Abstract
Case study research is a comprehensive method that incorporates multiple sources of data to provide detailed accounts of complex research phenomena in real-life contexts. However, current models of case study research do not particularly distinguish the unique contribution observation data can make. Observation methods have the potential to reach beyond other methods that rely largely or solely on self-report. This article describes the distinctive characteristics of case study observational research, a modified form of Yin’s 2014 model of case study research the authors used in a study exploring interprofessional collaboration in primary care. In this approach, observation data are positioned as the central component of the research design. Case study observational research offers a promising approach for researchers in a wide range of health care settings seeking more complete understandings of complex topics, where contextual influences are of primary concern. Future research is needed to refine and evaluate the approach.
References
|
Abma, T. A., Stake, R. E. (2014). Science of the particular: An advocacy of naturalistic case study in health research. Qualitative Health Research, 24, 1150–1161. doi:10.1177/1049732314543196 Google Scholar | SAGE Journals | ISI | |
|
Anthony, S., Jack, S. (2009). Qualitative case study methodology in nursing research: An integrative review. Journal of Advanced Nursing, 65, 1171–1181. doi:10.1111/j.1365-2648.2009.04998.x Google Scholar | Crossref | Medline | ISI | |
|
Baxter, P., Jack, S. (2008). Qualitative case study methodology: Study design and implementation for novice researchers. The Qualitative Report, 13, 544–559. Retrieved from http://nsuworks.nova.edu/tqr/ Google Scholar | |
|
Bazeley, P., Jackson, K. (2013). Qualitative data analysis with NVivo. London: Sage. Google Scholar | |
|
Bloomer, M. J., Cross, W., Endacott, R., O’Connor, M., Moss, C. (2012). Qualitative observation in a clinical setting: Challenges at end of life. Nursing & Health Sciences, 14, 25–31. doi:10.1111/j.1442-2018.2011.00653.x Google Scholar | Crossref | Medline | ISI | |
|
Bloomer, M. J., Doman, M., Endacott, R. (2013). How the observed create ethical dilemmas for the observers: Experiences from studies conducted in clinical settings in the UK and Australia. Nursing & Health Sciences, 15, 410–414. doi:10.1111/nhs.12052 Google Scholar | Crossref | Medline | ISI | |
|
Boblin, S. L., Ireland, S., Kirkpatrick, H., Robertson, K. (2013). Using Stake’s qualitative case study approach to explore implementation of evidence-based practice. Qualitative Health Research, 23, 1267–1275. doi:10.1177/1049732313502128 Google Scholar | SAGE Journals | ISI | |
|
Braun, V., Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3, 77–101. doi:10.1191/1478088706qp063oa Google Scholar | Crossref | |
|
Caldwell, K., Atwal, A. (2005). Non-participant observation: Using video tapes to collect data in nursing research. Nurse Researcher, 13, 42–54. Retrieved from http://journals.rcni.com/journal/nr Google Scholar | |
|
Canadian Interprofessional Health Collaborative . (2010). A national interprofessional competency framework. Retrieved from http://www.cihc.ca/files/CIHC_IPCompetencies_Feb1210.pdf Google Scholar | |
|
Carolan, C. M., Forbat, L., Smith, A. (2016). Developing the DESCARTE Model: The design of case study research in health care. Qualitative Health Research, 26, 626–639. doi:10.1177/1049732315602488 Google Scholar | SAGE Journals | ISI | |
|
Carroll, K., Iedema, R., Kerridge, R. (2008). Reshaping ICU ward round practices using video-reflexive ethnography. Qualitative Health Research, 18, 380–390. doi:10.1177/1049732307313430 Google Scholar | SAGE Journals | ISI | |
|
Cohen, A., Court, D. (2003). Ethnography and case study: A comparative analysis. Academic Exchange Quarterly, 7, 283–287. Google Scholar | |
|
Collier, A., Phillips, J. L., Iedema, R. (2015). The meaning of home at the end of life: A video-reflexive ethnography study. Palliative Medicine, 29, 695–702. doi:10.1177/0269216315575677 Google Scholar | SAGE Journals | ISI | |
|
Cooperrider, D., Srivastva, S. (1987). Appreciative inquiry in organizational life. In Woodman, R., Pasmore, W. (Eds.), Research in organizational change and development (pp. 129–169). Greenwich, CT: JAI Press. Google Scholar | |
|
Cronin, C. (2014). Using case study research as a rigorous form of inquiry. Nurse Researcher, 21(5), 19–27. doi:10.7748/nr.21.5.19.e1240 Google Scholar | Crossref | Medline | |
|
