qualitative research questions are often exploratory and descriptive

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How to write qualitative research questions.

11 min read Here’s how to write effective qualitative research questions for your projects, and why getting it right matters so much.

What is qualitative research?

Qualitative research is a blanket term covering a wide range of research methods and theoretical framing approaches. The unifying factor in all these types of qualitative study is that they deal with data that cannot be counted. Typically this means things like people’s stories, feelings, opinions and emotions , and the meanings they ascribe to their experiences.

Qualitative study is one of two main categories of research, the other being quantitative research. Quantitative research deals with numerical data – that which can be counted and quantified, and which is mostly concerned with trends and patterns in large-scale datasets.

What are research questions?

Research questions are questions you are trying to answer with your research. To put it another way, your research question is the reason for your study, and the beginning point for your research design. There is normally only one research question per study, although if your project is very complex, you may have multiple research questions that are closely linked to one central question.

A good qualitative research question sums up your research objective. It’s a way of expressing the central question of your research, identifying your particular topic and the central issue you are examining.

Research questions are quite different from survey questions, questions used in focus groups or interview questions. A long list of questions is used in these types of study, as opposed to one central question. Additionally, interview or survey questions are asked of participants, whereas research questions are only for the researcher to maintain a clear understanding of the research design.

Research questions are used in both qualitative and quantitative research , although what makes a good research question might vary between the two.

In fact, the type of research questions you are asking can help you decide whether you need to take a quantitative or qualitative approach to your research project.

Discover the fundamentals of qualitative research

Quantitative vs. qualitative research questions

Writing research questions is very important in both qualitative and quantitative research, but the research questions that perform best in the two types of studies are quite different.

Quantitative research questions

Quantitative research questions usually relate to quantities, similarities and differences.

It might reflect the researchers’ interest in determining whether relationships between variables exist, and if so whether they are statistically significant. Or it may focus on establishing differences between things through comparison, and using statistical analysis to determine whether those differences are meaningful or due to chance.

• How much? This kind of research question is one of the simplest. It focuses on quantifying something. For example:

How many Yoruba speakers are there in the state of Maine?

• What is the connection?

This type of quantitative research question examines how one variable affects another.

For example:

How does a low level of sunlight affect the mood scores (1-10) of Antarctic explorers during winter?

• What is the difference? Quantitative research questions in this category identify two categories and measure the difference between them using numerical data.

Do white cats stay cooler than tabby cats in hot weather?

If your research question fits into one of the above categories, you’re probably going to be doing a quantitative study.

Qualitative research questions

Qualitative research questions focus on exploring phenomena, meanings and experiences.

Unlike quantitative research, qualitative research isn’t about finding causal relationships between variables. So although qualitative research questions might touch on topics that involve one variable influencing another, or looking at the difference between things, finding and quantifying those relationships isn’t the primary objective.

In fact, you as a qualitative researcher might end up studying a very similar topic to your colleague who is doing a quantitative study, but your areas of focus will be quite different. Your research methods will also be different – they might include focus groups, ethnography studies, and other kinds of qualitative study.

A few example qualitative research questions:

• What is it like being an Antarctic explorer during winter?
• What are the experiences of Yoruba speakers in the USA?
• How do white cat owners describe their pets?

Qualitative research question types

Marshall and Rossman (1989) identified 4 qualitative research question types, each with its own typical research strategy and methods.

• Exploratory questions

Exploratory questions are used when relatively little is known about the research topic. The process researchers follow when pursuing exploratory questions might involve interviewing participants, holding focus groups, or diving deep with a case study.

• Explanatory questions

With explanatory questions, the research topic is approached with a view to understanding the causes that lie behind phenomena. However, unlike a quantitative project, the focus of explanatory questions is on qualitative analysis of multiple interconnected factors that have influenced a particular group or area, rather than a provable causal link between dependent and independent variables.

• Descriptive questions

As the name suggests, descriptive questions aim to document and record what is happening. In answering descriptive questions , researchers might interact directly with participants with surveys or interviews, as well as using observational studies and ethnography studies that collect data on how participants interact with their wider environment.

• Predictive questions

Predictive questions start from the phenomena of interest and investigate what ramifications it might have in the future. Answering predictive questions may involve looking back as well as forward, with content analysis, questionnaires and studies of non-verbal communication (kinesics).

Why are good qualitative research questions important?

We know research questions are very important. But what makes them so essential? (And is that question a qualitative or quantitative one?)

Getting your qualitative research questions right has a number of benefits.

• It defines your qualitative research project Qualitative research questions definitively nail down the research population, the thing you’re examining, and what the nature of your answer will be.This means you can explain your research project to other people both inside and outside your business or organization. That could be critical when it comes to securing funding for your project, recruiting participants and members of your research team, and ultimately for publishing your results. It can also help you assess right the ethical considerations for your population of study.
• It maintains focus Good qualitative research questions help researchers to stick to the area of focus as they carry out their research. Keeping the research question in mind will help them steer away from tangents during their research or while they are carrying out qualitative research interviews. This holds true whatever the qualitative methods are, whether it’s a focus group, survey, thematic analysis or other type of inquiry.That doesn’t mean the research project can’t morph and change during its execution – sometimes this is acceptable and even welcome – but having a research question helps demarcate the starting point for the research. It can be referred back to if the scope and focus of the project does change.
• It helps make sure your outcomes are achievable

Because qualitative research questions help determine the kind of results you’re going to get, it helps make sure those results are achievable. By formulating good qualitative research questions in advance, you can make sure the things you want to know and the way you’re going to investigate them are grounded in practical reality. Otherwise, you may be at risk of taking on a research project that can’t be satisfactorily completed.

Developing good qualitative research questions

All researchers use research questions to define their parameters, keep their study on track and maintain focus on the research topic. This is especially important with qualitative questions, where there may be exploratory or inductive methods in use that introduce researchers to new and interesting areas of inquiry. Here are some tips for writing good qualitative research questions.

1. Keep it specific

Broader research questions are difficult to act on. They may also be open to interpretation, or leave some parameters undefined.

Strong example: How do Baby Boomers in the USA feel about their gender identity?

Weak example: Do people feel different about gender now?

2. Be original

Look for research questions that haven’t been widely addressed by others already.

Strong example: What are the effects of video calling on women’s experiences of work?

Weak example: Are women given less respect than men at work?

3. Make it research-worthy

Don’t ask a question that can be answered with a ‘yes’ or ‘no’, or with a quick Google search.

Strong example: What do people like and dislike about living in a highly multi-lingual country?

Weak example: What languages are spoken in India?

4. Focus your question

Don’t roll multiple topics or questions into one. Qualitative data may involve multiple topics, but your qualitative questions should be focused.

Strong example: What is the experience of disabled children and their families when using social services?

Weak example: How can we improve social services for children affected by poverty and disability?

4. Focus on your own discipline, not someone else’s

Avoid asking questions that are for the politicians, police or others to address.

Strong example: What does it feel like to be the victim of a hate crime?

Weak example: How can hate crimes be prevented?

5. Ask something researchable

Big questions, questions about hypothetical events or questions that would require vastly more resources than you have access to are not useful starting points for qualitative studies. Qualitative words or subjective ideas that lack definition are also not helpful.

Strong example: How do perceptions of physical beauty vary between today’s youth and their parents’ generation?

Weak example: Which country has the most beautiful people in it?

Related resources

Qualitative research design 12 min read, primary vs secondary research 14 min read, business research methods 12 min read, qualitative research interviews 11 min read, market intelligence 10 min read, marketing insights 11 min read, ethnographic research 11 min read, request demo.

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Chapter 4. Finding a Research Question and Approaches to Qualitative Research

We’ve discussed the research design process in general and ways of knowing favored by qualitative researchers.  In chapter 2, I asked you to think about what interests you in terms of a focus of study, including your motivations and research purpose.  It might be helpful to start this chapter with those short paragraphs you wrote about motivations and purpose in front of you.  We are now going to try to develop those interests into actual research questions (first part of this chapter) and then choose among various “traditions of inquiry” that will be best suited to answering those questions.  You’ve already been introduced to some of this (in chapter 1), but we will go further here.

Developing a Research Question

Research questions are different from general questions people have about the social world.  They are narrowly tailored to fit a very specific issue, complete with context and time boundaries.  Because we are engaged in empirical science and thus use “data” to answer our questions, the questions we ask must be answerable by data.  A question is not the same as stating a problem.  The point of the entire research project is to answer a particular question or set of questions.  The question(s) should be interesting, relevant, practical, and ethical.  Let’s say I am generally interested in the problem of student loan debt.  That’s a good place to start, but we can’t simply ask,

General question: Is student loan debt really a problem today?

How could we possibly answer that question? What data could we use? Isn’t this really an axiological (values-based) question? There are no clues in the question as to what data would be appropriate here to help us get started. Students often begin with these large unanswerable questions. They are not research questions. Instead, we could ask,

Poor research question: How many people have debt?

This is still not a very good research question. Why not? It is answerable, although we would probably want to clarify the context. We could add some context to improve it so that the question now reads,

Mediocre research question: How many people in the US have debt today? And does this amount vary by age and location?

Now we have added some context, so we have a better idea of where to look and who to look at. But this is still a pretty poor or mediocre research question. Why is that? Let’s say we did answer it. What would we really know? Maybe we would find out that student loan debt has increased over time and that young people today have more of it. We probably already know this. We don’t really want to go through a lot of trouble answering a question whose answer we already have. In fact, part of the reason we are even asking this question is that we know (or think) it is a problem. Instead of asking what you already know, ask a question to which you really do not know the answer. I can’t stress this enough, so I will say it again: Ask a question to which you do not already know the answer . The point of research is not to prove or make a point but to find out something unknown. What about student loan debt is still a mystery to you? Reviewing the literature could help (see chapter 9). By reviewing the literature, you can get a good sense of what is still mysterious or unknown about student loan debt, and you won’t be reinventing the wheel when you conduct your research. Let’s say you review the literature, and you are struck by the fact that we still don’t understand the true impact of debt on how people are living their lives. A possible research question might be,

Fair research question: What impact does student debt have on the lives of debtors?

Good start, but we still need some context to help guide the project. It is not nearly specific enough.

Better research question: What impact does student debt have on young adults (ages twenty-five to thirty-five) living in the US today?

Now we’ve added context, but we can still do a little bit better in narrowing our research question so that it is both clear and doable; in other words, we want to frame it in a way that provides a very clear research program:

Optimal research question: How do young adults (ages twenty-five to thirty-five) living in the US today who have taken on $30,000 or more in student debt describe the impact of their debt on their lives in terms of finding/choosing a job, buying a house, getting married, and other major life events?

Now you have a research question that can be answered and a clear plan of how to answer it. You will talk to young adults living in the US today who have high debt loads and ask them to describe the impacts of debt on their lives. That is all now in the research question. Note how different this very specific question is from where we started with the “problem” of student debt.

Take some time practicing turning the following general questions into research questions:

• What can be done about the excessive use of force by police officers?
• Why haven’t societies taken firmer steps to address climate change?
• How do communities react to / deal with the opioid epidemic?
• Who has been the most adversely affected by COVID?
• When did political polarization get so bad?

Hint: Step back from each of the questions and try to articulate a possible underlying motivation, then formulate a research question that is specific and answerable.

It is important to take the time to come up with a research question, even if this research question changes a bit as you conduct your research (yes, research questions can change!). If you don’t have a clear question to start your research, you are likely to get very confused when designing your study because you will not be able to make coherent decisions about things like samples, sites, methods of data collection, and so on. Your research question is your anchor: “If we don’t have a question, we risk the possibility of going out into the field thinking we know what we’ll find and looking only for proof of what we expect to be there. That’s not empirical research (it’s not systematic)” ( Rubin 2021:37 ).

Researcher Note

How do you come up with ideas for what to study?

I study what surprises me. Usually, I come across a statistic that suggests something is common that I thought was rare. I tend to think it’s rare because the theories I read suggest it should be, and there’s not a lot of work in that area that helps me understand how the statistic came to be. So, for example, I learned that it’s common for Americans to marry partners who grew up in a different class than them and that about half of White kids born into the upper-middle class are downwardly mobile. I was so shocked by these facts that they naturally led to research questions. How do people come to marry someone who grew up in a different class? How do White kids born near the top of the class structure fall?

—Jessi Streib, author of The Power of the Past and Privilege Lost

What if you have literally no idea what the research question should be? How do you find a research question? Even if you have an interest in a topic before you get started, you see the problem now: topics and issues are not research questions! A research question doesn’t easily emerge; it takes a lot of time to hone one, as the practice above should demonstrate. In some research designs, the research question doesn’t even get clearly articulated until the end of data collection . More on that later. But you must start somewhere, of course. Start with your chosen discipline. This might seem obvious, but it is often overlooked. There is a reason it is called a discipline. We tend to think of “sociology,” “public health,” and “physics” as so many clusters of courses that are linked together by subject matter, but they are also disciplines in the sense that the study of each focuses the mind in a particular way and for particular ends. For example, in my own field, sociology, there is a loosely shared commitment to social justice and a general “sociological imagination” that enables its practitioners to connect personal experiences to society at large and to historical forces. It is helpful to think of issues and questions that are germane to your discipline. Within that overall field, there may be a particular course or unit of study you found most interesting. Within that course or unit of study, there may be an issue that intrigued you. And finally, within that issue, there may be an aspect or topic that you want to know more about.

When I was pursuing my dissertation research, I was asked often, “Why did you choose to study intimate partner violence among Native American women?” This question is necessary, and each time I answered, it helped shape me into a better researcher. I was interested in intimate partner violence because I am a survivor. I didn’t have intentions to work with a particular population or demographic—that came from my own deep introspection on my role as a researcher. I always questioned my positionality: What privileges do I hold as an academic? How has public health extracted information from institutionally marginalized populations? How can I build bridges between communities using my position, knowledge, and power? Public health as a field would not exist without the contributions of Indigenous people. So I started hanging out with them at community events, making friends, and engaging in self-education. Through these organic relationships built with Native women in the community, I saw that intimate partner violence was a huge issue. This led me to partner with Indigenous organizations to pursue a better understanding of how Native survivors of intimate partner violence seek support.

—Susanna Y. Park, PhD, mixed-methods researcher in public health and author of “How Native Women Seek Support as Survivors of Intimate Partner Violence: A Mixed-Methods Study”

One of the most exciting and satisfying things about doing academic research is that whatever you end up researching can become part of the body of knowledge that we have collectively created. Don’t make the mistake of thinking that you are doing this all on your own from scratch. Without even being aware of it, no matter if you are a first-year undergraduate student or a fourth-year graduate student, you have been trained to think certain questions are interesting. The very fact that you are majoring in a particular field or have signed up for years of graduate study in a program testifies to some level of commitment to a discipline. What we are looking for, ideally, is that your research builds on in some way (as extension, as critique, as lateral move) previous research and so adds to what we, collectively, understand about the social world. It is helpful to keep this in mind, as it may inspire you and also help guide you through the process. The point is, you are not meant to be doing something no one has ever thought of before, even if you are trying to find something that does not exactly duplicate previous research: “You may be trying to be too clever—aiming to come up with a topic unique in the history of the universe, something that will have people swooning with admiration at your originality and intellectual precociousness. Don’t do it. It’s safer…to settle on an ordinary, middle-of-the-road topic that will lend itself to a nicely organized process of project management. That’s the clever way of proceeding.… You can always let your cleverness shine through during the stages of design, analysis, and write-up. Don’t make things more difficult for yourself than you need to do” ( Davies 2007:20 ).

