Qualitative Data Analysis Software Package Research Articles

Noteworthy Disparities With Four CAQDAS Tools: Explorations in Organising Live Twitter Data

Qualitative data analysis software (QDAS) packages that support live data extraction are a relatively recent innovation. Little has been written concerning the research implications of differences in such QDAS packages’ functionalities, and how such disparities might contribute to contrasting analytical opportunities. Consequently, early-stage researchers may experience difficulties in choosing an apt QDAS for Twitter analysis. In response to both methodological gaps, this paper presents a software comparison across the four QDAS tools that support live Twitter data imports, namely, ATLAS.ti™, NVivo™, MAXQDA™ and QDA Miner™. The authors’ QDAS features checklist for these tools spotlights many differences in their functionalities. These disparities were tested through data imports and thematic coding that was derived from the same queries and codebook. The authors’ resultant QDAS experiences were compared during the first activity of a broad qualitative analysis process, ‘organising data’. Notwithstanding large difference in QDAS pricing, it was surprising how much the tools varied for aspects of qualitative research organisation. Notably, the quantum of data extracted for the same query differed, largely due to contrasts in the types and amount of data that the four QDAS could extract. Variations in how each supported visual organisation also shaped researchers’ opportunities for becoming familiar with Twitter users and their tweet content. Such disparities suggest that choosing a suitable QDAS for organising live Twitter data must dovetail with a researcher’s focus: ATLAS.ti accommodates scholars focused on wrangling unstructured data for personal meaning-making, while MAXQDA suits the mixed-methods researcher. QDA Miner’s easy-to-learn user interface suits a highly efficient implementation of methods, whilst NVivo supports relatively rapid analysis of tweet content. Such findings may help guide Twitter social science researchers and others in QDAS tool selection. Future research can explore disparities in other qualitative research phases, or contrast data extraction routes for a variety of microblogging services.

Auditors' Perceptions toward Challenges and Attitudes of Adopting International Financial Reporting Standards

The objective of this study is to examine auditors' perceptions on the challenges and attitudes toward the implementation of the International Financial Reporting Standards (IFRS). In this study, questionnaires are collected from auditors. The questionnaire is composed of 13 items that are measured using Likert scale. The responses were used to measure participants' perceived challenges and attitudes towards IFRS adoption. The survey ends with two open-ended questions to supplement the quantitative component of the study in providing insights, via participants' voices, into the challenges of IFRS adoption. For the quantitative component, the Statistical Package for Social Sciences (SPSS) has been utilized and a qualitative data analysis software package (NVivo) is used to analyze qualitative data collected from the open-ended questions. Analysis of both quantitative and qualitative data indicates that auditors support the adoption of IFRS. The qualitative component highlighted the importance of training auditors on the implementation of IFRS to ensure effective integration of the accounting standards. Training, knowledge sharing and professional practice are identified as key factors in facilitating effective adoption of IFRS. The findings suggest that adopting IFRS necessitates the development of well-thought-out training programs that consider the implementation process with a local insight.

Using Qualitative Data Analysis Software to Support Digital Research Workflows

While software packages such as NVivo are typically considered useful for qualitative data analysis, in actuality they are powerful and flexible enough to serve as the central component of a robust digital research workflow. Various features of these packages can be used across the entire research process from reviewing the literature to writing up the study’s findings. This article provides an overview of available qualitative data analysis software (QDAS) packages, including how to: use software tactics to enact research design strategies; select an appropriate QDAS package; report the use of software in the research report; and consider implications of QDAS use for human resource development scholars.

The impact of living in an un- or under-furnished house on individuals who transitioned from homelessness.

Very few empirical evaluations have been conducted on the impact of furniture on the lives of those who have transitioned from homelessness into permanent housing, especially within the United States. Our study contributes to this limited body of research by exploring the impact of furniture on the lives of 20 recently housed individuals residing in the Detroit Metropolitan Area. In partnership with the Furniture Bank of Southeast Michigan, we conducted semi‐structured interviews with recently housed individuals that lived for a period of time in an un‐ or under‐furnished house before receiving furniture support. Given the study's exploratory nature, interview questions were purposefully broad to allow themes to naturally emerge and were analyzed using a qualitative data analysis software package, NVivo (release 1.0). We present a conceptual model that outlines our findings and conclude with a discussion of the limitations of our approach, avenues for future research, and policy implications.

Vaccination Attitudes and Experiences of Medical Doctors in Croatia amid the COVID-19 Pandemic: A Social Roles Conflict?