Curry, L. A., Nembhard, I. M., Bradley, E. H. (2009). Qualitative and mixed methods provide unique contributions to outcomes research. Circulation, 119, 1442–1452. doi:10.1161/circulationaha.107.742775 Google Scholar | Crossref | Medline | ISI | |
|
Dowell, T., Macdonald, L., Stubbe, M., Plumridge, E., Dew, K. (2007). Clinicians at work: What can we learn from interactions in the consultation? New Zealand Family Physician, 34, 345–350. Google Scholar | |
|
Forsyth, R., Carroll, K., Reitano, P. (2009). Introduction. International Journal of Multiple Research Approaches, 3, 214–217. doi:10.1080/18340806.2009.11004911 Google Scholar | Crossref | |
|
Furlong, M. (2010). Clear at a distance, jumbled up close: Observation, immersion and reflection in the process that is creative research. In Liamputtong, P. (Ed.), Research methods in health: Foundations for evidence-based practice (pp. 153–169). South Melbourne, Australia: Victoria Oxford University Press. Google Scholar | |
|
Hjalmarson, H. V., Ahgren, B., Kjölsrud, M. S. (2013). Developing interprofessional collaboration: A longitudinal case of secondary prevention for patients with osteoporosis. Journal of Interprofessional Care, 27, 161–170. doi:10.3109/13561820.2012.724123 Google Scholar | Crossref | Medline | ISI | |
|
Houghton, C., Casey, D., Shaw, D., Murphy, K. (2013). Rigour in qualitative case-study research. Nurse Researcher, 20(4), 12–17. doi:10.7748/nr2013.03.20.4.12.e326 Google Scholar | Crossref | Medline | |
|
Iedema, R., Merrick, E. T., Rajbhandari, D., Gardo, A., Stirling, A., Herkes, R. (2009). Viewing the taken-for-granted from under a different aspect: A video-based method in pursuit of patient safety. International Journal of Multiple Research Approaches, 3, 290–301. doi:10.5172/mra.3.3.290 Google Scholar | Crossref | |
|
Kislov, R., Walshe, K., Harvey, G. (2012). Managing boundaries in primary care service improvement: A developmental approach to communities of practice. Implementation Science, 7, Article 97. doi:10.1186/1748-5908-7-97 Google Scholar | Crossref | Medline | ISI | |
|
Landsberger, H. A. (1958). Hawthorne revisited: Management and the worker, its critics, and the developments in human relations in industry. Ithaca, NY: Cornell University. Google Scholar | |
|
Lincoln, Y., Guba, E. (1985). Naturalistic inquiry. Beverly Hills, CA: Sage. Google Scholar | |
|
Lingard, L., Espin, S., Whyte, S., Regehr, G., Baker, G. R., Reznick, R., . . . Grober, E. (2004). Communication failures in the operating room: An observational classification of recurrent types and effects. Quality and Safety in Health Care, 13, 330–334. doi:10.1136/qshc.2003.008425 Google Scholar | Crossref | Medline | |
|
Lingard, L., Reznick, R., Espin, S., Regehr, G., De Vito, I. (2002). Team communications in the operating room: Talk patterns, sites of tension, and implications for novices. Academic Medicine, 77, 232–237. doi:10.1097/00001888-200203000-00013 Google Scholar | Crossref | Medline | ISI | |
|
Mays, N., Pope, C. (1995). Observational methods in health care settings. British Medical Journal, 311(6998), 182–184. doi:10.2307/29728110 Google Scholar | Crossref | Medline | |
|
Morgan, S. (2013). Miscommunication between patients and general practitioners: Implications for general practice. Journal of Primary Health Care, 5, 123–128. Retrieved from https://rnzcgp.org.nz/assets/documents/Publications/JPHC/June-2013/JPHCOSPMorganJune2013.pdf Google Scholar | |
|
Morgan, S., Pullon, S., McKinlay, E. (2015). Observation of interprofessional collaborative practice in primary care teams: An integrative literature review. International Journal of Nursing Studies, 52, 1217–1230. doi:10.1016/j.ijnurstu.2015.03.008 Google Scholar | Crossref | Medline | ISI | |
|
Morse, J. M. (2003). Perspectives of the observer and the observed. Qualitative Health Research, 13, 155–157. doi:10.1177/1049732302239595 Google Scholar | SAGE Journals | ISI | |
|
Morse, J. M. (2010). Simultaneous and sequential qualitative mixed method designs. Qualitative Inquiry, 16, 483–491. doi:10.1177/1077800410364741 Google Scholar | SAGE Journals | ISI | |
|
Morse, J. M., Cheek, J. (2014). Making room for qualitatively-driven mixed-method research. Qualitative Health Research, 24, 3–5. doi:10.1177/1049732313513656 Google Scholar | SAGE Journals | ISI | |
|
Mulhall, A. (2003). In the field: Notes on observation in qualitative research. Journal of Advanced Nursing, 41, 306–313. doi:10.1046/j.1365-2648.2003.02514.x Google Scholar | Crossref | Medline | ISI | |
|