Rubin ( 2021 ) suggests four possible ways to develop a research question (there are many more, of course, but this can get you started). One way is to start with a theory that interests you and then select a topic where you can apply that theory. For example, you took a class on gender and society and learned about the “glass ceiling.” You could develop a study that tests that theory in a setting that has not yet been explored—maybe leadership at the Oregon Country Fair. The second way is to start with a topic that interests you and then go back to the books to find a theory that might explain it. This is arguably more difficult but often much more satisfying. Ask your professors for help—they might have ideas of theories or concepts that could be relevant or at least give you an idea of what books to read. The third way is to be very clever and select a question that already combines the topic and the theory. Rubin gives as one example sentencing disparities in criminology—this is both a topic and a theory or set of theories. You then just have to figure out particulars like setting and sample. I don’t know if I find this third way terribly helpful, but it might help you think through the possibilities. The fourth way involves identifying a puzzle or a problem, which can be either theoretical (something in the literature just doesn’t seem to make sense and you want to tackle addressing it) or empirical (something happened or is happening, and no one really understands why—think, for example, of mass school shootings).

Once you think you have an issue or topic that is worth exploring, you will need to (eventually) turn that into a good research question. A good research question is specific, clear, and feasible .

Specific . How specific a research question needs to be is somewhat related to the disciplinary conventions and whether the study is conceived inductively or deductively. In deductive research, one begins with a specific research question developed from the literature. You then collect data to test the theory or hypotheses accompanying your research question. In inductive research, however, one begins with data collection and analysis and builds theory from there. So naturally, the research question is a bit vaguer. In general, the more closely aligned to the natural sciences (and thus the deductive approach), the more a very tight and specific research question (along with specific, focused hypotheses) is required. This includes disciplines like psychology, geography, public health, environmental science, and marine resources management. The more one moves toward the humanities pole (and the inductive approach), the more looseness is permitted, as there is a general belief that we go into the field to find what is there, not necessarily what we imagine we are looking for (see figure 4.2). Disciplines such as sociology, anthropology, and gender and sexuality studies and some subdisciplines of public policy/public administration are closer to the humanities pole in this sense.

Regardless of discipline and approach, however, it is a good idea for beginning researchers to create a research question as specific as possible, as this will serve as your guide throughout the process. You can tweak it later if needed, but start with something specific enough that you know what it is you are doing and why. It is more difficult to deal with ambiguity when you are starting out than later in your career, when you have a better handle on what you are doing. Being under a time constraint means the more specific the question, the better. Questions should always specify contexts, geographical locations, and time frames. Go back to your practice research questions and make sure that these are included.

Clear . A clear research question doesn’t only need to be intelligible to any reader (which, of course, it should); it needs to clarify any meanings of particular words or concepts (e.g., What is excessive force?). Check all your concepts to see if there are ways you can clarify them further—for example, note that we shifted from impact of debt to impact of high debt load and specified this as beginning at $30,000. Ideally, we would use the literature to help us clarify what a high debt load is or how to define “excessive” force.

Feasible . In order to know if your question is feasible, you are going to have to think a little bit about your entire research design. For example, a question that asks about the real-time impact of COVID restrictions on learning outcomes would require a time machine. You could tweak the question to ask instead about the long-term impacts of COVID restrictions, as measured two years after their end. Or let’s say you are interested in assessing the damage of opioid abuse on small-town communities across the United States. Is it feasible to cover the entire US? You might need a team of researchers to do this if you are planning on on-the-ground observations. Perhaps a case study of one particular community might be best. Then your research question needs to be changed accordingly.

Here are some things to consider in terms of feasibility:

• Is the question too general for what you actually intend to do or examine? (Are you specifying the world when you only have time to explore a sliver of that world?)
• Is the question suitable for the time you have available? (You will need different research questions for a study that can be completed in a term than one where you have one to two years, as in a master’s program, or even three to eight years, as in a doctoral program.)
• Is the focus specific enough that you know where and how to begin?
• What are the costs involved in doing this study, including time? Will you need to travel somewhere, and if so, how will you pay for it?
• Will there be problems with “access”? (More on this in later chapters, but for now, consider how you might actually find people to interview or places to observe and whether gatekeepers exist who might keep you out.)
• Will you need to submit an application proposal for your university’s IRB (institutional review board)? If you are doing any research with live human subjects, you probably need to factor in the time and potential hassle of an IRB review (see chapter 8). If you are under severe time constraints, you might need to consider developing a research question that can be addressed with secondary sources, online content, or historical archives (see chapters 16 and 17).

In addition to these practicalities, you will also want to consider the research question in terms of what is best for you now. Are you engaged in research because you are required to be—jumping a hurdle for a course or for your degree? If so, you really do want to think about your project as training and develop a question that will allow you to practice whatever data collection and analysis techniques you want to develop. For example, if you are a grad student in a public health program who is interested in eventually doing work that requires conducting interviews with patients, develop a research question and research design that is interview based. Focus on the practicality (and practice) of the study more than the theoretical impact or academic contribution, in other words. On the other hand, if you are a PhD candidate who is seeking an academic position in the future, your research question should be pitched in a way to build theoretical knowledge as well (the phrasing is typically “original contribution to scholarship”).

The more time you have to devote to the study and the larger the project, the more important it is to reflect on your own motivations and goals when crafting a research question (remember chapter 2?). By “your own motivations and goals,” I mean what interests you about the social world and what impact you want your research to have, both academically and practically speaking. Many students have secret (or not-so-secret) plans to make the world a better place by helping address climate change, pointing out pressure points to fight inequities, or bringing awareness to an overlooked area of concern. My own work in graduate school was motivated by the last of these three—the not-so-secret goal of my research was to raise awareness about obstacles to success for first-generation and working-class college students. This underlying goal motivated me to complete my dissertation in a timely manner and then to further continue work in this area and see my research get published. I cared enough about the topic that I was not ready to put it away. I am still not ready to put it away. I encourage you to find topics that you can’t put away, ever. That will keep you going whenever things get difficult in the research process, as they inevitably will.

On the other hand, if you are an undergraduate and you really have very little time, some of the best advice I have heard is to find a study you really like and adapt it to a new context. Perhaps you read a study about how students select majors and how this differs by class ( Hurst 2019 ). You can try to replicate the study on a small scale among your classmates. Use the same research question, but revise for your context. You can probably even find the exact questions I  used and ask them in the new sample. Then when you get to the analysis and write-up, you have a comparison study to guide you, and you can say interesting things about the new context and whether the original findings were confirmed (similar) or not. You can even propose reasons why you might have found differences between one and the other.

Another way of thinking about research questions is to explicitly tie them to the type of purpose of your study. Of course, this means being very clear about what your ultimate purpose is! Marshall and Rossman ( 2016 ) break down the purpose of a study into four categories: exploratory, explanatory, descriptive, and emancipatory ( 78 ). Exploratory purpose types include wanting to investigate little-understood phenomena, or identifying or discovering important new categories of meaning, or generating hypotheses for further research. For these, research questions might be fairly loose: What is going on here? How are people interacting on this site? What do people talk about when you ask them about the state of the world? You are almost (but never entirely) starting from scratch. Be careful though—just because a topic is new to you does not mean it is really new. Someone else (or many other someones) may already have done this exploratory research. Part of your job is to find this out (more on this in “What Is a ‘Literature Review’?” in chapter 9). Descriptive purposes (documenting and describing a phenomenon) are similar to exploratory purposes but with a much clearer goal (description). A good research question for a descriptive study would specify the actions, events, beliefs, attitudes, structures, and/or processes that will be described.

Most researchers find that their topic has already been explored and described, so they move to trying to explain a relationship or phenomenon. For these, you will want research questions that capture the relationships of interest. For example, how does gender influence one’s understanding of police brutality (because we already know from the literature that it does, so now we are interested in understanding how and why)? Or what is the relationship between education and climate change denialism? If you find that prior research has already provided a lot of evidence about those relationships as well as explanations for how they work, and you want to move the needle past explanation into action, you might find yourself trying to conduct an emancipatory study. You want to be even more clear in acknowledging past research if you find yourself here. Then create a research question that will allow you to “create opportunities and the will to engage in social action” ( Marshall and Rossman 2016:78 ). Research questions might ask, “How do participants problematize their circumstances and take positive social action?” If we know that some students have come together to fight against student debt, how are they doing this, and with what success? Your purpose would be to help evaluate possibilities for social change and to use your research to make recommendations for more successful emancipatory actions.

Recap: Be specific. Be clear. Be practical. And do what you love.

Choosing an Approach or Tradition

Qualitative researchers may be defined as those who are working with data that is not in numerical form, but there are actually multiple traditions or approaches that fall under this broad category. I find it useful to know a little bit about the history and development of qualitative research to better understand the differences in these approaches. The following chart provides an overview of the six phases of development identified by Denzin and Lincoln ( 2005 ):

Table 4.1. Six Phases of Development

There are other ways one could present the history as well. Feminist theory and methodologies came to the fore in the 1970s and 1980s and had a lot to do with the internal critique of more positivist approaches. Feminists were quite aware that standpoint matters—that the identity of the researcher plays a role in the research, and they were ardent supporters of dismantling unjust power systems and using qualitative methods to help advance this mission. You might note, too, that many of the internal disputes were basically epistemological disputes about how we know what we know and whether one’s social location/position delimits that knowledge. Today, we are in a bountiful world of qualitative research, one that embraces multiple forms of knowing and knowledge. This is good, but it means that you, the student, have more choice when it comes to situating your study and framing your research question, and some will expect you to signal the choices you have made in any research protocols you write or publications and presentations.

Creswell’s ( 1998 ) definition of qualitative research includes the notion of distinct traditions of inquiry: “Qualitative research is an inquiry process of understanding based on distinct methodological traditions of inquiry that explore a social or human problem. The research builds complex,   holistic pictures, analyzes words, reports detailed views of informants , and conducted the study in a natural setting” (15; emphases added). I usually caution my students against taking shelter under one of these approaches, as, practically speaking, there is a lot of mixing of traditions among researchers. And yet it is useful to know something about the various histories and approaches, particularly as you are first starting out. Each tradition tends to favor a particular epistemological perspective (see chapter 3), a way of reasoning (see “ Advanced: Inductive versus Deductive Reasoning ”), and a data-collection technique.

There are anywhere from ten to twenty “traditions of inquiry,” depending on how one draws the boundaries. In my accounting, there are twelve, but three approaches tend to dominate the field.

Ethnography

Ethnography was developed from the discipline of anthropology, as the study of (other) culture(s). From a relatively positivist/objective approach to writing down the “truth” of what is observed during the colonial era (where this “truth” was then often used to help colonial administrators maintain order and exploit people and extract resources more effectively), ethnography was adopted by all kinds of social science researchers to get a better understanding of how groups of people (various subcultures and cultures) live their lives. Today, ethnographers are more likely to be seeking to dismantle power relations than to support them. They often study groups of people that are overlooked and marginalized, and sometimes they do the obverse by demonstrating how truly strange the familiar practices of the dominant group are. Ethnography is also central to organizational studies (e.g., How does this institution actually work?) and studies of education (e.g., What is it like to be a student during the COVID era?).

Ethnographers use methods of participant observation and intensive fieldwork in their studies, often living or working among the group under study for months at a time (and, in some cases, years). I’ve called this “deep ethnography,” and it is the subject of chapter 14. The data ethnographers analyze are copious “field notes” written while in the field, often supplemented by in-depth interviews and many more casual conversations. The final product of ethnographers is a “thick” description of the culture. This makes reading ethnographies enjoyable, as the goal is to write in such a way that the reader feels immersed in the culture.

There are variations on the ethnography, such as the autoethnography , where the researcher uses a systematic and rigorous study of themselves to better understand the culture in which they find themselves. Autoethnography is a relatively new approach, even though it is derived from one of the oldest approaches. One can say that it takes to heart the feminist directive to “make the personal political,” to underscore the connections between personal experiences and larger social and political structures. Introspection becomes the primary data source.

Grounded Theory

Grounded Theory holds a special place in qualitative research for a few reasons, not least of which is that nonqualitative researchers often mistakenly believe that Grounded Theory is the only qualitative research methodology . Sometimes, it is easier for students to explain what they are doing as “Grounded Theory” because it sounds “more scientific” than the alternative descriptions of qualitative research. This is definitely part of its appeal. Grounded Theory is the name given to the systematic inductive approach first developed by Glaser and Strauss in 1967, The Discovery of Grounded Theory: Strategies for Qualitative Research . Too few people actually read Glaser and Strauss’s book. It is both groundbreaking and fairly unremarkable at the same time. As a historical intervention into research methods generally, it is both a sharp critique of positivist methods in the social sciences (theory testing) and a rejection of purely descriptive accounts-building qualitative research. Glaser and Strauss argued for an approach whose goal was to construct (middle-level) theories from recursive data analysis of nonnumerical data (interviews and observations). They advocated a “constant comparative method” in which coding and analysis take place simultaneously and recursively. The demands are fairly strenuous. If done correctly, the result is the development of a new theory about the social world.

So why do I call this “fairly unremarkable”? To some extent, all qualitative research already does what Glaser and Strauss ( 1967 ) recommend, albeit without denoting the processes quite so specifically. As will be seen throughout the rest of this textbook, all qualitative research employs some “constant comparisons” through recursive data analyses. Where Grounded Theory sets itself apart from a significant number of qualitative research projects, however, is in its dedication to inductively building theory. Personally, I think it is important to understand that Glaser and Strauss were rejecting deductive theory testing in sociology when they first wrote their book. They were part of a rising cohort who rejected the positivist mathematical approaches that were taking over sociology journals in the 1950s and 1960s. Here are some of the comments and points they make against this kind of work:

Accurate description and verification are not so crucial when one’s purpose is to generate theory. ( 28 ; further arguing that sampling strategies are different when one is not trying to test a theory or generalize results)

Illuminating perspectives are too often suppressed when the main emphasis is verifying theory. ( 40 )

Testing for statistical significance can obscure from theoretical relevance. ( 201 )

Instead, they argued, sociologists should be building theories about the social world. They are not physicists who spend time testing and refining theories. And they are not journalists who report descriptions. What makes sociologists better than journalists and other professionals is that they develop theory from their work “In their driving efforts to get the facts [research sociologists] tend to forget that the distinctive offering of sociology to our society is sociological theory, not research description” ( 30–31 ).

Grounded Theory’s inductive approach can be off-putting to students who have a general research question in mind and a working hypothesis. The true Grounded Theory approach is often used in exploratory studies where there are no extant theories. After all, the promise of this approach is theory generation, not theory testing. Flying totally free at the start can be terrifying. It can also be a little disingenuous, as there are very few things under the sun that have not been considered before. Barbour ( 2008:197 ) laments that this approach is sometimes used because the researcher is too lazy to read the relevant literature.

To summarize, Glaser and Strauss justified the qualitative research project in a way that gave it standing among the social sciences, especially vis-à-vis quantitative researchers. By distinguishing the constant comparative method from journalism, Glaser and Strauss enabled qualitative research to gain legitimacy.

So what is it exactly, and how does one do it? The following stages provide a succinct and basic overview, differentiating the portions that are similar to/in accordance with qualitative research methods generally and those that are distinct from the Grounded Theory approach:

Step 1. Select a case, sample, and setting (similar—unless you begin with a theory to test!).

Step 2. Begin data collection (similar).

Step 3. Engage data analysis (similar in general but specificity of details somewhat unique to Grounded Theory): (1) emergent coding (initial followed by focused), (2) axial (a priori) coding , (3) theoretical coding , (4) creation of theoretical categories; analysis ends when “theoretical saturation ” has been achieved.