The study aimed to investigate the range of experiences and attitudes of Croatian medical doctors (MDs) related to vaccination and vaccine hesitancy. In January 2021 three asynchronous online focus groups were held using MRQual, a web-based platform, which included 46 MDs from all three levels of the healthcare system in Croatia. NVivo, a qualitative data analysis software package, was used for the thematic analysis of collected data. The participants expressed a high level of support for the Croatian immunization program and vaccines in general. However, some skepticism was expressed regarding new vaccines and the regulatory processes of their approval. A significant number of participants raised concerns over the approval of COVID-19 vaccines, especially given their rapid development. The results also revealed that the process of communication with patients is often based on the very elaborate categorizations of patients based on previous experience, which leads to prioritizing and a communication breakup when dealing with “problematic patients”. MDs find themselves in a delicate situation where a fine balance between time-consuming communication with patients and the demands for maintaining satisfying vaccination uptake is needed. The situation arises from a social roles conflict that is embedded in wider social values and expectations, since communication problems do not arise in the doctor’s office, and therefore cannot be solved without addressing the social forces that cause trust deficiencies. To achieve better immunization results public health leaders need to better understand the social contexts and constraints of MDs vaccine-related behaviors.

Perceptions, Awareness, and Attitudes of Primary Health Care Workers Towards Management of Type-2 Diabetes in Jordan: A Qualitative Study

OBJECTIVE: This study aimed to explore health care workers’ perceptions, awareness and attitudes towards the factors that contribute to poor glycemic control among patients with Type-2 diabetes in Jordan. 
 
 MATERIAL & METHODS: A qualitative study was conducted to seek rich, in-depth data about health care workers’ perceptions and attitudes regarding Type-2 diabetes. Ten semi-structured interviews were conducted with primary health care workers: four nurses, physician, dietitian, pharmacist, lab technician, dentist and receptionist who were recruited using purposive sampling. All interviews were audio recorded, transcribed and uploaded to the qualitative data analysis software package NVivo 12. Thematic analysis was used to analyze the data. 
 
 RESULTS: Four themes were derived from the interview analysis: lack of knowledge of patients regarding diabetes and its management; influence of socio-cultural factors on patients’ diabetes management behaviors included eating pattern and physical activity; challenges related to the health care system including medication insecurity and health insurance policies and challenges related to staff shortages and poor patient-staff communication. 
 
 CONCLUSION: The findings suggest that medical and nursing practice could usefully move away from a task-oriented medical model towards a more holistic approach in diabetes management. Health promotion should be delivered in a wider context to target the population in different age groups to raise awareness of diabetes amongst the general population in Jordan. Nurses’ skills and knowledge could be utilized to rectify patients’ misconceptions and beliefs regarding diabetes treatment.

Teaching outside your area of expertise: an opportunity for professional development

ABSTRACT As professional demands in an increasingly competitive academic environment are growing, professors are often assigned to teach outside their area of expertise. This paper investigates the experience of teaching new courses that are outside a faculty member’s immediate area of expertise. Key questions concern the extent to which faculty members appreciate the opportunity to be content novices and whether they accept to appear as such in front of their students. This paper uses an online qualitative survey of 70 international faculty members from diverse academic disciplines. It also employs the computer-assisted qualitative data analysis software (CAQDAS) package NVivo (Version 12) to conduct a series of qualitative analysis. Our findings suggest a fluctuation in the faculty members’ responses about the importance of mastering the subject matter and the joy of teaching as a content novice. The study finally provides practical suggestions on how to succeed in teaching outside one’s area of expertise.

Drought Influences on Food Insecurity in Africa: A Systematic Literature Review.

African countries continue to be prone to drought, caused mainly by unfavorable weather patterns and climatic variations which have an adverse impact on rural households and agricultural production. This literature review article accounted for the aforesaid drawbacks and attempted to assess the effect of drought on food insecurity in African countries. This article further sought to dissect the resilience and climate change adaptation strategies applied by African countries to mitigate the adverse effects of drought on food insecurity in rural livelihoods. The hermeneutic framework was adopted in this study, where the secondary data sources were searched from credible bibliographic and multidisciplinary databases and organizational websites. Thereafter, it was classified, mapped, and critically assessed using the qualitative data analysis software NVivo to generate patterns and themes. The NVivo program is a qualitative data analysis software package produced by QSR International and which helps qualitative researchers to organize, analyze, and find insights in qualitative data; for example, in journal articles where multilayered analysis on small or large volumes of data are required. This article has the potential to contribute in theory, concept, policy, and practice regarding best practices, resilience, and climate change adaptation strategies that can be harnessed by rural people. Furthermore, this article has the potential to shed light on the role played by traditional leadership and policy improvements in ensuring there is sufficient food during periods of drought.