Murphy, E., Dingwall, R. (2007). Informed consent, anticipatory regulation and ethnographic practice. Social Science & Medicine, 65, 2223–2234. doi:10.1016/j.socscimed.2007.08.008 Google Scholar | Crossref | Medline | ISI | |
|
Oandasan, I. F., Conn, L. G., Lingard, L., Karim, A., Jakubovicz, D., Whitehead, C., . . . Reeves, S. (2009). The impact of space and time on interprofessional teamwork in Canadian primary health care settings: Implications for health care reform. Primary Health Care Research & Development, 10, 151–162. doi:10.1017/S1463423609001091 Google Scholar | Crossref | |
|
O’Cathain, A., Murphy, E., Nicholl, J. (2008). The quality of mixed methods studies in health services research. Journal of Health Services Research & Policy, 13, 92–98. doi:10.1258/jhsrp.2007.007074 Google Scholar | SAGE Journals | ISI | |
|
Ødegard, A. (2006). Exploring perceptions of interprofessional collaboration in child mental health care. International Journal of Integrated Care, 6, e25. Retrieved from http://www.ijic.org/index.php/ijic Google Scholar | |
|
Phillips, C. B., Dwan, K., Hepworth, J., Pearce, C., Hall, S. (2014). Using qualitative mixed methods to study small health care organizations while maximising trustworthiness and authenticity. BMC Health Services Research, 14, Article 559. doi:10.1186/s12913-014-0559-4 Google Scholar | Crossref | ISI | |
|
Proudfoot, J., Jayasinghe, U. W., Holton, C., Grimm, J., Bubner, T., Amoroso, C., . . . Harris, M. F. (2007). Team climate for innovation: What difference does it make in general practice? International Journal for Quality in Health Care, 19, 164–169. doi:10.1093/intqhc/mzm005 Google Scholar | Crossref | Medline | ISI | |
|
Pullon, S., Morgan, S., Macdonald, L., McKinlay, E., Gray, B. (2016). Observation of interprofessional collaboration in primary care practice: A multiple case study. Manuscript submitted for publication. Google Scholar | |
|
Quinlan, E. (2008). Conspicuous invisibility: Shadowing as a data collection strategy. Qualitative Inquiry, 14, 1480–1499. doi:10.1177/1077800408318318 Google Scholar | SAGE Journals | ISI | |
|
Roper, J., Shapira, J. (2000). Ethnography in nursing research. Thousand Oaks, CA: Sage. Google Scholar | Crossref | |
|
Rowley, J. (2002). Using case studies in research. Management Research News, 25, 16–27. doi:10.1108/01409170210782990 Google Scholar | Crossref | |
|
Russell, G., Advocat, J., Geneau, R., Farrell, B., Thille, P., Ward, N., Evans, S. (2012). Examining organizational change in primary care practices: Experiences from using ethnographic methods. Family Practice, 29, 455–461. doi:10.1093/fampra/cmr117 Google Scholar | Crossref | Medline | ISI | |
|
Savage, J. (2000). Ethnography and health care. British Medical Journal, 321, 1400–1402. doi:10.1136/bmj.321.7273.1400 Google Scholar | Crossref | Medline | |
|
Sinclair, L. B., Lingard, L. A., Mohabeer, R. N. (2009). What’s so great about rehabilitation teams? An ethnographic study of interprofessional collaboration in a rehabilitation unit. Archives of Physical Medicine and Rehabilitation, 90, 1196–1201. doi:10.1016/j.apmr.2009.01.021 Google Scholar | Crossref | Medline | ISI | |
|
Strasser, D. C., Falconer, J. A., Stevens, A. B., Uomoto, J. M., Herrin, J., Bowen, S. E., Burridge, A. B. (2008). Team training and stroke rehabilitation outcomes: A cluster randomized trial. Archives of Physical Medicine and Rehabilitation, 89, 10–15. doi:10.1016/j.apmr.2007.08.127 Google Scholar | Crossref | Medline | ISI | |
|
Walshe, C., Ewing, G., Griffiths, J. (2012). Using observation as a data collection method to help understand patient and professional roles and actions in palliative care settings. Palliative Medicine, 26, 1048–1054. doi:10.1177/0269216311432897 Google Scholar | SAGE Journals | ISI | |
|
Wiles, R., Coffey, A., Robison, J., Prosser, J. (2013). Ethical regulation and visual methods: Making visual research impossible or developing good practice? Sociological Research Online, 17, 8. doi:10.5153/sro.2274 Google Scholar | SAGE Journals | ISI | |
|
Xyrichis, A., Lowton, K. (2008). What fosters or prevents interprofessional teamworking in primary and community care? A literature review. International Journal of Nursing Studies, 45, 140–153. doi:10.1016/j.ijnurstu.2007.01.015 Google Scholar | Crossref | Medline | ISI | |
|
Yin, R. K. (1994). Case study research: Design and methods (2nd ed.). Thousand Oakes, CA: Sage. Google Scholar | |
|
Yin, R. K. (2014). Case study research: Design and methods (5th ed.). Thousand Oaks, CA: Sage. Google Scholar |

