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The Case Study Design.
http://www.100md.com 2004年4月19日
     The Case Study Design.

    What is clear from the literature is that clinical decision making is a social activity or action. The qualitative case site research strategy adopted is intended to capture this social action. We set out to capture the cultures, systems, subjectivities and rational-choices that underpin the social nature of clinical decisions (as the context for nurses’ information use).

    Case studies provide the ideal strategic choice when researching issues of social action; especially in organisational settings (Yin, 1994). This suitability of the case study method for examining the ‘decisions associated with complex social action’ is recognised by Schramm (1971):

    ‘The essence of a case study, the central tendency among all types of case study, is that it tries to illuminate a decision or set of decisions: why they were taken, how they were implemented, and with what result.’ Scramm (1971)

    The study focused on three NHS acute hospitals. These are referred to throughout the study as Sites One, Two and Three. Sites were selected on their capacity to offer very different contexts for the use of research information by nurses. Some contextual data on the case sites was required in order that we could adequately explain emergent themes and negative cases (Beisecker, 1988). Further details of the infrastructure and contextual issues pertinent to each site are presented in Chapter 3. Our final conclusions were derived from analysis of data from across the three case sites., http://www.100md.com