Qualitative Thematic Analysis of Social Media Data to Assess Perceptions of Route of Administration for Antiretroviral Treatment among People Living with HIV.

BackgroundHIV is a condition that requires lifelong treatment. Treatment options currently consist of oral antiretroviral therapies (ART) taken once or twice daily. Long-acting injectable HIV treatments are currently in development to be administered monthly or every other month. Preferences for route of administration could influence treatment adherence, which could affect treatment outcomes. The purpose of this study was to examine patient perceptions of oral and injectable routes of administration for ART.MethodsQualitative thematic analysis was conducted to examine 5122 online discussion threads by people living with HIV (PLHIV) in the POZ Community Forums from January 2013 to June 2018. Analysis focused on identifying perceptions of oral or injectable routes of administration for ART. Relevant threads were extracted and imported into the qualitative data analysis software package ATLAS.ti.8 so that text could be reviewed and coded.ResultsAnalyses identified 684 relevant discussion threads including 2626 coded quotations from online posts by 568 PLHIV. The oral route of administration was discussed more frequently than injectable (2516 quotations for oral; 110 injectable). Positive statements on the oral route of administration commonly mentioned the small number of pills (276 quotations), dose frequency (245), ease of scheduling (153), and ease of use (146). PLHIV also noted disadvantages of the oral route of administration including negative emotional impact (166), difficulty with medication access (106), scheduling (131), and treatment adherence (121). Among the smaller number of PLHIV discussing injectable ART, common positive comments focused on dose frequency (34), emotional benefits of not taking a daily pill (7), potential benefits for adherence (6), overall convenience (6), and benefits for traveling (6). Some comments from PLHIV perceived the frequency of injections negatively (10), and others had negative perceptions of needles (8) or appointments required to receive injections (7).ConclusionsQualitative analysis revealed that route of administration was frequently discussed among PLHIV on this online forum. While many expressed positive views about their daily oral medication regimen, others perceived inconveniences and challenges. Among PLHIV who were aware of a possible monthly injectable treatment, many viewed this new route of administration as a convenient alternative with potential to improve adherence.

Data Analysis Software in Qualitative Research: Preconceptions, Expectations, and Adoption.

Research shows that more and more qualitative researchers now use computer software for qualitative data analysis. However, concerns, problems, and misunderstandings continue among developers themselves and researchers about its merits, their preconceptions, expectations, and adoption of the technology. This article examines the role of computer-assisted qualitative data analysis software focusing on the methodological issues surrounding program use and identifies the factors that result to unrealistic expectations of the innovation as a methodology in itself. The secondary aim is to help guide both the expert and novice qualitative critical care researchers on their decision making whether to use or not to use computer-assisted qualitative data analysis software in their studies. A brief review of 2 very common and widely used qualitative data analysis software packages will be presented. A section on making good use of supervision and mentorship in conducting a qualitative inquiry is included. Implications for its adoption and to qualitative research as a whole will be discussed.

Real-time data monitoring for ulcerative colitis: patient perception and qualitative analysis.

Background/AimsTrueColours ulcerative colitis (TCUC) is a comprehensive web-based program that functions through email, providing direct links to questionnaires. Several similar programs are available, however patient perspectives are unexplored. MethodsA pilot study was conducted to determine feasibility, usability and patient perceptions of real-time data collection (daily symptoms, fortnightly quality of life, 3 monthly outcomes). TCUC was adapted from a web-based program for patients with relapsing-remitting bipolar disorder, using validated UC indices. A semi-structured interview was developed and audio-recorded face-to-face interviews were conducted after 6 months of interaction with TCUC. Transcripts were coded in NVivo11, a qualitative data analysis software package. An inductive approach and thematic analysis was conducted. ResultsTCUC was piloted in 66 patients for 6 months. Qualitative analysis currently defies statistical appraisal beyond “data saturation,” even if it has more influence on clinical practice than quantitative data. A total of 28 face-to-face interviews were conducted. Six core themes emerged: awareness, control, decision-making, reassurance, communication and burden of treatment. There was a transcending overarching theme of patient empowerment, which cut across all aspects of the TCUC experience. ConclusionsPatient perception of the impact of real-time data collection was extremely positive. Patients felt empowered as a product of the self-monitoring format of TCUC, which may be a way of improving self-management of UC whilst also decreasing the burden on the individual and healthcare services.

