of assessments. This practice diverges from the conventional, prescriptive use of standardized assessment tools, which may not always align with the individual needs of patients experiencing cognitive fluctuations.

In addition, with the development of enhanced recovery after surgery [ 47 ], nurses pay more attention to the implementation of early activities for patients [ 48 ]. Patients can get out of bed after surgery, which for the state of consciousness and cognition is a great help. Therefore, the nursing staff reconsiders whether it is unnecessary to assess the frequency required according to the assessment table. Not only do nurses need a tool for assessing delirium, but they also need to develop programs or policies for using it, such as using it as part of a medical record, standard care processes, electronic assessments, etc [ 49 , 50 ].

With the aging process in China, some pension problems are becoming more and more prominent, and many elderly people living alone. These cognitive problems are often neglected by caregivers, who consider some behaviors of the elderly as changes caused by normal aging [ 50 , 51 ]. These slow changes, coupled with the acute trauma of the disease, can easily lead to delirium [ 52 , 53 , 54 ]. Delirium is just one of the most important nursing problems in this study. Besides, more nursing problems suggest that we should pay attention to, such as delirium and dementia, depression, patients after discharge of continuing care, and so on. Nurses gradually can find out from the adverse events that the delirium state of the patient led to the occurrence of nursing incompatibility and extubation, and then analyze the risk factors that might lead to delirium. Furthermore, family members often fail to understand the patient’s acute cognitive function changes, and through the assessment of the situation, we can explain their questions in detail, obtain family support, and also guide family members to increase confidence in the rehabilitation of patients [ 55 , 56 , 57 ]. All these are conducive to the management of delirium patients in the later stage.

Limitations and implication for future studies.

The present study acknowledges several intrinsic limitations that require attention. Firstly, the elderly in this study are located in a specialist area of post-surgery or intensive care. the limited sample size, though suitable for qualitative inquiry, may restrict the generalizability of the results. Secondly, the exclusion of geriatricians from the interview process represents a notable limitation, as it omits the critical insights of specialists in the field. Their expertise is particularly valuable for understanding the nuances of conditions in elderly patients, which could significantly augment the applicability and relevance of the study’s findings. Thirdly, the sampling process, while meticulously executed, may be perceived as lacking objectivity due to the pre-existing familiarity with each participant prior to the commencement of interviews. Despite the assignment of numeric codes to ensure anonymity, the selection criteria for interviewees, which included the capacity to perform assessments post-training in delirium assessment, could potentially introduce a bias. This selection bias might skew the representativeness of the sample, affecting the generalizability of the findings and necessitating a cautious interpretation of the results within the confines of the study’s specific context. In anticipation of future research, it is imperative to expand the scope and depth of delirium assessments. This should include incorporating a more diverse and extensive sample size to enhance the robustness of the study. Additionally, the inclusion of geriatricians’ perspectives will be essential to provide a comprehensive understanding of delirium in the elderly. By refining the methodology and enriching the content of these assessments, the efficacy and responsiveness of delirium assessments can be improved, ultimately serving to better address the unique needs of geriatric patients and amplifying the study’s impact within the scientific community.

In conclusion, geriatric nursing specialists face the intricate and diverse challenges inherent in caring for the elderly, with delirium emerging as a significant concern that warrants focused attention. The ongoing refinement of delirium assessment methodologies is expected to substantially improve the caliber of care delivered to this vulnerable population. Nonetheless, the complexities encountered during the assessment process require thorough examination. The discrepancies observed in current delirium assessments, particularly in the selection and application of content and methodologies, are striking.

Implications

The findings in this study highlight an urgent requirement for the development of innovative strategies to overcome these obstacles. It is imperative that clinical practice incorporates a dynamic approach to patient evaluation, initiating assessments following an initial risk factor screening. This approach should be sensitive to regional differences and adapted to the unique attributes of the elderly patient cohort. Additionally, it is recommended that future research and clinical initiatives concentrate on enriching both the content and the assessments methodology of delirium. This may ensure that these tools are more efficacious and attuned to the specific needs of geriatric patients, thereby facilitating a more nuanced and responsive care paradigm.

Furthermore, a more insightful approach to understanding the intricacies of delirium care may involve a comprehensive exploration of the lived experiences of nurses and the dynamics of facilitators and barriers encountered by both healthcare professionals and families. To achieve this, employing a combination of innovative research methodologies is proposed. Specifically, Online photovoice (OPV) offers a platform for participants to visually articulate their experiences, providing a rich, contextually grounded dataset [ 58 , 59 ]. This is complemented by Online Interpretative Phenomenological Analysis (OIPA), which delves into the subjective interpretations and personal meanings attributed to these experiences, thereby offering a profound understanding of the psychological landscape of delirium care [ 60 ]. Additionally, incorporating Community-Based Participatory Research (CBPR) ensures that the research is not only academically rigorous but also practically relevant [ 61 ]. This approach emphasizes collaboration with the community, ensuring that the research is shaped by the insights and needs of those directly involved in managing delirium. The integration of these methodologies is anticipated to yield a multidimensional perspective that respects the complexity of the clinical environment and the lived realities. This methodological synergy is expected to illuminate the nuances of delirium management, offering a robust framework for developing evidence-based interventions and policies that are both responsive to the needs of patients and caregivers and grounded in the realities of clinical practice.

Data availability

All data generated or analyzed during this study are included in this published article.

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Acknowledgements

The authors would like to appreciate all healthcare professionals who took part in the interviews.

This study was funded by the Scientific Research Fund of Shanghai Municipal Commission of Science and Technology (No.16411951200).

Author information

Mei Wu and Zhen Chen contributed equally to this study.

Authors and Affiliations

Department of nursing, Huadong Hospital Affiliated to Fudan University, Shanghai, China

Mei Wu & Liting Zhao

Day Surgery Unit, Huadong Hospital Affiliated to Fudan University, Shanghai, China

Mei Wu & Lu Xia

Surgical Intensive Care Unit, Huadong Hospital Affiliated to Fudan University, Shanghai, China

Day Care Chemotherapy, Huadong Hospital Affiliated to Fudan University, Shanghai, China

Department of Neurology, Huadong Hospital Affiliated to Fudan University, Shanghai, China

Lirong Zhao

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Contributions

M W, Z C designed research; M W, Z C, Y X, L Z, L X conducted research; M W, Z C, L Z analyzed data; M W, L X wrote the first draft of manuscript; M W, L X had primary responsibility for final content. All authors read and approved the final manuscript.

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Correspondence to Lirong Zhao or Lu Xia .

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In this study, all methods were performed in accordance with the relevant guidelines and regulations. The study was approved by Institutional Review Board of the Huadong Hospital with approval number (No.2018K051). And written informed consents had been obtained from all the included nurses.

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The authors declare no competing interests.

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Wu, M., Chen, Z., Xu, Y. et al. A qualitative study of geriatric specialist nurses’ experiences to navigate delirium in the elderly. BMC Nurs 23 , 426 (2024). https://doi.org/10.1186/s12912-024-02100-x

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Received : 23 April 2024

Accepted : 17 June 2024

Published : 25 June 2024

DOI : https://doi.org/10.1186/s12912-024-02100-x

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