Grounded Theory’s prescriptive (i.e., it has a set of rules) framework can appeal to beginning students, but it is unnecessary to adopt the entire approach in order to make use of some of its suggestions. And if one does not exactly follow the Grounded Theory rulebook, it can mislead others if you tend to call what you are doing Grounded Theory when you are not:

Grounded theory continues to be a misunderstood method, although many researchers purport to use it. Qualitative researchers often claim to conduct grounded theory studies without fully understanding or adopting its distinctive guidelines. They may employ one or two of the strategies or mistake qualitative analysis for grounded theory. Conversely, other researchers employ grounded theory methods in reductionist, mechanistic ways. Neither approach embodies the flexible yet systematic mode of inquiry, directed but open-ended analysis, and imaginative theorizing from empirical data that grounded theory methods can foster. Subsequently, the potential of grounded theory methods for generating middle-range theory has not been fully realized ( Charmaz 2014 ).

Phenomenology

Where Grounded Theory sets itself apart for its inductive systematic approach to data analysis, phenomenologies are distinct for their focus on what is studied—in this case, the meanings of “lived experiences” of a group of persons sharing a particular event or circumstance. There are phenomenologies of being working class ( Charlesworth 2000 ), of the tourist experience ( Cohen 1979 ), of Whiteness ( Ahmed 2007 ). The phenomenon of interest may also be an emotion or circumstance. One can study the phenomenon of “White rage,” for example, or the phenomenon of arranged marriage.

The roots of phenomenology lie in philosophy (Husserl, Heidegger, Merleau-Ponty, Sartre) but have been adapted by sociologists in particular. Phenomenologists explore “how human beings make sense of experience and transform experience into consciousness, both individually and as shared meaning” ( Patton 2002:104 ).

One of the most important aspects of conducting a good phenomenological study is getting the sample exactly right so that each person can speak to the phenomenon in question. Because the researcher is interested in the meanings of an experience, in-depth interviews are the preferred method of data collection. Observations are not nearly as helpful here because people may do a great number of things without meaning to or without being conscious of their implications. This is important to note because phenomenologists are studying not “the reality” of what happens at all but an articulated understanding of a lived experience. When reading a phenomenological study, it is important to keep this straight—too often I have heard students critique a study because the interviewer didn’t actually see how people’s behavior might conflict with what they say (which is, at heart, an epistemological issue!).

In addition to the “big three,” there are many other approaches; some are variations, and some are distinct approaches in their own right. Case studies focus explicitly on context and dynamic interactions over time and can be accomplished with quantitative or qualitative methods or a mixture of both (for this reason, I am not considering it as one of the big three qualitative methods, even though it is a very common approach). Whatever methods are used, a contextualized deep understanding of the case (or cases) is central.

Critical inquiry is a loose collection of techniques held together by a core argument that understanding issues of power should be the focus of much social science research or, to put this another way, that it is impossible to understand society (its people and institutions) without paying attention to the ways that power relations and power dynamics inform and deform those people and institutions. This attention to power dynamics includes how research is conducted too. All research fundamentally involves issues of power. For this reason, many critical inquiry traditions include a place for collaboration between researcher and researched. Examples include (1) critical narrative analysis, which seeks to describe the meaning of experience for marginalized or oppressed persons or groups through storytelling; (2) participatory action research, which requires collaboration between the researcher and the research subjects or community of interest; and (3) critical race analysis, a methodological application of Critical Race Theory (CRT), which posits that racial oppression is endemic (if not always throughout time and place, at least now and here).

Do you follow a particular tradition of inquiry? Why?

Shawn Wilson’s book, Research Is Ceremony: Indigenous Research Methods , is my holy grail. It really flipped my understanding of research and relationships. Rather than thinking linearly and approaching research in a more canonical sense, Wilson shook my world view by drawing me into a pattern of inquiry that emphasized transparency and relational accountability. The Indigenous research paradigm is applicable in all research settings, and I follow it because it pushes me to constantly evaluate my position as a knowledge seeker and knowledge sharer.

Autoethnography takes the researcher as the subject. This is one approach that is difficult to explain to more quantitatively minded researchers, as it seems to violate many of the norms of “scientific research” as understood by them. First, the sample size is quite small—the n is 1, the researcher. Two, the researcher is not a neutral observer—indeed, the subjectivity of the researcher is the main strength of this approach. Autoethnographies can be extremely powerful for their depth of understanding and reflexivity, but they need to be conducted in their own version of rigor to stand up to scrutiny by skeptics. If you are skeptical, read one of the excellent published examples out there—I bet you will be impressed with what you take away. As they say, the proof is in the pudding on this approach.

Advanced: Inductive versus Deductive Reasoning

There has been a great deal of ink shed in the discussion of inductive versus deductive approaches, not all of it very instructive. Although there is a huge conceptual difference between them, in practical terms, most researchers cycle between the two, even within the same research project. The simplest way to explain the difference between the two is that we are using deductive reasoning when we test an existing theory (move from general to particular), and we are using inductive reasoning when we are generating theory (move from particular to general). Figure 4.2 provides a schematic of the deductive approach. From the literature, we select a theory about the impact of student loan debt: student loan debt will delay homeownership among young adults. We then formulate a hypothesis based on this theory: adults in their thirties with high debt loads will be less likely to own homes than their peers who do not have high debt loads. We then collect data to test the hypothesis and analyze the results. We find that homeownership is substantially lower among persons of color and those who were the first in their families to graduate from college. Notably, high debt loads did not affect homeownership among White adults whose parents held college degrees. We thus refine the theory to match the new findings: student debt loads delay homeownership among some young adults, thereby increasing inequalities in this generation. We have now contributed new knowledge to our collective corpus.

The inductive approach is contrasted in figure 4.3. Here, we did not begin with a preexisting theory or previous literature but instead began with an observation. Perhaps we were conducting interviews with young adults who held high amounts of debt and stumbled across this observation, struck by how many were renting apartments or small houses. We then noted a pattern—not all the young adults we were talking to were renting; race and class seemed to play a role here. We would then probably expand our study in a way to be able to further test this developing theory, ensuring that we were not seeing anomalous patterns. Once we were confident about our observations and analyses, we would then develop a theory, coming to the same place as our deductive approach, but in reverse.

A third form of reasoning, abductive (sometimes referred to as probabilistic reasoning) was developed in the late nineteenth century by American philosopher Charles Sanders Peirce. I have included some articles for further reading for those interested.

Among social scientists, the deductive approach is often relaxed so that a research question is set based on the existing literature rather than creating a hypothesis or set of hypotheses to test. Some journals still require researchers to articulate hypotheses, however. If you have in mind a publication, it is probably a good idea to take a look at how most articles are organized and whether specific hypotheses statements are included.

Table 4.2. Twelve Approaches. Adapted from Patton 2002:132-133.

Further Readings

The following readings have been examples of various approaches or traditions of inquiry:

Ahmed, Sara. 2007. “A Phenomenology of Whiteness.” Feminist Theory 8(2):149–168.

Charlesworth, Simon. 2000. A Phenomenology of Working-Class Experience . Cambridge: Cambridge University Press.*

Clandinin, D. Jean, and F. Michael Connelly. 2000. Narrative Inquiry: Experience and Story in Qualitative Research . San Francisco: Jossey-Bass.

Cohen, E. 1979. “A Phenomenology of Tourist Experiences.” Sociology 13(2):179–201.

Cooke, Bill, and Uma Kothari, eds. 2001. Participation: The New Tyranny? London: Zed Books. A critique of participatory action.

Corbin, Juliet, and Anselm Strauss. 2008. Basics of Qualitative Research: Techniques and Procedures for Developing Grounded Theory . 3rd ed. Thousand Oaks, CA: SAGE.

Crabtree, B. F., and W. L. Miller, eds. 1999. Doing Qualitative Research: Multiple Strategies . Thousand Oaks, CA: SAGE.

Creswell, John W. 1997. Qualitative Inquiry and Research Design: Choosing among Five Approaches. Thousand Oaks, CA: SAGE.

Glaser, Barney G., and Anselm Strauss. 1967. The Discovery of Grounded Theory: Strategies for Qualitative Research . New York: Aldine.

Gobo, Giampetro, and Andrea Molle. 2008. Doing Ethnography . Thousand Oaks, CA: SAGE.

Hancock, Dawson B., and Bob Algozzine. 2016. Doing Case Study Research: A Practical Guide for Beginning Research . 3rd ed. New York: Teachers College Press.

Harding, Sandra. 1987. Feminism and Methodology . Bloomington: Indiana University Press.

Husserl, Edmund. (1913) 2017. Ideas: Introduction to Pure Phenomenology . Eastford, CT: Martino Fine Books.

Rose, Gillian. 2012. Visual Methodologies . 3rd ed. London: SAGE.

Van der Riet, M. 2009. “Participatory Research and the Philosophy of Social Science: Beyond the Moral Imperative.” Qualitative Inquiry 14(4):546–565.

Van Manen, Max. 1990. Researching Lived Experience: Human Science for an Action Sensitive Pedagogy . Albany: State University of New York.

Wortham, Stanton. 2001. Narratives in Action: A Strategy for Research and Analysis . New York: Teachers College Press.

Inductive, Deductive, and Abductive Reasoning and Nomothetic Science in General

Aliseda, Atocha. 2003. “Mathematical Reasoning vs. Abductive Reasoning: A Structural Approach.” Synthese 134(1/2):25–44.

Bonk, Thomas. 1997. “Newtonian Gravity, Quantum Discontinuity and the Determination of Theory by Evidence.” Synthese 112(1):53–73. A (natural) scientific discussion of inductive reasoning.

Bonnell, Victoria E. 1980. “The Uses of Theory, Concepts and Comparison in Historical Sociology.” C omparative Studies in Society and History 22(2):156–173.

Crane, Mark, and Michael C. Newman. 1996. “Scientific Method in Environmental Toxicology.” Environmental Reviews 4(2):112–122.

Huang, Philip C. C., and Yuan Gao. 2015. “Should Social Science and Jurisprudence Imitate Natural Science?” Modern China 41(2):131–167.

Mingers, J. 2012. “Abduction: The Missing Link between Deduction and Induction. A Comment on Ormerod’s ‘Rational Inference: Deductive, Inductive and Probabilistic Thinking.’” Journal of the Operational Research Society 63(6):860–861.

Ormerod, Richard J. 2010. “Rational Inference: Deductive, Inductive and Probabilistic Thinking.” Journal of the Operational Research Society 61(8):1207–1223.

Perry, Charner P. 1927. “Inductive vs. Deductive Method in Social Science Research.” Southwestern Political and Social Science Quarterly 8(1):66–74.

Plutynski, Anya. 2011. “Four Problems of Abduction: A Brief History.” HOPOS: The Journal of the International Society for the History of Philosophy of Science 1(2):227–248.

Thompson, Bruce, and Gloria M. Borrello. 1992. “Different Views of Love: Deductive and Inductive Lines of Inquiry.” Current Directions in Psychological Science 1(5):154–156.

Tracy, Sarah J. 2012. “The Toxic and Mythical Combination of a Deductive Writing Logic for Inductive Qualitative Research.” Qualitative Communication Research 1(1):109–141.

A place or collection containing records, documents, or other materials of historical interest; most universities have an archive of material related to the university’s history, as well as other “special collections” that may be of interest to members of the community.

A person who introduces the researcher to a field site’s culture and population.  Also referred to as guides.  Used in ethnography .

A form of research and a methodological tradition of inquiry in which the researcher uses self-reflection and writing to explore personal experiences and connect this autobiographical story to wider cultural, political, and social meanings and understandings.  “Autoethnography is a research method that uses a researcher's personal experience to describe and critique cultural beliefs, practices, and experiences” ( Adams, Jones, and Ellis 2015 ).

The philosophical framework in which research is conducted; the approach to “research” (what practices this entails, etc.).  Inevitably, one’s epistemological perspective will also guide one’s methodological choices, as in the case of a constructivist who employs a Grounded Theory approach to observations and interviews, or an objectivist who surveys key figures in an organization to find out how that organization is run.  One of the key methodological distinctions in social science research is that between quantitative and qualitative research.

The process of labeling and organizing qualitative data to identify different themes and the relationships between them; a way of simplifying data to allow better management and retrieval of key themes and illustrative passages.  See coding frame and  codebook.

A later stage coding process used in Grounded Theory in which data is reassembled around a category, or axis.

A later stage-coding process used in Grounded Theory in which key words or key phrases capture the emergent theory.

The point at which you can conclude data collection because every person you are interviewing, the interaction you are observing, or content you are analyzing merely confirms what you have already noted.  Achieving saturation is often used as the justification for the final sample size.

A methodological tradition of inquiry that focuses on the meanings held by individuals and/or groups about a particular phenomenon (e.g., a “phenomenology of whiteness” or a “phenomenology of first-generation college students”).  Sometimes this is referred to as understanding “the lived experience” of a particular group or culture.  Interviews form the primary tool of data collection for phenomenological studies.  Derived from the German philosophy of phenomenology (Husserl 1913; 2017).

The number of individuals (or units) included in your sample

A form of reasoning which employs a “top-down” approach to drawing conclusions: it begins with a premise or hypothesis and seeks to verify it (or disconfirm it) with newly collected data.  Inferences are made based on widely accepted facts or premises.  Deduction is idea-first, followed by observations and a conclusion.  This form of reasoning is often used in quantitative research and less often in qualitative research.  Compare to inductive reasoning .  See also abductive reasoning .

A form of reasoning that employs a “bottom-up” approach to drawing conclusions: it begins with the collection of data relevant to a particular question and then seeks to build an argument or theory based on an analysis of that data.  Induction is observation first, followed by an idea that could explain what has been observed.  This form of reasoning is often used in qualitative research and seldom used in qualitative research.  Compare to deductive reasoning .  See also abductive reasoning .

An “interpretivist” form of reasoning in which “most likely” conclusions are drawn, based on inference.  This approach is often used by qualitative researchers who stress the recursive nature of qualitative data analysis.  Compare with deductive reasoning and inductive reasoning .

A form of social science research that generally follows the scientific method as established in the natural sciences.  In contrast to idiographic research , the nomothetic researcher looks for general patterns and “laws” of human behavior and social relationships.  Once discovered, these patterns and laws will be expected to be widely applicable.  Quantitative social science research is nomothetic because it seeks to generalize findings from samples to larger populations.  Most qualitative social science research is also nomothetic, although generalizability is here understood to be theoretical in nature rather than statistical .  Some qualitative researchers, however, espouse the idiographic research paradigm instead.

Introduction to Qualitative Research Methods Copyright © 2023 by Allison Hurst is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License , except where otherwise noted.

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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Literature Searching

Types of Research Questions

Research questions can be categorized into different types, depending on the type of research to be undertaken.

Qualitative questions concern broad areas or more specific areas of research and focus on discovering, explaining and exploring.  Types of qualitative questions include:

• Exploratory Questions, which seeks to understand without influencing the results.  The objective is to learn more about a topic without bias or preconceived notions.
• Predictive Questions, which seek to understand the intent or future outcome around a topic.
• Interpretive Questions, which tries to understand people’s behavior in a natural setting.  The objective is to understand how a group makes sense of shared experiences with regards to various phenomena.

Quantitative questions prove or disprove a  researcher’s hypothesis and are constructed to express the relationship between variables  and whether this relationship is significant.  Types of quantitative questions include:

• Descriptive questions , which are the most basic type of quantitative research question and seeks to explain the when, where, why or how something occurred. 
• Comparative questions are helpful when studying groups with dependent variables where one variable is compared with another.
• Relationship-based questions try to answer whether or not one variable has an influence on another.  These types of question are generally used in experimental research questions.