Perspectives From COPD Subjects on Portable Long-Term Oxygen Therapy Devices.

Oxygen therapy for patients with COPD and severe hypoxemia requires the use of oxygen delivery devices that allow mobility as needed. However, the characteristics of some devices may limit the freedom of individuals to be as physically active as they desire. Limited mobility may negatively affect the perceived quality of life of individuals with COPD. The aim of this study was to understand perceived limitations that patients with COPD experience in using long-term oxygen therapy (LTOT) devices. We performed a qualitative analysis of 311 responses to an open-ended question from a previously deployed electronic survey designed to investigate how LTOT devices affect oxygen-dependent patients with COPD. Our thematic analysis was facilitated by NVivo, a qualitative data analysis software package. This involved identifying patterns and themes within the robust, text-rich data from the open-ended survey question regarding the survey subjects' experiences with their LTOT devices. Cluster analysis was also performed to highlight relationships between various concepts. Themes generated revealed that subjects experienced decreased mobility, which resulted in feelings of decreased autonomy and isolation. We also found that subjects perceived a decrease in quality of life due to their described experience of portable oxygen cylinders being heavy and cumbersome. Subjects described feelings of fear and anxiety due to insufficient support for breathing provided by pulse-dose portable oxygen concentrators, as well as portable oxygen cylinders that run out before they are able to complete errands and other activities of daily living. Some subjects also reported that they willingly pay for liquid oxygen systems out-of-pocket because of the mobility it affords, which in their perception improves their quality of life. Oxygen-dependent individuals with COPD may be at risk of adverse outcomes associated with decreased mobility encouraged by unsatisfactory physical and technical characteristics of portable oxygen cylinders and concentrators.

Barriers and facilitators of child-feeding practice in a small sample of individuals from Gozamin District, Northwest of Ethiopia: a qualitative study

BackgroundThe first 1000 days is “window of opportunity” for nutrition and vital for physical growth, brain development and the immune system. None of previous studies explored qualitatively child-feeding practices in the developing countries like Ethiopia. The aim of the study was to explore barriers and facilitators of child-feeding practices in Gozamin District, Northwest Ethiopia.MethodsA qualitative study was conducted by using 12 in-depth interviews and 4 Focus Group Discussions (n = 32) from Feb. 15/2016 – March 10/ 2016 in eight Kebeles. Purposive sampling technique was used to recruit the participants. The quality of the research findings was checked by using credibility, dependability, transferability and conformability. Data were analyzed using qualitative data analysis software package Atlas ti-7.ResultsEarly initiation of breast-feeding and complementary feeding, exclusive breast-feeding, minimum meal frequency and minimum dietary diversity were the emerged theme in the study. Breastfeeding up to 2 years and above and timely initiation of a complementary feeding were commonly good practice in the area. Dietary diversity, discarding colostrums, pre-lacteal feeding like butter and bottle-feeding were the commonly harmful practices in the area. The most frequently mentioned barriers of child feeding were socio-cultural influences, traditional community practices, workload and poverty.ConclusionsMost of the children were suffered from harmful child feeding practices such as pre-lacteal feeding, discarding colostrums and bottle-feeding. Child dietary diversity and complementary food preparation were the major problem in the study area. Therefore, supports on complementary food preparation and diversity food should be given more attention to enhance child-feeding practice in rural Ethiopia.

Audiovisual Media Annotation Using Qualitative Data Analysis Software: A Comparative Analysis

The variety of specialized tools designed to facilitate analysis of audio-visual (AV) media are useful not only to media scholars and oral historians but to other researchers as well. Both Qualitative Data Analysis Software (QDAS) packages and dedicated systems created for specific disciplines, such as linguistics, can be used for this purpose. Software proliferation challenges researchers to make informed choices about which package will be most useful for their project. This paper aims to present an information science perspective of the scholarly use of tools in qualitative research of audio-visual sources. It provides a baseline of affordances based on functionalities with the goal of making the types of research tasks that they support more explicit (e.g., transcribing, segmenting, coding, linking, and commenting on data). We look closely at how these functionalities relate to each other, and at how system design influences research tasks.

