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Mixed Methods In Health Care

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Phase three which involved document analysis, was used to as a cross reference for the data obtained in the first two phases in order to appreciate the extent of turnover of nurses. Figure? Illustrates the mixed methods design adopted for the study.

The choice of a mixed methods approach was relevant to (1) complement the methods in order to minimize the disadvantages of one approach over the other and utilize the advantages of each method and (2) triangulating the findings so they can be mutually corroborated (Bryman, 2006).

Figure? Mixed Methods design for the study

Sampling and sample size
Study population and sampling
Data collection
Pilot testing
Data analysis

Table ??? Characteristics of participating …show more content…

Each of the selected health facilities represented different levels of healthcare service delivery within the hierarchy of healthcare provision in Kenya. Thus the Jaramogi Teaching and Referral Hospital (JOOTRH), Kisumu County Hospital (KCH) and St. Monica’s Hospital (faith-based, private health facility.

The total sample for the quantitative component of the study consisted of 72 maternal care nurses, thus nurses working in the maternity ward (antenatal, labour and post-natal wards) and MCH clinics (antenatal and post-natal clinics). These were enrolled, registered, baccalaureate and postgraduate nurses employed at the facilities by the time of the research. A total of 58 out of the 72 maternal care nurses contacted returned completed questionnaires (effective response rate of 80.6%). The participants consisted of 7 males and 51 females with a mean age of …..years (range 24 – 59 years) (Table ??).
Consecutive sampling method was used so as to include all participants available at the time of the research as part of the …show more content…

The selected sub-county is Kisumu East Sub-county.

c) Health facilities
A total of three (3) health facilities were purposively sampled. Each of the selected health facilities represented different levels of healthcare service delivery within the hierarchy of healthcare provision in Kenya. Thus the Jaramogi Teaching and Referral Hospital (JOOTRH), Kisumu County Hospital (KCH) and St. Monica’s Hospital (faith-based, private health facility.
d) Study participants
The study participants were selected using consecutive sampling technique, thus:
• Maternal care nurses (i.e. nurses working in the maternity ward, ante natal clinic and post-natal clinic)
• Health facility administrators/in-charges in the respective health facilities
• Deputy County Nursing Officer

3.4 Data Collection Procedures and Methods
The study combined both quantitative and qualitative methods from primary and secondary sources. The cross-sectional data collection took place from 8th June to 26th June 2015. The exposures that were investigated were location of health facility, incentives, job satisfaction and retention factors. The expected outcomes include turnover rate and effects of internal turnover on quality of healthcare

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we will also learn at the possible ways of reducing sampling errors, measurement of error in reliability and validity. and will common sources of error; selection Bias will be covered in this lesson. Lesson Seven: Study Designs We'll move on to the Design and analysis: In this lesson you will be able to recognize and describe important components of this type of study Define/calculate appropriate measures of frequency for this study Define/calculate appropriate measure of association for this study.

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Research Methods Newman, Ridenor, Newman, and DeMarco suggest that when the purpose of the research is complex, it is necessary to have multiple questions which frequently necessitate the use of mixed methods. Mixed methods have the potential to contribute to addressing multiple purposes and thus to meeting the needs of multiple audiences for the results (Newman, et al., 2002 as cited in Mertens & McLaughlin, 2004). A mixed method design is one in which both quantitative and qualitative methods are used to answer research questions in a single study (Mertens & McLaughlin, 2004, p. 112). Quantitative data is objective, deductive, and uses numbers while qualitative data is subjective, inductive, and uses words. Like Newman, et al.

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This type of design allows the researcher to collect data using the qualitative and quantitative methods, which are noted in all mixed method approaches, but in a manner that validates the results thorough comparison, based on the same variables being used in both methods, (Creswell, 2014). The author did note that validity must be achieved independently prior to comparison. Utilizing the convergent parallel mixed method, the qualitative and quantitative data are collected and analyzed separately utilizing the same concept, thus parallel in application, (Creswell, 2014). The final results from each method are then compared regarding outcomes. The comparison should reveal the same results, thus establishing validity of the findings (Creswell, 2014).

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2.1.3 Mixed Methodology Scaled survey items and reflective journals were the two interpretive and participatory sources utilized to provide contextual understanding of the impact of service learning for this study. These data sources were analyzed in both qualitative and quantitative fashion, resulting in a mixed methodology. Triangulation is employed as a means of veri¬fication in order to increase the credibility and de¬pendability of the results. In this study, the use of both quantitative and qualitative data sources allows for triangulation of results by different methods of measurement and between different sources of data. Table 2 outlines methods of measurement used for each research question under study.

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Mixed research Approach Therefore in order to attain the objective of the study and answer the research questions; researcher adopts both quantitative and qualitative (Mixed) research approach. The reason behind this approach is to gather data that could not be obtained by adopting a single method and for triangulation (Creswell 2003). By using this approach, the researcher recognizes that all methods have limitations; and that these limitations could potentially be neutralized or eliminated this way. The concept of triangulation refers to the use of more than one approach to investigate of a research question in order to enhance confidence in the ensuing findings.

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