References/Additional Resources

Lipowski, E. E. (2008). Developing great research questions . American Journal of Health-System Pharmacy, 65(17), 1667–1670.

Ratan, S. K., Anand, T., & Ratan, J. (2019). Formulation of Research Question - Stepwise Approach .  Journal of Indian Association of Pediatric Surgeons ,  24 (1), 15–20.

Fandino W.(2019). Formulating a good research question: Pearls and pitfalls . I ndian J Anaesth. 63(8) :611-616. 

Beck, L. L. (2023). The question: types of research questions and how to develop them . In Translational Surgery: Handbook for Designing and Conducting Clinical and Translational Research (pp. 111-120). Academic Press. 

Doody, O., & Bailey, M. E. (2016). Setting a research question, aim and objective. Nurse Researcher, 23(4), 19–23.

Plano Clark, V., & Badiee, M. (2010). Research questions in mixed methods research . In: SAGE Handbook of Mixed Methods in Social & Behavioral Research .  SAGE Publications, Inc.,

Agee, J. (2009). Developing qualitative research questions: A reflective process .  International journal of qualitative studies in education ,  22 (4), 431-447. 

Flemming, K., & Noyes, J. (2021). Qualitative Evidence Synthesis: Where Are We at? I nternational Journal of Qualitative Methods, 20.  

Research Question Frameworks

Research question frameworks have been designed to help structure research questions and clarify the main concepts. Not every question can fit perfectly into a framework, but using even just parts of a framework can help develop a well-defined research question. The framework to use depends on the type of question to be researched.   There are over 25 research question frameworks available.  The University of Maryland has a nice table listing out several of these research question frameworks, along with what the acronyms mean and what types of questions/disciplines that may be used for.

The process of developing a good research question involves taking your topic and breaking each aspect of it down into its component parts.

Booth, A., Noyes, J., Flemming, K., Moore, G., Tunçalp, Ö., & Shakibazadeh, E. (2019). Formulating questions to explore complex interventions within qualitative evidence synthesis.   BMJ global health ,  4 (Suppl 1), e001107. (See supplementary data#1)

The "Well-Built Clinical Question“: PICO(T)

One well-established framework that can be used both for refining questions and developing strategies is known as PICO(T). The PICO framework was designed primarily for questions that include interventions and comparisons, however other types of questions may also be able to follow its principles.  If the PICO(T) framework does not precisely fit your question, using its principles (see alternative component suggestions) can help you to think about what you want to explore even if you do not end up with a true PICO question.

A PICO(T) question has the following components:

• P : The patient’s disorder or disease or problem of interest / research object
• I: The intervention, exposure or finding under review / Application of a theory or method
• C: A comparison intervention or control (if applicable- not always present)/ Alternative theories or methods (or, in their absence, the null hypothesis)
• O : The outcome(s) (desired or of interest) / Knowledge generation
• T : (The time factor or period)

Keep in mind that solely using a tool will not enable you to design a good question. What is required is for you to think, carefully, about exactly what you want to study and precisely what you mean by each of the things that you think you want to study.

Rzany, & Bigby, M. (n.d.). Formulating Well-Built Clinical Questions. In Evidence-based dermatology / (pp. 27–30). Blackwell Pub/BMJ Books.  

Nishikawa-Pacher, A. (2022). Research questions with PICO: a universal mnemonic.   Publications ,  10 (3), 21.

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Methodology

• What Is Qualitative Research? | Methods & Examples

What Is Qualitative Research? | Methods & Examples

Published on June 19, 2020 by Pritha Bhandari . Revised on June 22, 2023.

Qualitative research involves collecting and analyzing non-numerical data (e.g., text, video, or audio) to understand concepts, opinions, or experiences. It can be used to gather in-depth insights into a problem or generate new ideas for research.

Qualitative research is the opposite of quantitative research , which involves collecting and analyzing numerical data for statistical analysis.

Qualitative research is commonly used in the humanities and social sciences, in subjects such as anthropology, sociology, education, health sciences, history, etc.

• How does social media shape body image in teenagers?
• How do children and adults interpret healthy eating in the UK?
• What factors influence employee retention in a large organization?
• How is anxiety experienced around the world?
• How can teachers integrate social issues into science curriculums?

Table of contents

Approaches to qualitative research, qualitative research methods, qualitative data analysis, advantages of qualitative research, disadvantages of qualitative research, other interesting articles, frequently asked questions about qualitative research.

Qualitative research is used to understand how people experience the world. While there are many approaches to qualitative research, they tend to be flexible and focus on retaining rich meaning when interpreting data.

Common approaches include grounded theory, ethnography , action research , phenomenological research, and narrative research. They share some similarities, but emphasize different aims and perspectives.

Note that qualitative research is at risk for certain research biases including the Hawthorne effect , observer bias , recall bias , and social desirability bias . While not always totally avoidable, awareness of potential biases as you collect and analyze your data can prevent them from impacting your work too much.

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Each of the research approaches involve using one or more data collection methods . These are some of the most common qualitative methods:

• Observations: recording what you have seen, heard, or encountered in detailed field notes.
• Interviews:  personally asking people questions in one-on-one conversations.
• Focus groups: asking questions and generating discussion among a group of people.
• Surveys : distributing questionnaires with open-ended questions.
• Secondary research: collecting existing data in the form of texts, images, audio or video recordings, etc.
• You take field notes with observations and reflect on your own experiences of the company culture.
• You distribute open-ended surveys to employees across all the company’s offices by email to find out if the culture varies across locations.
• You conduct in-depth interviews with employees in your office to learn about their experiences and perspectives in greater detail.

Qualitative researchers often consider themselves “instruments” in research because all observations, interpretations and analyses are filtered through their own personal lens.

For this reason, when writing up your methodology for qualitative research, it’s important to reflect on your approach and to thoroughly explain the choices you made in collecting and analyzing the data.

Qualitative data can take the form of texts, photos, videos and audio. For example, you might be working with interview transcripts, survey responses, fieldnotes, or recordings from natural settings.

Most types of qualitative data analysis share the same five steps:

• Prepare and organize your data. This may mean transcribing interviews or typing up fieldnotes.
• Review and explore your data. Examine the data for patterns or repeated ideas that emerge.
• Develop a data coding system. Based on your initial ideas, establish a set of codes that you can apply to categorize your data.
• Assign codes to the data. For example, in qualitative survey analysis, this may mean going through each participant’s responses and tagging them with codes in a spreadsheet. As you go through your data, you can create new codes to add to your system if necessary.
• Identify recurring themes. Link codes together into cohesive, overarching themes.

There are several specific approaches to analyzing qualitative data. Although these methods share similar processes, they emphasize different concepts.

Qualitative research often tries to preserve the voice and perspective of participants and can be adjusted as new research questions arise. Qualitative research is good for:

• Flexibility

The data collection and analysis process can be adapted as new ideas or patterns emerge. They are not rigidly decided beforehand.

• Natural settings

Data collection occurs in real-world contexts or in naturalistic ways.

• Meaningful insights

Detailed descriptions of people’s experiences, feelings and perceptions can be used in designing, testing or improving systems or products.

• Generation of new ideas

Open-ended responses mean that researchers can uncover novel problems or opportunities that they wouldn’t have thought of otherwise.

Researchers must consider practical and theoretical limitations in analyzing and interpreting their data. Qualitative research suffers from:

• Unreliability

The real-world setting often makes qualitative research unreliable because of uncontrolled factors that affect the data.

• Subjectivity

Due to the researcher’s primary role in analyzing and interpreting data, qualitative research cannot be replicated . The researcher decides what is important and what is irrelevant in data analysis, so interpretations of the same data can vary greatly.

• Limited generalizability

Small samples are often used to gather detailed data about specific contexts. Despite rigorous analysis procedures, it is difficult to draw generalizable conclusions because the data may be biased and unrepresentative of the wider population .

• Labor-intensive

Although software can be used to manage and record large amounts of text, data analysis often has to be checked or performed manually.

If you want to know more about statistics , methodology , or research bias , make sure to check out some of our other articles with explanations and examples.

• Chi square goodness of fit test
• Degrees of freedom
• Null hypothesis
• Discourse analysis
• Control groups
• Mixed methods research
• Non-probability sampling
• Quantitative research
• Inclusion and exclusion criteria

Research bias

• Rosenthal effect
• Implicit bias
• Cognitive bias
• Selection bias
• Negativity bias
• Status quo bias

Quantitative research deals with numbers and statistics, while qualitative research deals with words and meanings.

Quantitative methods allow you to systematically measure variables and test hypotheses . Qualitative methods allow you to explore concepts and experiences in more detail.

There are five common approaches to qualitative research :

• Grounded theory involves collecting data in order to develop new theories.
• Ethnography involves immersing yourself in a group or organization to understand its culture.
• Narrative research involves interpreting stories to understand how people make sense of their experiences and perceptions.
• Phenomenological research involves investigating phenomena through people’s lived experiences.
• Action research links theory and practice in several cycles to drive innovative changes.

Data collection is the systematic process by which observations or measurements are gathered in research. It is used in many different contexts by academics, governments, businesses, and other organizations.

There are various approaches to qualitative data analysis , but they all share five steps in common:

• Prepare and organize your data.
• Review and explore your data.
• Develop a data coding system.
• Assign codes to the data.
• Identify recurring themes.

The specifics of each step depend on the focus of the analysis. Some common approaches include textual analysis , thematic analysis , and discourse analysis .

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Research Writing and Analysis

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• Research Alignment Chapter 1 This link opens in a new window
• Step 1: Seek Out Evidence
• Step 2: Explain
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• Purpose Statement
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• Quantitative Research Questions

Qualitative Research Questions

• Trustworthiness of Qualitative Data
• Analysis and Coding Example- Qualitative Data
• Thematic Data Analysis in Qualitative Design
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What’s in a Qualitative Research Question?

Qualitative research questions are driven by the need for the study. Ideally, research questions are formulated as a result of the problem and purpose, which leads to the identification of the methodology. When a qualitative methodology is chosen, research questions should be exploratory and focused on the actual phenomenon under study.

From the Dissertation Center, Chapter 1: Research Question Overview , there are several considerations when forming a qualitative research question. Qualitative research questions should

Below is an example of a qualitative phenomenological design. Note the use of the term “lived experience” in the central research question. This aligns with phenomenological design.

RQ1: “ What are the lived experiences of followers of mid-level managers in the financial services sector regarding their well-being on the job?”

If the researcher wants to focus on aspects of the theory used to support the study or dive deeper into aspects of the central RQ, sub-questions might be used. The following sub-questions could be formulated to seek further insight:

RQ1a.   “How do followers perceive the quality and adequacy of the leader-follower exchanges between themselves and their novice leaders?”

RQ1b.  “Under what conditions do leader-member exchanges affect a follower’s own level of well-being?”

Qualitative research questions also display the desire to explore or describe phenomena. Qualitative research seeks the lived experience, the personal experiences, the understandings, the meanings, and the stories associated with the concepts present in our studies.

We want to ensure our research questions are answerable and that we are not making assumptions about our sample. View the questions below:

How do healthcare providers perceive income inequality when providing care to poor patients?

In Example A, we see that there is no specificity of location or geographic areas. This could lead to findings that are varied, and the researcher may not find a clear pattern. Additionally, the question implies the focus is on “income inequality” when the actual focus is on the provision of care. The term “poor patients” can also be offensive, and most providers will not want to seem insensitive and may perceive income inequality as a challenge (of course!).

How do primary care nurses in outreach clinics describe providing quality care to residents of low-income urban neighborhoods?

In Example B, we see that there is greater specificity in the type of care provider. There is also a shift in language so that the focus is on how the individuals describe what they think about, experience, and navigate providing quality care.

Other Qualitative Research Question Examples

Vague : What are the strategies used by healthcare personnel to assist injured patients?

Try this : What is the experience of emergency room personnel in treating patients with a self-inflicted household injury?

The first question is general and vague. While in the same topic area, the second question is more precise and gives the reader a specific target population and a focus on the phenomenon they would have experienced. This question could be in line with a phenomenological study as we are seeking their experience or a case study as the ER personnel are a bounded entity.

Unclear : How do students experience progressing to college?

Try this : How do first-generation community members describe the aspects of their culture that promote aspiration to postsecondary education?

The first question does not have a focus on what progress is or what students are the focus. The second question provides a specific target population and provides the description to be provided by the participants. This question could be in line with a descriptive study.

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Chapter 5: Qualitative descriptive research

Darshini Ayton

Learning outcomes

Upon completion of this chapter, you should be able to:

• Identify the key terms and concepts used in qualitative descriptive research.
• Discuss the advantages and disadvantages of qualitative descriptive research.

What is a qualitative descriptive study?

The key concept of the qualitative descriptive study is description.

Qualitative descriptive studies (also known as ‘exploratory studies’ and ‘qualitative description approaches’) are relatively new in the qualitative research landscape. They emerged predominantly in the field of nursing and midwifery over the past two decades. 1 The design of qualitative descriptive studies evolved as a means to define aspects of qualitative research that did not resemble qualitative research designs to date, despite including elements of those other study designs. 2

Qualitative descriptive studies  describe  phenomena rather than explain them. Phenomenological studies, ethnographic studies and those using grounded theory seek to explain a phenomenon. Qualitative descriptive studies aim to provide a comprehensive summary of events. The approach to this study design is journalistic, with the aim being to answer the questions who, what, where and how. 3

A qualitative descriptive study is an important and appropriate design for research questions that are focused on gaining insights about a poorly understood research area, rather than on a specific phenomenon. Since qualitative descriptive study design seeks to describe rather than explain, explanatory frameworks and theories are not required to explain or ‘ground’ a study and its results. 4 The researcher may decide that a framework or theory adds value to their interpretations, and in that case, it is perfectly acceptable to use them. However, the hallmark of genuine curiosity (naturalistic enquiry) is that the researcher does not know in advance what they will be observing or describing. 4 Because a phenomenon is being described, the qualitative descriptive analysis is more categorical and less conceptual than other methods. Qualitative content analysis is usually the main approach to data analysis in qualitative descriptive studies. 4 This has led to criticism of descriptive research being less sophisticated because less interpretation is required than with other qualitative study designs in which interpretation and explanation are key characteristics (e.g. phenomenology, grounded theory, case studies).

Diverse approaches to data collection can be utilised in qualitative description studies. However, most qualitative descriptive studies use semi-structured interviews (see Chapter 13) because they provide a reliable way to collect data. 3 The technique applied to data analysis is generally categorical and less conceptual when compared to other qualitative research designs (see Section 4). 2,3 Hence, this study design is well suited to research by practitioners, student researchers and policymakers. Its straightforward approach enables these studies to be conducted in shorter timeframes than other study designs. 3 Descriptive studies are common as the qualitative component in mixed-methods research ( see Chapter 11 ) and evaluations ( see Chapter 12 ), 1 because qualitative descriptive studies can provide information to help develop and refine questionnaires or interventions.