Stereotypes, Images, and Inclination to Discriminatory Action: The White Racial Frame in the Practice of School Leadership

Background/ContextMost educators have had little if any preparation in racial literacy, the understanding of social identity related to race and the ability to recognize and negotiate racism. In fact, they may view race as irrelevant. Yet teachers and school leaders hold deep-seated racial ideologies that shape their day-to-day practice and have implications for their students’ learning and success This study presents an analysis of school leadership in three, predominantly African-American schools, and the constructions of race, learning, and leadership.PurposeThe authors draw from Feagin's (2010) conceptual framework, the White racial frame (WRF), to analyze school leadership practice and ways in which racial ideologies emerge and shape leaders’ work with teachers. The WRF consists of five dimensions including racial stereotypes, racial narratives and interpretations, racial images and language accents, racialized emotions, and inclinations to discriminatory action.Context and ParticipantsThis study took place in three schools in two urban districts in western Pennsylvania. Participants included three White school principals, instructional leaders, and several focal teachers.Research Design, Data Collection, and AnalysisThis ethnographic case study is part of a larger study that took place in three predominantly African-American elementary schools. More than 80 hours of school-based observations took place, by shadowing each principal weekly and observing her in various capacities as she supervised teachers, led walkthroughs and faculty meetings, and attended or provided professional development. Additionally, multiple interviews of the school leaders and focal teachers were conducted to surface beliefs about race, knowledge of culture and learning, and knowledge of teachers’ cultural competence. We developed a coding scheme based upon Feagin's (2010) paradigm of the WRF to surface leadership beliefs and practice and used a qualitative data analysis software package to analyze our data.FindingsThe school leaders in this study were deeply rooted within the WRF in their daily leadership routines, perpetuating stereotypes and justifying discriminatory actions in the school, ultimately limiting learning opportunities for children of color and for teachers.Conclusions/RecommendationsThe findings underscore the need for critical knowledge of race and racism to be included in teacher and leadership preparation and professional development. The WRF serves as a fine-grained analytic tool for understanding how racial ideologies surface in leadership. The authors recommend that future research explore the role of school leaders in deframing and reframing the White racial frame and develop the concept of racial literacy in educational contexts.

Dilemmas of Chinese Lesbian Youths in Contemporary Mainland China

Obliviousness to co-existing heterosexuality and homosexuality undermines tolerance of same-sex attraction in traditional Chinese culture. With the influence of conservative Abrahamic religious values since the 19th century, homoeroticism became unacceptable in China. This qualitative research was carried out from March to September 2015 to explore the lived experiences of four millennial lesbians in communist China, regarding their views of and predicaments stemming from sexual minorities. The semi-structured, in-depth interviews carried out through communication technology, were transcribed and then analysed through interpretative phenomenological analysis, with the aid of a computerised qualitative data analysis software package. Member-checking, for triangulation, was used to enhance the rigour of this study. The findings reveal parental attitudes towards these youngsters, their redefinition of marriage, and their being doubly marginalised. They offer diverse vistas from Chinese lesbian youths to understand the challenges facing this victimised group in the context of East–West and traditional-contemporary ambiguities, in which this stigmatised population is struggling for sexual autonomy through this dilemma. They potentially inspire social activists to advance further for the benefits of LGBs through rejuvenating the inclusiveness of Chinese sexual culture.

The support-control continuum: An investigation of staff perspectives on factors influencing the success or failure of de-escalation techniques for the management of violence and aggression in mental health settings

BackgroundDe-escalation techniques are recommended to manage violence and aggression in mental health settings yet restrictive practices continue to be frequently used. Barriers and enablers to the implementation and effectiveness of de-escalation techniques in practice are not well understood. ObjectivesTo obtain staff descriptions of de-escalation techniques currently used in mental health settings and explore factors perceived to influence their implementation and effectiveness. DesignQualitative, semi-structured interviews and Framework Analysis. SettingsFive in-patient wards including three male psychiatric intensive care units, one female acute ward and one male acute ward in three UK Mental Health NHS Trusts. Participants20 ward-based clinical staff. MethodsIndividual semi-structured interviews were digitally recorded, transcribed verbatim and analysed using a qualitative data analysis software package. ResultsParticipants described 14 techniques used in response to escalated aggression applied on a continuum between support and control. Techniques along the support-control continuum could be classified in three groups: ‘support’ (e.g. problem-solving, distraction, reassurance) ‘non-physical control’ (e.g. reprimands, deterrents, instruction) and ‘physical control’ (e.g. physical restraint and seclusion). Charting the reasoning staff provided for technique selection against the described behavioural outcome enabled a preliminary understanding of staff, patient and environmental influences on de-escalation success or failure. Importantly, the more coercive ‘non-physical control’ techniques are currently conceptualised by staff as a feature of de-escalation techniques, yet, there was evidence of a link between these and increased aggression/use of restrictive practices. Risk was not a consistent factor in decisions to adopt more controlling techniques. Moral judgements regarding the function of the aggression; trial-and-error; ingrained local custom (especially around instruction to low stimulus areas); knowledge of the patient; time-efficiency and staff anxiety had a key role in escalating intervention. ConclusionThis paper provides a new model for understanding staff intervention in response to escalated aggression, a continuum between support and control. It further provides a preliminary explanatory framework for understanding the relationship between patient behaviour, staff response and environmental influences on de-escalation success and failure. This framework reveals potentially important behaviour change targets for interventions seeking to reduce violence and use of restrictive practices through enhanced de-escalation techniques.