For example, in our research to develop a patient-reported outcome measure for people who had undergone a percutaneous coronary intervention (PCI), which is a common cardiac procedure to treat heart disease, we started by conducting a qualitative descriptive study. 5 This project was a large, mixed-methods study funded by a private health insurer. The entire research process needed to be straightforward and achievable within a year, as we had engaged an undergraduate student to undertake the research tasks. The aim of the qualitative component of the mixed-methods study was to identify and explore patients’ perceptions following PCI. We used inductive approaches to collect and analyse the data. The study was guided by the following domains for the development of patient-reported outcomes, according to US Food and Drug Administration (FDA) guidelines, which included:

• Feeling: How the patient feels physically and psychologically after medical intervention
• Function: The patient’s mobility and ability to maintain their regular routine
• Evaluation: The patient’s overall perception of the success or failure of their procedure and their perception of what contributed to it. 5(p458)

We conducted focus groups and interviews, and asked participants three questions related to the FDA outcome domains:

• From your perspective, what would be considered a successful outcome of the procedure?

Probing questions: Did the procedure meet your expectations? How do you define whether the procedure was successful?

• How did you feel after the procedure?

Probing question: How did you feel one week after and how does that compare with how you feel now?

• After your procedure, tell me about your ability to do your daily activities?

Prompt for activities including gardening, housework, personal care, work-related and family-related tasks.

Probing questions: Did you attend cardiac rehabilitation? Can you tell us about your experience of cardiac rehabilitation? What impact has medication had on your recovery?

• What, if any, lifestyle changes have you made since your procedure? 5(p459)

Data collection was conducted with 32 participants. The themes were mapped to the FDA patient-reported outcome domains, with the results confirming previous research and also highlighting new areas for exploration in the development of a new patient-reported outcome measure. For example, participants reported a lack of confidence following PCI and the importance of patient and doctor communication. Women, in particular, reported that they wanted doctors to recognise how their experiences of cardiac symptoms were different to those of men.

The study described phenomena and resulted in the development of a patient-reported outcome measure that was tested and refined using a discrete-choice experiment survey, 6 a pilot of the measure in the Victorian Cardiac Outcomes Registry and a Rasch analysis to validate the measurement’s properties. 7

Advantages and disadvantages of qualitative descriptive studies

A qualitative descriptive study is an effective design for research by practitioners, policymakers and students, due to their relatively short timeframes and low costs. The researchers can remain close to the data and the events described, and this can enable the process of analysis to be relatively simple. Qualitative descriptive studies are also useful in mixed-methods research studies. Some of the advantages of qualitative descriptive studies have led to criticism of the design approach, due to a lack of engagement with theory and the lack of interpretation and explanation of the data. 2

Table 5.1. Examples of qualitative descriptive studies

Qualitative descriptive studies are gaining popularity in health and social care due to their utility, from a resource and time perspective, for research by practitioners, policymakers and researchers. Descriptive studies can be conducted as stand-alone studies or as part of larger, mixed-methods studies.

• Bradshaw C, Atkinson S, Doody O. Employing a qualitative description approach in health care research. Glob Qual Nurs Res. 2017;4. doi:10.1177/2333393617742282
• Lambert VA, Lambert CE. Qualitative descriptive research: an acceptable design. Pac Rim Int J Nurs Res Thail. 2012;16(4):255-256. Accessed June 6, 2023. https://he02.tci-thaijo.org/index.php/PRIJNR/article/download/5805/5064
• Doyle L et al. An overview of the qualitative descriptive design within nursing research. J Res Nurs. 2020;25(5):443-455. doi:10.1177/174498711988023
• Kim H, Sefcik JS, Bradway C. Characteristics of qualitative descriptive studies: a systematic review. Res Nurs Health. 2017;40(1):23-42. doi:10.1002/nur.21768
• Ayton DR et al. Exploring patient-reported outcomes following percutaneous coronary intervention: a qualitative study. Health Expect. 2018;21(2):457-465. doi:10.1111/hex.1263
• Barker AL et al. Symptoms and feelings valued by patients after a percutaneous coronary intervention: a discrete-choice experiment to inform development of a new patient-reported outcome. BMJ Open. 2018;8:e023141. doi:10.1136/bmjopen-2018-023141
• Soh SE et al. What matters most to patients following percutaneous coronary interventions? a new patient-reported outcome measure developed using Rasch analysis. PLoS One. 2019;14(9):e0222185. doi:10.1371/journal.pone.0222185
• Hiller RM et al. Coping and support-seeking in out-of-home care: a qualitative study of the views of young people in care in England. BMJ Open. 2021;11:e038461. doi:10.1136/bmjopen-2020-038461
• Backman C, Cho-Young D. Engaging patients and informal caregivers to improve safety and facilitate person- and family-centered care during transitions from hospital to home – a qualitative descriptive study. Patient Prefer Adherence. 2019;13:617-626. doi:10.2147/PPA.S201054

Qualitative Research – a practical guide for health and social care researchers and practitioners Copyright © 2023 by Darshini Ayton is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License , except where otherwise noted.

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• 1 University of Nebraska Medical Center
• 2 GDB Research and Statistical Consulting
• 3 GDB Research and Statistical Consulting/McLaren Macomb Hospital
• PMID: 29262162
• Bookshelf ID: NBK470395

Qualitative research is a type of research that explores and provides deeper insights into real-world problems. Instead of collecting numerical data points or intervening or introducing treatments just like in quantitative research, qualitative research helps generate hypothenar to further investigate and understand quantitative data. Qualitative research gathers participants' experiences, perceptions, and behavior. It answers the hows and whys instead of how many or how much. It could be structured as a standalone study, purely relying on qualitative data, or part of mixed-methods research that combines qualitative and quantitative data. This review introduces the readers to some basic concepts, definitions, terminology, and applications of qualitative research.

Qualitative research, at its core, asks open-ended questions whose answers are not easily put into numbers, such as "how" and "why." Due to the open-ended nature of the research questions, qualitative research design is often not linear like quantitative design. One of the strengths of qualitative research is its ability to explain processes and patterns of human behavior that can be difficult to quantify. Phenomena such as experiences, attitudes, and behaviors can be complex to capture accurately and quantitatively. In contrast, a qualitative approach allows participants themselves to explain how, why, or what they were thinking, feeling, and experiencing at a particular time or during an event of interest. Quantifying qualitative data certainly is possible, but at its core, qualitative data is looking for themes and patterns that can be difficult to quantify, and it is essential to ensure that the context and narrative of qualitative work are not lost by trying to quantify something that is not meant to be quantified.

However, while qualitative research is sometimes placed in opposition to quantitative research, where they are necessarily opposites and therefore "compete" against each other and the philosophical paradigms associated with each other, qualitative and quantitative work are neither necessarily opposites, nor are they incompatible. While qualitative and quantitative approaches are different, they are not necessarily opposites and certainly not mutually exclusive. For instance, qualitative research can help expand and deepen understanding of data or results obtained from quantitative analysis. For example, say a quantitative analysis has determined a correlation between length of stay and level of patient satisfaction, but why does this correlation exist? This dual-focus scenario shows one way in which qualitative and quantitative research could be integrated.

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Conflict of interest statement

Disclosure: Steven Tenny declares no relevant financial relationships with ineligible companies.

Disclosure: Janelle Brannan declares no relevant financial relationships with ineligible companies.

Disclosure: Grace Brannan declares no relevant financial relationships with ineligible companies.

• Introduction
• Issues of Concern
• Clinical Significance
• Enhancing Healthcare Team Outcomes
• Review Questions

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• Foley G, Timonen V. Using Grounded Theory Method to Capture and Analyze Health Care Experiences. Health Serv Res. 2015 Aug;50(4):1195-210. - PMC - PubMed
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StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-.

StatPearls [Internet].

Qualitative study.

Steven Tenny ; Janelle M. Brannan ; Grace D. Brannan .

Affiliations

Last Update: September 18, 2022 .

• Introduction

Qualitative research is a type of research that explores and provides deeper insights into real-world problems. [1] Instead of collecting numerical data points or intervening or introducing treatments just like in quantitative research, qualitative research helps generate hypothenar to further investigate and understand quantitative data. Qualitative research gathers participants' experiences, perceptions, and behavior. It answers the hows and whys instead of how many or how much. It could be structured as a standalone study, purely relying on qualitative data, or part of mixed-methods research that combines qualitative and quantitative data. This review introduces the readers to some basic concepts, definitions, terminology, and applications of qualitative research.

Qualitative research, at its core, asks open-ended questions whose answers are not easily put into numbers, such as "how" and "why." [2] Due to the open-ended nature of the research questions, qualitative research design is often not linear like quantitative design. [2] One of the strengths of qualitative research is its ability to explain processes and patterns of human behavior that can be difficult to quantify. [3] Phenomena such as experiences, attitudes, and behaviors can be complex to capture accurately and quantitatively. In contrast, a qualitative approach allows participants themselves to explain how, why, or what they were thinking, feeling, and experiencing at a particular time or during an event of interest. Quantifying qualitative data certainly is possible, but at its core, qualitative data is looking for themes and patterns that can be difficult to quantify, and it is essential to ensure that the context and narrative of qualitative work are not lost by trying to quantify something that is not meant to be quantified.

However, while qualitative research is sometimes placed in opposition to quantitative research, where they are necessarily opposites and therefore "compete" against each other and the philosophical paradigms associated with each other, qualitative and quantitative work are neither necessarily opposites, nor are they incompatible. [4] While qualitative and quantitative approaches are different, they are not necessarily opposites and certainly not mutually exclusive. For instance, qualitative research can help expand and deepen understanding of data or results obtained from quantitative analysis. For example, say a quantitative analysis has determined a correlation between length of stay and level of patient satisfaction, but why does this correlation exist? This dual-focus scenario shows one way in which qualitative and quantitative research could be integrated.

Qualitative Research Approaches

Ethnography

Ethnography as a research design originates in social and cultural anthropology and involves the researcher being directly immersed in the participant’s environment. [2] Through this immersion, the ethnographer can use a variety of data collection techniques to produce a comprehensive account of the social phenomena that occurred during the research period. [2] That is to say, the researcher’s aim with ethnography is to immerse themselves into the research population and come out of it with accounts of actions, behaviors, events, etc, through the eyes of someone involved in the population. Direct involvement of the researcher with the target population is one benefit of ethnographic research because it can then be possible to find data that is otherwise very difficult to extract and record.

Grounded theory

Grounded Theory is the "generation of a theoretical model through the experience of observing a study population and developing a comparative analysis of their speech and behavior." [5] Unlike quantitative research, which is deductive and tests or verifies an existing theory, grounded theory research is inductive and, therefore, lends itself to research aimed at social interactions or experiences. [3] [2] In essence, Grounded Theory’s goal is to explain how and why an event occurs or how and why people might behave a certain way. Through observing the population, a researcher using the Grounded Theory approach can then develop a theory to explain the phenomena of interest.

Phenomenology

Phenomenology is the "study of the meaning of phenomena or the study of the particular.” [5] At first glance, it might seem that Grounded Theory and Phenomenology are pretty similar, but the differences can be seen upon careful examination. At its core, phenomenology looks to investigate experiences from the individual's perspective. [2] Phenomenology is essentially looking into the "lived experiences" of the participants and aims to examine how and why participants behaved a certain way from their perspective. Herein lies one of the main differences between Grounded Theory and Phenomenology. Grounded Theory aims to develop a theory for social phenomena through an examination of various data sources. In contrast, Phenomenology focuses on describing and explaining an event or phenomenon from the perspective of those who have experienced it.

Narrative research

One of qualitative research’s strengths lies in its ability to tell a story, often from the perspective of those directly involved in it. Reporting on qualitative research involves including details and descriptions of the setting involved and quotes from participants. This detail is called a "thick" or "rich" description and is a strength of qualitative research. Narrative research is rife with the possibilities of "thick" description as this approach weaves together a sequence of events, usually from just one or two individuals, hoping to create a cohesive story or narrative. [2] While it might seem like a waste of time to focus on such a specific, individual level, understanding one or two people’s narratives for an event or phenomenon can help to inform researchers about the influences that helped shape that narrative. The tension or conflict of differing narratives can be "opportunities for innovation." [2]

Research Paradigm

Research paradigms are the assumptions, norms, and standards underpinning different research approaches. Essentially, research paradigms are the "worldviews" that inform research. [4] It is valuable for qualitative and quantitative researchers to understand what paradigm they are working within because understanding the theoretical basis of research paradigms allows researchers to understand the strengths and weaknesses of the approach being used and adjust accordingly. Different paradigms have different ontologies and epistemologies. Ontology is defined as the "assumptions about the nature of reality,” whereas epistemology is defined as the "assumptions about the nature of knowledge" that inform researchers' work. [2] It is essential to understand the ontological and epistemological foundations of the research paradigm researchers are working within to allow for a complete understanding of the approach being used and the assumptions that underpin the approach as a whole. Further, researchers must understand their own ontological and epistemological assumptions about the world in general because their assumptions about the world will necessarily impact how they interact with research. A discussion of the research paradigm is not complete without describing positivist, postpositivist, and constructivist philosophies.

Positivist versus postpositivist

To further understand qualitative research, we must discuss positivist and postpositivist frameworks. Positivism is a philosophy that the scientific method can and should be applied to social and natural sciences. [4] Essentially, positivist thinking insists that the social sciences should use natural science methods in their research. It stems from positivist ontology, that there is an objective reality that exists that is wholly independent of our perception of the world as individuals. Quantitative research is rooted in positivist philosophy, which can be seen in the value it places on concepts such as causality, generalizability, and replicability.

Conversely, postpositivists argue that social reality can never be one hundred percent explained, but could be approximated. [4] Indeed, qualitative researchers have been insisting that there are “fundamental limits to the extent to which the methods and procedures of the natural sciences could be applied to the social world,” and therefore, postpositivist philosophy is often associated with qualitative research. [4] An example of positivist versus postpositivist values in research might be that positivist philosophies value hypothesis-testing, whereas postpositivist philosophies value the ability to formulate a substantive theory.

Constructivist

Constructivism is a subcategory of postpositivism. Most researchers invested in postpositivist research are also constructivist, meaning they think there is no objective external reality that exists but instead that reality is constructed. Constructivism is a theoretical lens that emphasizes the dynamic nature of our world. "Constructivism contends that individuals' views are directly influenced by their experiences, and it is these individual experiences and views that shape their perspective of reality.” [6]  constructivist thought focuses on how "reality" is not a fixed certainty and how experiences, interactions, and backgrounds give people a unique view of the world. Constructivism contends, unlike positivist views, that there is not necessarily an "objective"reality we all experience. This is the ‘relativist’ ontological view that reality and our world are dynamic and socially constructed. Therefore, qualitative scientific knowledge can be inductive as well as deductive.” [4]

So why is it important to understand the differences in assumptions that different philosophies and approaches to research have? Fundamentally, the assumptions underpinning the research tools a researcher selects provide an overall base for the assumptions the rest of the research will have. It can even change the role of the researchers. [2] For example, is the researcher an "objective" observer, such as in positivist quantitative work? Or is the researcher an active participant in the research, as in postpositivist qualitative work? Understanding the philosophical base of the study undertaken allows researchers to fully understand the implications of their work and their role within the research and reflect on their positionality and bias as it pertains to the research they are conducting.

Data Sampling 

The better the sample represents the intended study population, the more likely the researcher is to encompass the varying factors. The following are examples of participant sampling and selection: [7]

• Purposive sampling- selection based on the researcher’s rationale for being the most informative.
• Criterion sampling selection based on pre-identified factors.
• Convenience sampling- selection based on availability.
• Snowball sampling- the selection is by referral from other participants or people who know potential participants.
• Extreme case sampling- targeted selection of rare cases.
• Typical case sampling selection based on regular or average participants. 

Data Collection and Analysis

Qualitative research uses several techniques, including interviews, focus groups, and observation. [1] [2] [3] Interviews may be unstructured, with open-ended questions on a topic, and the interviewer adapts to the responses. Structured interviews have a predetermined number of questions that every participant is asked. It is usually one-on-one and appropriate for sensitive topics or topics needing an in-depth exploration. Focus groups are often held with 8-12 target participants and are used when group dynamics and collective views on a topic are desired. Researchers can be participant-observers to share the experiences of the subject or non-participants or detached observers.

While quantitative research design prescribes a controlled environment for data collection, qualitative data collection may be in a central location or the participants' environment, depending on the study goals and design. Qualitative research could amount to a large amount of data. Data is transcribed, which may then be coded manually or using computer-assisted qualitative data analysis software or CAQDAS such as ATLAS.ti or NVivo. [8] [9] [10]

After the coding process, qualitative research results could be in various formats. It could be a synthesis and interpretation presented with excerpts from the data. [11] Results could also be in the form of themes and theory or model development.

Dissemination

The healthcare team can use two reporting standards to standardize and facilitate the dissemination of qualitative research outcomes. The Consolidated Criteria for Reporting Qualitative Research or COREQ is a 32-item checklist for interviews and focus groups. [12] The Standards for Reporting Qualitative Research (SRQR) is a checklist covering a more comprehensive range of qualitative research. [13]

Applications

Many times, a research question will start with qualitative research. The qualitative research will help generate the research hypothesis, which can be tested with quantitative methods. After the data is collected and analyzed with quantitative methods, a set of qualitative methods can be used to dive deeper into the data to better understand what the numbers truly mean and their implications. The qualitative techniques can then help clarify the quantitative data and also help refine the hypothesis for future research. Furthermore, with qualitative research, researchers can explore poorly studied subjects with quantitative methods. These include opinions, individual actions, and social science research.

An excellent qualitative study design starts with a goal or objective. This should be clearly defined or stated. The target population needs to be specified. A method for obtaining information from the study population must be carefully detailed to ensure no omissions of part of the target population. A proper collection method should be selected that will help obtain the desired information without overly limiting the collected data because, often, the information sought is not well categorized or obtained. Finally, the design should ensure adequate methods for analyzing the data. An example may help better clarify some of the various aspects of qualitative research.

A researcher wants to decrease the number of teenagers who smoke in their community. The researcher could begin by asking current teen smokers why they started smoking through structured or unstructured interviews (qualitative research). The researcher can also get together a group of current teenage smokers and conduct a focus group to help brainstorm factors that may have prevented them from starting to smoke (qualitative research).

In this example, the researcher has used qualitative research methods (interviews and focus groups) to generate a list of ideas of why teens start to smoke and factors that may have prevented them from starting to smoke. Next, the researcher compiles this data. The research found that, hypothetically, peer pressure, health issues, cost, being considered "cool," and rebellious behavior all might increase or decrease the likelihood of teens starting to smoke.

The researcher creates a survey asking teen participants to rank how important each of the above factors is in either starting smoking (for current smokers) or not smoking (for current nonsmokers). This survey provides specific numbers (ranked importance of each factor) and is thus a quantitative research tool.

The researcher can use the survey results to focus efforts on the one or two highest-ranked factors. Let us say the researcher found that health was the primary factor that keeps teens from starting to smoke, and peer pressure was the primary factor that contributed to teens starting smoking. The researcher can go back to qualitative research methods to dive deeper into these for more information. The researcher wants to focus on keeping teens from starting to smoke, so they focus on the peer pressure aspect.

The researcher can conduct interviews and focus groups (qualitative research) about what types and forms of peer pressure are commonly encountered, where the peer pressure comes from, and where smoking starts. The researcher hypothetically finds that peer pressure often occurs after school at the local teen hangouts, mostly in the local park. The researcher also hypothetically finds that peer pressure comes from older, current smokers who provide the cigarettes.

The researcher could further explore this observation made at the local teen hangouts (qualitative research) and take notes regarding who is smoking, who is not, and what observable factors are at play for peer pressure to smoke. The researcher finds a local park where many local teenagers hang out and sees that the smokers tend to hang out in a shady, overgrown area of the park. The researcher notes that smoking teenagers buy their cigarettes from a local convenience store adjacent to the park, where the clerk does not check identification before selling cigarettes. These observations fall under qualitative research.

If the researcher returns to the park and counts how many individuals smoke in each region, this numerical data would be quantitative research. Based on the researcher's efforts thus far, they conclude that local teen smoking and teenagers who start to smoke may decrease if there are fewer overgrown areas of the park and the local convenience store does not sell cigarettes to underage individuals.

The researcher could try to have the parks department reassess the shady areas to make them less conducive to smokers or identify how to limit the sales of cigarettes to underage individuals by the convenience store. The researcher would then cycle back to qualitative methods of asking at-risk populations their perceptions of the changes and what factors are still at play, and quantitative research that includes teen smoking rates in the community and the incidence of new teen smokers, among others. [14] [15]

Qualitative research functions as a standalone research design or combined with quantitative research to enhance our understanding of the world. Qualitative research uses techniques including structured and unstructured interviews, focus groups, and participant observation not only to help generate hypotheses that can be more rigorously tested with quantitative research but also to help researchers delve deeper into the quantitative research numbers, understand what they mean, and understand what the implications are. Qualitative research allows researchers to understand what is going on, especially when things are not easily categorized. [16]

• Issues of Concern

As discussed in the sections above, quantitative and qualitative work differ in many ways, including the evaluation criteria. There are four well-established criteria for evaluating quantitative data: internal validity, external validity, reliability, and objectivity. Credibility, transferability, dependability, and confirmability are the correlating concepts in qualitative research. [4] [11] The corresponding quantitative and qualitative concepts can be seen below, with the quantitative concept on the left and the qualitative concept on the right:

• Internal validity: Credibility
• External validity: Transferability
• Reliability: Dependability
• Objectivity: Confirmability

In conducting qualitative research, ensuring these concepts are satisfied and well thought out can mitigate potential issues from arising. For example, just as a researcher will ensure that their quantitative study is internally valid, qualitative researchers should ensure that their work has credibility. 

Indicators such as triangulation and peer examination can help evaluate the credibility of qualitative work.

• Triangulation: Triangulation involves using multiple data collection methods to increase the likelihood of getting a reliable and accurate result. In our above magic example, the result would be more reliable if we interviewed the magician, backstage hand, and the person who "vanished." In qualitative research, triangulation can include telephone surveys, in-person surveys, focus groups, and interviews and surveying an adequate cross-section of the target demographic.
• Peer examination: A peer can review results to ensure the data is consistent with the findings.

A "thick" or "rich" description can be used to evaluate the transferability of qualitative research, whereas an indicator such as an audit trail might help evaluate the dependability and confirmability.

• Thick or rich description:  This is a detailed and thorough description of details, the setting, and quotes from participants in the research. [5] Thick descriptions will include a detailed explanation of how the study was conducted. Thick descriptions are detailed enough to allow readers to draw conclusions and interpret the data, which can help with transferability and replicability.
• Audit trail: An audit trail provides a documented set of steps of how the participants were selected and the data was collected. The original information records should also be kept (eg, surveys, notes, recordings).

One issue of concern that qualitative researchers should consider is observation bias. Here are a few examples:

• Hawthorne effect: The effect is the change in participant behavior when they know they are being observed. Suppose a researcher wanted to identify factors that contribute to employee theft and tell the employees they will watch them to see what factors affect employee theft. In that case, one would suspect employee behavior would change when they know they are being protected.
• Observer-expectancy effect: Some participants change their behavior or responses to satisfy the researcher's desired effect. This happens unconsciously for the participant, so it is essential to eliminate or limit the transmission of the researcher's views.
• Artificial scenario effect: Some qualitative research occurs in contrived scenarios with preset goals. In such situations, the information may not be accurate because of the artificial nature of the scenario. The preset goals may limit the qualitative information obtained.
• Clinical Significance

Qualitative or quantitative research helps healthcare providers understand patients and the impact and challenges of the care they deliver. Qualitative research provides an opportunity to generate and refine hypotheses and delve deeper into the data generated by quantitative research. Qualitative research is not an island apart from quantitative research but an integral part of research methods to understand the world around us. [17]

• Enhancing Healthcare Team Outcomes

Qualitative research is essential for all healthcare team members as all are affected by qualitative research. Qualitative research may help develop a theory or a model for health research that can be further explored by quantitative research. Much of the qualitative research data acquisition is completed by numerous team members, including social workers, scientists, nurses, etc. Within each area of the medical field, there is copious ongoing qualitative research, including physician-patient interactions, nursing-patient interactions, patient-environment interactions, healthcare team function, patient information delivery, etc. 

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Disclosure: Steven Tenny declares no relevant financial relationships with ineligible companies.

Disclosure: Janelle Brannan declares no relevant financial relationships with ineligible companies.

Disclosure: Grace Brannan declares no relevant financial relationships with ineligible companies.

This book is distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) ( http://creativecommons.org/licenses/by-nc-nd/4.0/ ), which permits others to distribute the work, provided that the article is not altered or used commercially. You are not required to obtain permission to distribute this article, provided that you credit the author and journal.

• Cite this Page Tenny S, Brannan JM, Brannan GD. Qualitative Study. [Updated 2022 Sep 18]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-.

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Home » Exploratory Research – Types, Methods and Examples

Exploratory Research – Types, Methods and Examples

Table of Contents

Exploratory Research

Definition:

Exploratory research is a type of research design that is used to investigate a research question when the researcher has limited knowledge or understanding of the topic or phenomenon under study.

The primary objective of exploratory research is to gain insights and gather preliminary information that can help the researcher better define the research problem and develop hypotheses or research questions for further investigation.

Exploratory Research Methods

There are several types of exploratory research, including:

Literature Review

This involves conducting a comprehensive review of existing published research, scholarly articles, and other relevant literature on the research topic or problem. It helps to identify the gaps in the existing knowledge and to develop new research questions or hypotheses.

Pilot Study

A pilot study is a small-scale preliminary study that helps the researcher to test research procedures, instruments, and data collection methods. This type of research can be useful in identifying any potential problems or issues with the research design and refining the research procedures for a larger-scale study.

This involves an in-depth analysis of a particular case or situation to gain insights into the underlying causes, processes, and dynamics of the issue under investigation. It can be used to develop a more comprehensive understanding of a complex problem, and to identify potential research questions or hypotheses.

Focus Groups

Focus groups involve a group discussion that is conducted to gather opinions, attitudes, and perceptions from a small group of individuals about a particular topic. This type of research can be useful in exploring the range of opinions and attitudes towards a topic, identifying common themes or patterns, and generating ideas for further research.

Expert Opinion

This involves consulting with experts or professionals in the field to gain their insights, expertise, and opinions on the research topic. This type of research can be useful in identifying the key issues and concerns related to the topic, and in generating ideas for further research.

Observational Research

Observational research involves gathering data by observing people, events, or phenomena in their natural settings to gain insights into behavior and interactions. This type of research can be useful in identifying patterns of behavior and interactions, and in generating hypotheses or research questions for further investigation.

Open-ended Surveys

Open-ended surveys allow respondents to provide detailed and unrestricted responses to questions, providing valuable insights into their attitudes, opinions, and perceptions. This type of research can be useful in identifying common themes or patterns, and in generating ideas for further research.

Data Analysis Methods

Exploratory Research Data Analysis Methods are as follows:

Content Analysis

This method involves analyzing text or other forms of data to identify common themes, patterns, and trends. It can be useful in identifying patterns in the data and developing hypotheses or research questions. For example, if the researcher is analyzing social media posts related to a particular topic, content analysis can help identify the most frequently used words, hashtags, and topics.

Thematic Analysis

This method involves identifying and analyzing patterns or themes in qualitative data such as interviews or focus groups. The researcher identifies recurring themes or patterns in the data and then categorizes them into different themes. This can be helpful in identifying common patterns or themes in the data and developing hypotheses or research questions. For example, a thematic analysis of interviews with healthcare professionals about patient care may identify themes related to communication, patient satisfaction, and quality of care.

Cluster Analysis

This method involves grouping data points into clusters based on their similarities or differences. It can be useful in identifying patterns in large datasets and grouping similar data points together. For example, if the researcher is analyzing customer data to identify different customer segments, cluster analysis can be used to group similar customers together based on their demographic, purchasing behavior, or preferences.

Network Analysis

This method involves analyzing the relationships and connections between data points. It can be useful in identifying patterns in complex datasets with many interrelated variables. For example, if the researcher is analyzing social network data, network analysis can help identify the most influential users and their connections to other users.

Grounded Theory

This method involves developing a theory or explanation based on the data collected during the exploratory research process. The researcher develops a theory or explanation that is grounded in the data, rather than relying on pre-existing theories or assumptions. This can be helpful in developing new theories or explanations that are supported by the data.

Applications of Exploratory Research

Exploratory research has many practical applications across various fields. Here are a few examples:

• Marketing Research : In marketing research, exploratory research can be used to identify consumer needs, preferences, and behavior. It can also help businesses understand market trends and identify new market opportunities.
• Product Development: In product development, exploratory research can be used to identify customer needs and preferences, as well as potential design flaws or issues. This can help companies improve their product offerings and develop new products that better meet customer needs.
• Social Science Research: In social science research, exploratory research can be used to identify new areas of study, as well as develop new theories and hypotheses. It can also be used to identify potential research methods and approaches.
• Healthcare Research : In healthcare research, exploratory research can be used to identify new treatments, therapies, and interventions. It can also be used to identify potential risk factors or causes of health problems.
• Education Research: In education research, exploratory research can be used to identify new teaching methods and approaches, as well as identify potential areas of study for further research. It can also be used to identify potential barriers to learning or achievement.

Examples of Exploratory Research

Here are some more examples of exploratory research from different fields:

• Social Science : A researcher wants to study the experience of being a refugee, but there is limited existing research on this topic. The researcher conducts exploratory research by conducting in-depth interviews with refugees to better understand their experiences, challenges, and needs.
• Healthcare : A medical researcher wants to identify potential risk factors for a rare disease but there is limited information available. The researcher conducts exploratory research by reviewing medical records and interviewing patients and their families to identify potential risk factors.
• Education : A teacher wants to develop a new teaching method to improve student engagement, but there is limited information on effective teaching methods. The teacher conducts exploratory research by reviewing existing literature and interviewing other teachers to identify potential approaches.
• Technology : A software developer wants to develop a new app, but is unsure about the features that users would find most useful. The developer conducts exploratory research by conducting surveys and focus groups to identify user preferences and needs.
• Environmental Science : An environmental scientist wants to study the impact of a new industrial plant on the surrounding environment, but there is limited existing research. The scientist conducts exploratory research by collecting and analyzing soil and water samples, and conducting interviews with residents to better understand the impact of the plant on the environment and the community.

How to Conduct Exploratory Research

Here are the general steps to conduct exploratory research:

• Define the research problem: Identify the research problem or question that you want to explore. Be clear about the objective and scope of the research.
• Review existing literature: Conduct a review of existing literature and research on the topic to identify what is already known and where gaps in knowledge exist.
• Determine the research design : Decide on the appropriate research design, which will depend on the nature of the research problem and the available resources. Common exploratory research designs include case studies, focus groups, interviews, and surveys.
• Collect data: Collect data using the chosen research design. This may involve conducting interviews, surveys, or observations, or collecting data from existing sources such as archives or databases.
• Analyze data: Analyze the data collected using appropriate qualitative or quantitative techniques. This may include coding and categorizing qualitative data, or running descriptive statistics on quantitative data.
• I nterpret and report findings: Interpret the findings of the analysis and report them in a way that is clear and understandable. The report should summarize the findings, discuss their implications, and make recommendations for further research or action.
• Iterate : If necessary, refine the research question and repeat the process of data collection and analysis to further explore the topic.