What happens to the boats? The 1755 Lisbon earthquake and Portuguese tsunami literacy

In A.D. 1755, an earthquake destroyed Lisbon, Portugal. The region was then hit forcefully by a tsunami and engulfed by an enormous fire. Thefts and destruction followed, damaging emblematic places of irreplaceable historical and spiritual value, especially churches. The occurrence of the 1755 Lisbon earthquake remains known by the eldest, but it has been forgotten and even unheard of by younger generations. Over the last decade there has been a considerable increase in the research, involving geologists, seismologists, and oceanographers, so as to better understand the processes and the complexity of seismic risks and tsunamis. However, little has been done to inform the population and policy makers about the options available to them to better prevent and respond to earthquake disasters. The main aim of this study is to evaluate the Portuguese citizens’ scientific literacy regarding tsunamis and to analyze their knowledge related to the 1755 earthquake. For this purpose, we conducted 206 structured interviews in a public place, and asked the general public to collaborate. At the beginning of the interviews people were shown a previously drawn scenario showing a tsunami epicenter and three boats in different places of the ocean. The sample comprised 107 females (52%) and 99 males (48%) (ages ranged from 12 to 85). The interviews were conducted by two members of the research team and were audiotaped for a better and more reliable transcription. Content analysis was subsequently established with the help of the QSR International NVivo 10 qualitative data analysis software package (www​.qsrinternational​.com​/nvivo​-product). Results showed that there is a wide lack of knowledge regarding tsunamis, including those that occurred in the past, and the majority of interviewees recognized the need to know more about these issues. This evidence indicates the importance of including these historical and social and scientific issues in geosciences programs, giving more relevance to teaching seismic risks, their prevention, and possible responses.

Feedback for coaches: Who coaches the coach?

The aim of this study was to investigate the feedback mechanisms that sport coaches utilized to enhance their coaching practice at various stages of their careers. Sport coaches ( n = 21) were interviewed in-depth with the resulting information being analysed using HyperRESEARCH qualitative data analysis software package. Results suggested four distinct dimensions that characterized the sources of feedback used by coaches: networks, players/participants, critical thinking skills and support systems. Those more experienced coaches with established networks of like-minded coaches seemed to be more open to constructive feedback. Similarly, novice coaches appeared to accept feedback from non-reliable sources in lieu of more informed sources. A distinctive emerging feature was the lack of formal feedback mechanisms within groups of coaches at all levels of qualification.

The chaotic journey: Recovering from hip fracture in a nursing home

Purpose of the studyTo understand the journey experienced by nursing home residents following hip fracture and impressions of an outreach rehabilitation program offered after their return home. Design and methodsA qualitative investigation was undertaken in parallel with a randomised controlled trial investigating the efficacy and cost utility of providing a hospital outreach rehabilitation program for older nursing home residents who have recently returned from hospital following hip fracture. Family members and nursing home staff of 28 (out of the first 30) participants (14 from intervention and 14 from control) agreed to participate in interviews and focus groups to provide information and perceptions of each person’s journey. NVivo 10 qualitative data analysis software package was used to identify major themes (via open, then axial and finally selective coding). ResultsBoth family members and staff described nursing home residents with dementia as receiving poor post-operative care from hospital staff who seemed unfamiliar with dementia and delirium. Discharge from hospital soon after surgery (median 4.5days) occurred with poor transfer of information. Difficulties with residents’ emotions, pain management and commencing mobilisation seemed more prevalent within usual care group, whereas fewer overall problems were encountered by those with access to a geriatrician and additional therapy. ImplicationsThis research suggests that an integrated care pathway including the hospital stay and first weeks back at nursing homes should be developed. Performance indicators should include carer measures on the quality of the transfer, pain management measures in the first month and return to walking.