When to use Exploratory Research

Exploratory research is appropriate in situations where there is limited existing knowledge or understanding of a topic, and where the goal is to generate insights and ideas that can guide further research. Here are some specific situations where exploratory research may be particularly useful:

• New product development: When developing a new product, exploratory research can be used to identify consumer needs and preferences, as well as potential design flaws or issues.
• Emerging technologies: When exploring emerging technologies, exploratory research can be used to identify potential uses and applications, as well as potential challenges or limitations.
• Developing research hypotheses: When developing research hypotheses, exploratory research can be used to identify potential relationships or patterns that can be further explored through more rigorous research methods.
• Understanding complex phenomena: When trying to understand complex phenomena, such as human behavior or societal trends, exploratory research can be used to identify underlying patterns or factors that may be influencing the phenomenon.
• Developing research methods : When developing new research methods, exploratory research can be used to identify potential issues or limitations with existing methods, and to develop new methods that better capture the phenomena of interest.

Purpose of Exploratory Research

The purpose of exploratory research is to gain insights and understanding of a research problem or question where there is limited existing knowledge or understanding. The objective is to explore and generate ideas that can guide further research, rather than to test specific hypotheses or make definitive conclusions.

Exploratory research can be used to:

• Identify new research questions: Exploratory research can help to identify new research questions and areas of inquiry, by providing initial insights and understanding of a topic.
• Develop hypotheses: Exploratory research can help to develop hypotheses and testable propositions that can be further explored through more rigorous research methods.
• Identify patterns and trends : Exploratory research can help to identify patterns and trends in data, which can be used to guide further research or decision-making.
• Understand complex phenomena: Exploratory research can help to provide a deeper understanding of complex phenomena, such as human behavior or societal trends, by identifying underlying patterns or factors that may be influencing the phenomena.
• Generate ideas: Exploratory research can help to generate new ideas and insights that can be used to guide further research, innovation, or decision-making.

Characteristics of Exploratory Research

The following are the main characteristics of exploratory research:

• Flexible and open-ended : Exploratory research is characterized by its flexible and open-ended nature, which allows researchers to explore a wide range of ideas and perspectives without being constrained by specific research questions or hypotheses.
• Qualitative in nature : Exploratory research typically relies on qualitative methods, such as in-depth interviews, focus groups, or observation, to gather rich and detailed data on the research problem.
• Limited scope: Exploratory research is generally limited in scope, focusing on a specific research problem or question, rather than attempting to provide a comprehensive analysis of a broader phenomenon.
• Preliminary in nature : Exploratory research is preliminary in nature, providing initial insights and understanding of a research problem, rather than testing specific hypotheses or making definitive conclusions.
• I terative process : Exploratory research is often an iterative process, where the research design and methods may be refined and adjusted as new insights and understanding are gained.
• I nductive approach : Exploratory research typically takes an inductive approach to data analysis, seeking to identify patterns and relationships in the data that can guide further research or hypothesis development.

Advantages of Exploratory Research

The following are some advantages of exploratory research:

• Provides initial insights: Exploratory research is useful for providing initial insights and understanding of a research problem or question where there is limited existing knowledge or understanding. It can help to identify patterns, relationships, and potential hypotheses that can guide further research.
• Flexible and adaptable : Exploratory research is flexible and adaptable, allowing researchers to adjust their methods and approach as they gain new insights and understanding of the research problem.
• Qualitative methods : Exploratory research typically relies on qualitative methods, such as in-depth interviews, focus groups, and observation, which can provide rich and detailed data that is useful for gaining insights into complex phenomena.
• Cost-effective : Exploratory research is often less costly than other research methods, such as large-scale surveys or experiments. It is typically conducted on a smaller scale, using fewer resources and participants.
• Useful for hypothesis generation : Exploratory research can be useful for generating hypotheses and testable propositions that can be further explored through more rigorous research methods.
• Provides a foundation for further research: Exploratory research can provide a foundation for further research by identifying potential research questions and areas of inquiry, as well as providing initial insights and understanding of the research problem.

Limitations of Exploratory Research

The following are some limitations of exploratory research:

• Limited generalizability: Exploratory research is typically conducted on a small scale and uses non-random sampling techniques, which limits the generalizability of the findings to a broader population.
• Subjective nature: Exploratory research relies on qualitative methods and is therefore subject to researcher bias and interpretation. The findings may be influenced by the researcher’s own perceptions, beliefs, and assumptions.
• Lack of rigor: Exploratory research is often less rigorous than other research methods, such as experimental research, which can limit the validity and reliability of the findings.
• Limited ability to test hypotheses: Exploratory research is not designed to test specific hypotheses, but rather to generate initial insights and understanding of a research problem. It may not be suitable for testing well-defined research questions or hypotheses.
• Time-consuming : Exploratory research can be time-consuming and resource-intensive, particularly if the researcher needs to gather data from multiple sources or conduct multiple rounds of data collection.
• Difficulty in interpretation: The open-ended nature of exploratory research can make it difficult to interpret the findings, particularly if the researcher is unable to identify clear patterns or relationships in the data.

About the author

Muhammad Hassan

Researcher, Academic Writer, Web developer

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• Open access
• Published: 01 July 2024

Parents’ experiences of family and daily life after their child’s stay in the pediatric intensive care unit: a qualitative descriptive study

• Sandra Stalder   ORCID: orcid.org/0000-0003-2333-1710 1 ,
• Daniela Händler-Schuster   ORCID: orcid.org/0000-0002-6638-4890 1 , 2 , 3 &
• Franzisca Domeisen Benedetti   ORCID: orcid.org/0000-0002-5149-0666 1  

BMC Pediatrics volume  24 , Article number:  421 ( 2024 ) Cite this article

Metrics details

Introduction

The stay of a critically ill child in a pediatric intensive care unit (PICU) is a significant experience for the family. Thus far, little is known regarding the impact of this stay on parents and their healthy children for whom no continuous aftercare services are offered. This study aimed to capture the post-stay experience and needs of parents after this traumatic event so that they could return to family and everyday life.

This qualitative descriptive study was conducted in collaboration with four pediatric intensive care units in Switzerland. It included parents whose children had fully recovered after a stay and who did not require continuous medical follow-up. All children were hospitalized in the PICU for at least 48 h. Data were collected through narrative pairs ( n  = 6) and individual interviews ( n  = 8). Interviews were audio recorded, transcribed, coded inductively according to Saldaña, and analyzed.

The results showed three related phases that influence each other to restore normality in daily life: Trust and inclusion in the treatment process during the stay (1), processing after the stay (2), and returning to everyday life (3).

Follow-up meetings should be available to all parents whose children have been hospitalized in the PICU. In particular, it should also be available to parents whose children have fully recovered and no longer have any medical disabilities.

Peer Review reports

Medical and technological advances in pediatric intensive care have increased the survival rate of seriously ill children [ 1 ]. A child is critically ill when life is threatened through the dysfunction of one or more organs, such as the heart, lungs, or brain, due to disease or accident, and treatment in a pediatric intensive care unit (PICU) is necessary [ 2 ]. In the USA, approximately 230,000 critically ill children are treated in a PICU annually [ 3 ]. According to the minimum data set of the Swiss Society of Intensive Care Medicine (MDSi), 5034 children aged 0 (37 completed weeks of pregnancy) to 16 years were admitted to a PICU in Switzerland in 2020. For parents, their critically ill child staying in a PICU can be a significant and traumatic experience [ 4 ]. Often, upon admission to the PICU without any preparation, the rapid change in the family situation must be accepted, and everyday family life must be reorganized [ 5 ]. Fear, insecurity, worry, uncertainty, sadness, helplessness, anger, powerlessness, and feelings of guilt are challenging for parents of critically ill children [ 6 ]. Parents are suddenly confronted with a loss of control over their parental role [ 7 ]. Of parents, 84% exhibit symptoms of acute stress disorder (ASD) after their child is admitted to a PICU [ 3 ]. From this, according to Nelson et al. [ 3 ], 10–21% of parents develop post-traumatic stress disorder (PTSD). These symptoms are triggered by increased psychological, physical, and emotional stress levels [ 8 ]. The measured stress level of parents [ 9 ] at admission and during their child’s PICU stay is high, and parental stress is even higher after the PICU stay [ 10 ]. Furthermore, critically ill children may develop post-intensive care syndrome (PICS-P) after a long intensive care stay [ 1 ]. According to Ekim [ 1 ] and Essens et al. [ 11 ], critical illness can result in cognitive, psychological, and physical deterioration in children. These symptoms often manifest long after hospital discharge. Both these factors have long-term consequences for the family and represent an increased burden on daily and family life. Currently, international focus on the long-term consequences of PICU stay for children and parents is minimal [ 5 ]. However, when children die in a PICU in Switzerland, parents receive an invitation from their respective institution for a follow-up discussion. Such discussions provided them with lasting support during the process of coping and grieving [ 12 , 13 ]. For parents of children who have been cured or are on the road to recovery, no offer is provided in the form of a follow-up meeting in Switzerland. In particular, parents with children who cannot automatically be assigned to a follow-up care service owing to their illness fall into the care gap. After discharge from the PICU, the parents were positive regarding the possibility of being invited for a follow-up appointment. However, some parents did not want to take advantage of this offer [ 14 ]. Among the most traumatized parents, such interventions have been shown to reduce long-term distress [ 15 ]. In an adult intensive care setting, a follow-up meeting showed significant benefits for patients and their families in terms of reducing PTSD and ASD [ 16 ]. It helps patients and their families to better understand and process the time spent in the new PICUs. Aftercare services also have the potential for further development in other countries in Europe and worldwide. Little emphasis has been placed on debriefing in aftercare settings [ 17 ], although debriefing for parents and children is necessary [ 18 ]. Memory and long-term consequences manifest themselves in parents even 2 years after such a critical event [ 19 ]. In this process, the increased experience of stress affects daily and family life through powerlessness, fear of loss, and coping with lingering trauma [ 18 ]. Therefore, offering targeted interventions to families with children who do not receive aftercare services is necessary [ 20 ]. Research conducted to date has focused on parents and children participating in ongoing aftercare services following a stay in the PICU for acquired or chronic conditions [ 18 ]. Little is known about the traumatic experiences of those parents whose child has been treated in a PICU for a health-related life-threatening illness and has made a full and permanent recovery. This study aimed to investigate how parents experienced the period following their critically ill child’s stay in an intensive care unit and the impact of traumatic events on the family and daily lives of children who have fully recovered and no longer have any disabilities.

The experiences of parents after their child’s stay in a PICU who did not participate in any care program are examined using the qualitative, descriptive method [ 21 , 22 ]. This qualitative descriptive study exploratively oriented to generate data that describe the effects of traumatic experiences from affected parents’ subjective perspective on family and everyday life [ 23 ]. This study design is particularly suitable for answering the research question, to stay close to and describe participants’ experiences, so that certain patterns and characteristics of parents’ individual lifeworld can be collected, described, and interpreted.

Setting/population

Parents whose children were critically ill and hospitalized in one of four out of eight PICUs in Switzerland were recruited for the study. Parents whose child therapy in the PICU was unavoidable due to the illness were included. Children had to be fully recovered, not embedded in continuous follow-up care after their stay and showed no further chronic disease progression. Owing to the emotional impact on the parents and considering the arrival in the family routine, the time since discharge should be at least 2 months. Parents whose children died during their stay were not included in the study. Similarly, the parents must speak and understand German.

The study excluded parents whose children were younger than 37 weeks of gestation and older than 16 years old at the time of their stay. Especially children younger than 37 weeks of gestation and their parents have different needs in a postnatal follow-up [ 24 ]. The length of stay in the PICU was at least 2 days for all children.

Recruitment and sampling

Eligible parents were recruited in collaboration with four PICUs in Switzerland. After the PICUs agreed to help recruit participants, a contact person at the respective institution wrote to potential parents who could be considered for the research project. The parents were contacted through mail with relevant study information and the contact details of the first author. Subsequently, parents had the opportunity to contact the first author directly to register for participation. Due to a lack of feedback, the study information was disseminated via LinkedIn and a snowball system. This enabled further parents to be recruited. During the first contact, the first author provided detailed information regarding the study project. This was done via mail or telephone. After obtaining verbal consent from the parents, interviews were conducted. To achieve heterogeneity and maximize variation in parents’ lifeworld experiences and descriptions, parents with experience in another country should be included [ 25 ].

Data collection

Interviews were conducted between November 2021 and February 2022 using the narrative method. The interview method is particularly well-suited for qualitative health and social research. It focuses on the narratives of the interviews. Thus, the lifeworld, associated experiences, and events can be explored [ 26 ]. Interviews were conducted using a narrative approach [ 24 , 25 , 26 ]. Prior to the start of the interview, the interviewees signed a consent form stating that they had received the study information and agreed to be interviewed. As a supplement, sociodemographic data, such as the age of parents, family members, length of stay of the child in the PICU, and age of the child, were collected. The interviews were conducted in three phases [ 26 ]. In the introductory phase, open-ended questions are asked to determine the direction of the topic. “ When they think of being in the PICU, what is the first thing that comes to mind?” The main and narrative phases opened up the opportunity for parents to tell their own stories regarding critical events and related experiences after their critically ill child’s stay in a PICU. In doing so, the interviewer noted possible questions during the inquiry phase. The closing phase provided interviewees with the opportunity to explain their concerns, questions, or requests [ 27 , 28 ]. During the interviews, additional field notes, observations, nonverbal communication, and home environments were documented and included in data collection. The interviewees determined the interview location for each case. Paired or individual interviews were conducted based on the parents’ choices. The interviews were digitally recorded, transcribed verbatim into standard language using MAXQDA (2020), and edited. The interview guide was tested during the first interview. Data saturation was evident from the point at which the previous interview provided the same data. The more interviews, the lower the contribution of the subsequent interview [ 29 ]. Personal and health-related data were anonymized so that no inferences could be made regarding the study participants, locations, or events. These data served as background information and supplement for data analysis. Sociodemographic characteristics are presented as totals and means in the results. Data were stored in a secure folder in the Zurich University of Applied Sciences (ZHAW) database.

This study doesn’t fall within the scope of Swiss Human Research Act. A declaration of non-responsibility has been made available (BASEC No. Req-2021-009959). The study participants have signed an informed consent. The research process was based on the Swiss guideline on research involving humans published by Swiss Academy of Medical Sciences (SAMW).

Data analysis

The transcribed interviews were processed and analyzed using the coding method described by Saldaña [ 30 ] based on an exploratory approach using qualitative analysis software (MAXQDA Analytics Pro 2020). For the processing of the data, the researcher applied in vivo [ 31 , 32 ] and initial coding (open code) [ 32 ]. This step included the first cyclic coding [ 30 ]. Subsequently, second cyclic coding was applied. The identified codes (words and sentences) were summarized, compared across cases, and classified into patterns and subcategories. Certain categories are formed from these subcategories [ 23 ].

The study complied with the quality criteria [ 33 ]. The obtained and processed interview data were archived for credibility. The transferability was based on the detailed results. Traceability can be guaranteed at any time because the research process has been continuously documented. The last author constantly reviewed the research process, and individual steps were critically observed and discussed.

A total of 14 interviews were conducted with parents, 14 mothers and six fathers, six of which were couple interviews. In eight interviews, only the mothers participated in each case. Nine interviews occurred in the home environment, three online, and two at the place of work. The interviews lasted between 46 and 97 min. Further information on the sociodemographic data of the study participants is shown in Table  1 . One interview was included as a comparison in the data analysis, although the child was not hospitalized in a PICU in Switzerland (Table  1 ). The experience of having a child with a life-threatening illness was the focus, not the location of the PICU.

The analysis revealed three phases that the parents went through during and in returning to everyday life. Patients experience this process differently depending on the disease occurrence. Each phase contained its own phenomena, was connected to the previous phase, and influenced their returning to everyday life. A certain level of normality is required so that everyday life can be lived as usual. In the first phase of their stay, parents required trust and inclusion in the treatment process. Thus, they can find a way to process in the second phase, as they find in the third phase, and return to familiar everyday life. Familiar procedures and rituals that were in place before their stay in the PICU supported the family back into a new normality of everyday family life.

Process of integration into family and everyday life after a stay in the pediatric intensive care unit

In the treatment process: trust and inclusion during the PICU stay

The shock experience of their child’s admission to the intensive care unit leaves parents in an emotional chaos of fear, helplessness, and uncertainty. The information and communication behavior of the treatment team influenced the parents’ trust as well as their involvement in the treatment process, thus shaping their memories of the stay.

Emotional chaos

Memories of the stay were present in many of the parents. The combination of positive and negative feelings between hope and fear is emotional. Parents felt alone from time to time and liked a person to support them. Most were well cared for in the intensive care unit, while some were over-cared for. They described the treatment team as saviors for their children. Often, parents had no choice but to wait until their child was well. They described their stay as the worst they had experienced. Unpreparedness triggers stress, fear, and uncertainty.

“[…]In principle, if there are different degrees of hardness, for those affected that is irrelevant whether there is even worse! And only because one classifies that medically as harmless, or has a good prognosis, that does not mean automatically for the concerning that they can classify that also exactly the same! " (Father_Interview_11, pos. 123) .

The parents reported that they felt the ICU was like an island. During their stay, they felt massively at the mercy of the situation, were unable to categorize it, and needed the trust and empathy of the treatment team.

“ […] therefore, somehow the first moment when I have been in the intensive care unit or also, when I heard, was for me rather a relief.” (Father_interview_1, pos. 5) .

The fear for their own child was great, and the parents could hardly understand what was happening. Parents of newborn children could not get involved in a big emotional relationship from the beginning because of the fear of losing the child.

The dependence on parents to leave their child in the hands of strangers has led to a loss of control and changed the parental role. Through the involvement of the treatment team, parents were able to better understand and accept the situation. This gave them a positive feeling, and more recovery phases existed. Thinking rationally was often very difficult and parents felt stressed. They were overwhelmed when they had to make decisions regarding their critically ill children. For many parents, everything was very surreal, and the parents were in an emotional state.

“But I also don’t know, it didn’t exactly repel me, but I realized so I’m……. it had been a bit of the overload. I just let it wash over me and thought, I’ll adjust to it. Emotionally neutral, but so in a weird state of limbo.” (Father_Interview_2, pos. 3) .

Moving from the PICU to another unit often created a new situation that made parents more anxious and perceived it as a stress factor. The flow of information took longer, and childcare was no longer continuous. Consequently, parents rarely allowed short breaks. They often did not take time off because they were plagued by guilt regarding leaving their children alone.

“That’s the absolute horror, when you have to leave the little one behind and you can’t even be near quasi.” (Mother_ Interview_7, pos. 6 .

Information and communication

Adequate and continuous information was helpful in facilitating a patient’s stay. Unresolved concerns regarding the course of the disease were burdensome, making it difficult to return home afterward. Parents required the same level of information regarding their child’s disease processes, which did not mean that everything was always understood immediately. The timing of the information delivery is crucial. Parents in the ICU usually feel better informed. Being in the middle of an action than waiting at home is easier.

“For me it was perhaps easier… yes… I sat there, I saw it, it is looked at, although there has been no improvement for a long time, relatively long, because then the doctors have already discussed if it does not really get better, we have to look. I could be there[…]”. (Mother_interview_12, pos. 90)

Parents need a consistent treatment team. With the change in staff, uncertainty increased. Good conversations and small talk were not to be missed. Parents described the nurses as providing important emotional support. Thus, the parents felt that they were part of the entire process. Their opinions were listened to, and some were perceived as a whole-family system. Most parents receive psychological support from their institutions. This offer often came at the wrong time, or they did not feel the offer was necessary. The assignment of guilt by the treatment team burdened parents. Support from family and friends was very helpful to the parents. However, the continuous need for information from family members and friends who described the situation as stressful was burdensome.

In the process of adaption: parents’ experience after the PICU stay

In this phase, processing has to occur and simultaneously accept that everyday life had changed from one moment to the next. It should also be perceived that the child has changed. Simultaneously, the parents experience a familiar environment and should thus regain normality in the familiar everyday life or become used to the new everyday life.

Everyday life

Some parents struggled because everyday life was no longer the same as it used to be. Physical and emotional exhaustion was initially part of everyday life. A period of a state of emergency that resolved at different speeds existed. One mother provided an impressive account:

“Yes, yes we were really pulled out and put back in.” (Mother_interview_8, pos. 111) .

One mother wanted to be at home and do things around the house. This type of stress affects the entire family. Support from the environment helped her considerably. Others enjoyed having no obligations associated with the disease and appreciated being a parent. Involving siblings and allowing them to participate is challenging for some parents. They wanted to do justice for all children and not give preference to those who are sick.

The time after the intensive care admission triggered different emotions in the parents. The difficulty in starting life and being able to take a healthy child home triggered feelings of happiness and gratitude, but also made them reflective and sad.

“[…] my husband had taken the whole thing differently. He found hey so, what have you, she is now there, and she is now healthy and found I . yes…. And at some point I thought, come on, I think I’d rather stay alone with this feeling and say nothing more, because what’s the point?” (Mother_Interview_3, pos. 8) .

Parents then often sought support in the form of alternative healing methods, psychological support, or underwent trauma therapy. Others did not seek help because they did not want or need it. Coping strategies were differentiated based on experience. Photo books were created: one with hospital photos and the other without. Diaries were written to support this coping process.

“ Processing may happen even if it is still current.” (Mother_interview_8, pos. 108) .

After their stay, the parents needed someone to confirm that everything was fine. They had to take action on their own because it was only afterward that many questions arose that could no longer be answered.

“When I then began to realize what had happened, I suddenly had uh many questions. And then it is a bit difficult to ask them. “(Mother_interview_5, pos. 6) .

Moving from the PICU to another unit often created a new situation that made parents more anxious and perceived it as a stress factor. The flow of information took longer, and childcare was no longer continuous. Triggers, such as pictures or music, often cause strong emotions, such as sadness and listlessness, without warning. Parents who had experienced a life crisis were able to apply the coping strategies that they had learned. They experienced the coping process more consciously and sought support. Parents exhibited increased anxiety after the residence, suggesting that something bad might happen to the child again. They worried regarding the effects of medications received in the PICU on the child. They made doctor appointments more quickly when the child had headaches, knee pain, or colds, fearing that it could be something serious again. This also caused emotional stress. Some parents were aware of this; however, they still made appointments for reassurance because they did not want to miss anything. When a phone range or an ambulance drove, uncomfortable feelings arose again. Even a year later, some parents experienced physical symptoms, such as headaches, dizziness, or body tremors. These could not be suppressed. Mothers and fathers often describe a state of exhaustion after their stay when the child was well again. Some parents talked a lot regarding the subject because it helped them in processing, while others simply wanted to stop discussing the subject. Still, others did not have the courage to seek help because they did not have the strength. Taking time off for a vacation was seen as positive by some who considered it a step into a new daily routine. Offers of self-help groups were accepted by some parents for support.

Change in the child

Children reacted differently depending on their age. Newborns were alert and awake and required physical proximity. At this age, the parents experienced their children as being strong willed. Infants who had sleep problems or were afraid of darkness were quick tempered or initially quiet. The children wanted to return to their routines quickly. Adolescents did not want a special status at school. The children coped well with the physical restrictions at the beginning and accepted them, although it often annoyed them to be not allowed to do everything. Panic attacks or headaches were also signs that parents were not previously aware of in their children. Likewise, the question was often whether it was normal for the child to react this way during puberty or it had something to do with the disease.

Back in everyday and family life: the experience of parents

Parents wanted to return to their usual daily and family lives. In the process, it became apparent that they were questioning the meaning of life and the changed parent–child relationship. To find their way back to the new normality, parents could have benefited from an aftercare program at this point.

Meaning in life

The parents described how other values became important in their lives. They spend more time with their families and are more active during their free time. They also had a different view of the world and did not understand people’s discussions regarding trivialities or their emphasis on them. The new PICU stay also revealed new perspectives that would not have had the child undergo this course of illness. Fathers reported that they had become more emotional since their stay, viewed the experience as an opportunity, and embarked on new projects. Parents learned from what they had experienced but at different rates. The event strengthened them as families, brought them closer together, and normalized their lives.

“Yes maybe, it had been the normality too, the normal routines, maybe the school and everything. The normal.“(Mother_Interview_8, pos. 118) .

These relationships have been tested extensively. Many parents reported that they managed their time together well. The major challenge was that everyone felt the crisis was different.

“If someone tells you that the accident has already welded you together- you can’t say that- we have borne this together yes, but it is sometimes not so easy” (Father_Interview_14, pos. 115) .

Parent–child relationship

Parents have since developed closer relationships with their children. The relationship between fathers and sons developed positively. The newborn parents reported special relationships in the form of physical and emotional closeness. Parents play an important role because they can influence their children positively or negatively.

Although the children were doing well again today, many questions did not arise until weeks or months after their stay. Parents reported that they usually did not know where to voice their concerns or ask questions that were often bothersome. They felt the need to discuss their experiences again with the specialists. Particularly regarding the child’s behavior, many questions arose that unsettled them. Clarifying the discussions with experts would have been helpful. Furthermore, family planning was an issue for some parents. As certain issues are not clarified after birth, this decision is not always easy. One pair of parents did not want any more children after birth even though they had not yet completed their family planning.

This study focuses on parents’ experiences after their child has been hospitalized as critically ill in the PICU and may subsequently return to being without continuous medical care. This novel study demonstrated that regardless of the child’s admission diagnosis, severity of the disease and subsequent course of health and illness, comparable phenomena occur in everyday and family life [ 18 ].

The phases that parents underwent differently during and back into family and daily life were interrelated and influenced the physical and emotional well-being of the entire family.

During their stay, building trust and being involved in the treatment process through specific information and adapted communication were important for the parents [ 34 ]. Fear of loss, worry, uncertainty, and helplessness were also prominent among parents whose children were hospitalized in the new PICU for only 2 days [ 17 , 19 , 20 ]. Thus, a diagnosis cannot predict how parents cope with traumatic experiences. Individual needs and experiences of this event shaped parents differently. The treatment team, particularly the nurses, played an important role in accompanying critically ill children and their families regardless of the diagnosis or course of the disease. Most parents had to build up trust and a relationship anew when changing departments and, in doing so, had difficulty adjusting to the changed situation.

Processing after the stay was also experienced differently and characterized by fear, uncertainty, sadness, and physical weakness. Life in the social environment became more difficult when it was not understood why parents felt the way they did. The environment expected carefree and happy parents when their children had fully recovered and had no consequential damage. As a result, parents no longer dared to speak regarding this traumatic event and were thus emotionally weakened. Many parents realized this and when they required help. They sought psychological support or helped themselves with other healing methods such as trauma therapy or homeopathy.

In everyday life, often weeks or months later, parents begin to realize what has happened. At that time, parents ask many questions that they could not answer. At that time, they lack the contact they could have turned to because they were not involved in the aftercare program. An offer of care is warranted for these parents and children, just as it is for children with chronic courses and long stays [ 18 ]. This intensity depends on the needs of the parents. A follow-up can clarify many unanswered questions and uncertainties [ 35 ] and prevent additional doctor visits. The issue of PICS-P is also evident in recovered children. These children also show short- or long-term changes in behavior or are accompanied by physical symptoms such as fatigue, headaches, and insomnia [ 18 ]. Parents usually accept invitations for a debriefing. Having a competent contact person to whom they can turn with questions in a low-threshold manner is important. A short phone call often answers many questions.

Strength and limitations of the study

The strength of this study lies in the recruitment of different PICUs in Switzerland. Comparable and meaningful results have shown that not only the institution but also the experience plays a central role. A limitation of the present study is the difficulty in recruiting the study participants. The reasons for this were the limited possibilities of the first author to make parents aware of this research project during their stay. Parents probably felt the need to not have this experience replayed assuming that the child would accept it. Also, only parents who lived in the German-speaking part of Switzerland were surveyed. Culture could also play a role in a further study, as every culture deals with such emotional stress differently. However, this was not the aim of the research question, but would be an important aspect to take into account for further research. The timing of the interviews after the stay was very different but did not affect the quality of the results. Likewise, no explicit data was collected in the form of the severity of the disease during the stay in the PICU, as the parents were recruited after the stay.

Recommendation for practice and research

This study clearly demonstrated the need for a low-threshold aftercare service following a stay in the intensive care unit. None of the study participants were involved in continuous medical aftercare. The severity of the illness at the time of hospitalization was not decisive, but what a PICU stay triggered in the parents with a healthy child. This shows that a gap exists in care and that aftercare services could contribute to increasing the psychological and physical well-being of parents. In this context, measuring the stress levels of parents and their children is an important factor in offering suitable aftercare services. Furthermore, institutions and healthcare personnel should be made more aware of parents’ needs after their stay in PICUs. The recommendation here is to offer a follow-up meeting for parents as well, where they can decide individually whether they would like to accept an invitation or not, for example.

Parents underwent the same process regardless of their child’s diagnosis or length of stay in the new PICU. Parents whose child was hospitalized in an intensive care unit in another country (South America) went through the same stages. The fear and uncertainty that their child might die was also at the forefront. Parents’ trust and involvement in the treatment process have an impact throughout processing and normal everyday life. The study clearly showed that even parents whose children were in the new PICU for only 2 days suffer equally from long-term psychological distress. Most of the parents and their families recovered well and returned to their normal daily lives. They found ways of processing this experience through self-efficacy. However, this experience will continue to accompany them as a family, each in their own individual way.

Data availability

The datasets generated and analyzed during the current study are not publicly available due to data protection in accordance with Swiss standards. Although participants have consented to the data being processed, the consent does not cover the further use of the data. Moreover, our raw data are in the form of transcribed and anonymized interviews and only available in German.

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Acknowledgements

Special thanks go to all the parents who were willing to share their valuable stories. We would also like to thank all the people who supported us in recruiting my parents.

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Sandra Stalder, Daniela Händler-Schuster & Franzisca Domeisen Benedetti

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S.S. and F.DB. had active contributions to the conception of the study and the design of the paper. S.S. is mainly responsible for development of the interview guide, data collection and analysis. S.S. has drafted the paper, which was critically evaluated by F.DB. and D.HS. All authors approved the final version of the manuscript.

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Correspondence to Franzisca Domeisen Benedetti .

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Stalder, S., Händler-Schuster, D. & Benedetti, F.D. Parents’ experiences of family and daily life after their child’s stay in the pediatric intensive care unit: a qualitative descriptive study. BMC Pediatr 24 , 421 (2024). https://doi.org/10.1186/s12887-024-04883-z

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Received : 24 October 2023

Accepted : 12 June 2024

Published : 01 July 2024

DOI : https://doi.org/10.1186/s12887-024-04883-z

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