Case study research is a comprehensive method that incorporates multiple sources of data to provide detailed accounts of complex research phenomena in real-life contexts. However, current models of case study research do not particularly distinguish the unique contribution observation data can make. Observation methods have the potential to reach beyond other methods that rely largely or solely on self-report. This article describes the distinctive characteristics of case study observational research, a modified form of Yin’s 2014 model of case study research the authors used in a study exploring interprofessional collaboration in primary care. In this approach, observation data are positioned as the central component of the research design. Case study observational research offers a promising approach for researchers in a wide range of health care settings seeking more complete understandings of complex topics, where contextual influences are of primary concern. Future research is needed to refine and evaluate the approach.
AbmaT. A.StakeR. E. (2014). Science of the particular: An advocacy of naturalistic case study in health research. Qualitative Health Research, 24, 1150–1161. doi:10.1177/1049732314543196
2.
AnthonyS.JackS. (2009). Qualitative case study methodology in nursing research: An integrative review. Journal of Advanced Nursing, 65, 1171–1181. doi:10.1111/j.1365-2648.2009.04998.x
3.
BaxterP.JackS. (2008). Qualitative case study methodology: Study design and implementation for novice researchers. The Qualitative Report, 13, 544–559. Retrieved from http://nsuworks.nova.edu/tqr/
4.
BazeleyP.JacksonK. (2013). Qualitative data analysis with NVivo. London: Sage.
5.
BloomerM. J.CrossW.EndacottR.O’ConnorM.MossC. (2012). Qualitative observation in a clinical setting: Challenges at end of life. Nursing & Health Sciences, 14, 25–31. doi:10.1111/j.1442-2018.2011.00653.x
6.
BloomerM. J.DomanM.EndacottR. (2013). How the observed create ethical dilemmas for the observers: Experiences from studies conducted in clinical settings in the UK and Australia. Nursing & Health Sciences, 15, 410–414. doi:10.1111/nhs.12052
7.
BoblinS. L.IrelandS.KirkpatrickH.RobertsonK. (2013). Using Stake’s qualitative case study approach to explore implementation of evidence-based practice. Qualitative Health Research, 23, 1267–1275. doi:10.1177/1049732313502128
8.
BraunV.ClarkeV. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3, 77–101. doi:10.1191/1478088706qp063oa
9.
CaldwellK.AtwalA. (2005). Non-participant observation: Using video tapes to collect data in nursing research. Nurse Researcher, 13, 42–54. Retrieved from http://journals.rcni.com/journal/nr
CarolanC. M.ForbatL.SmithA. (2016). Developing the DESCARTE Model: The design of case study research in health care. Qualitative Health Research, 26, 626–639. doi:10.1177/1049732315602488
12.
CarrollK.IedemaR.KerridgeR. (2008). Reshaping ICU ward round practices using video-reflexive ethnography. Qualitative Health Research, 18, 380–390. doi:10.1177/1049732307313430
13.
CohenA.CourtD. (2003). Ethnography and case study: A comparative analysis. Academic Exchange Quarterly, 7, 283–287.
14.
CollierA.PhillipsJ. L.IedemaR. (2015). The meaning of home at the end of life: A video-reflexive ethnography study. Palliative Medicine, 29, 695–702. doi:10.1177/0269216315575677
15.
CooperriderD.SrivastvaS. (1987). Appreciative inquiry in organizational life. In WoodmanR.PasmoreW. (Eds.), Research in organizational change and development (pp. 129–169). Greenwich, CT: JAI Press.
16.
CroninC. (2014). Using case study research as a rigorous form of inquiry. Nurse Researcher, 21(5), 19–27. doi:10.7748/nr.21.5.19.e1240
17.
CurryL. A.NembhardI. M.BradleyE. H. (2009). Qualitative and mixed methods provide unique contributions to outcomes research. Circulation, 119, 1442–1452. doi:10.1161/circulationaha.107.742775
18.
DowellT.MacdonaldL.StubbeM.PlumridgeE.DewK. (2007). Clinicians at work: What can we learn from interactions in the consultation?New Zealand Family Physician, 34, 345–350.
19.
ForsythR.CarrollK.ReitanoP. (2009). Introduction. International Journal of Multiple Research Approaches, 3, 214–217. doi:10.1080/18340806.2009.11004911
20.
FurlongM. (2010). Clear at a distance, jumbled up close: Observation, immersion and reflection in the process that is creative research. In LiamputtongP. (Ed.), Research methods in health: Foundations for evidence-based practice (pp. 153–169). South Melbourne, Australia: Victoria Oxford University Press.
21.
HjalmarsonH. V.AhgrenB.KjölsrudM. S. (2013). Developing interprofessional collaboration: A longitudinal case of secondary prevention for patients with osteoporosis. Journal of Interprofessional Care, 27, 161–170. doi:10.3109/13561820.2012.724123
IedemaR.MerrickE. T.RajbhandariD.GardoA.StirlingA.HerkesR. (2009). Viewing the taken-for-granted from under a different aspect: A video-based method in pursuit of patient safety. International Journal of Multiple Research Approaches, 3, 290–301. doi:10.5172/mra.3.3.290
24.
KislovR.WalsheK.HarveyG. (2012). Managing boundaries in primary care service improvement: A developmental approach to communities of practice. Implementation Science, 7, Article 97. doi:10.1186/1748-5908-7-97
25.
LandsbergerH. A. (1958). Hawthorne revisited: Management and the worker, its critics, and the developments in human relations in industry. Ithaca, NY: Cornell University.
26.
LincolnY.GubaE. (1985). Naturalistic inquiry. Beverly Hills, CA: Sage.
27.
LingardL.EspinS.WhyteS.RegehrG.BakerG. R.ReznickR.. . . GroberE. (2004). Communication failures in the operating room: An observational classification of recurrent types and effects. Quality and Safety in Health Care, 13, 330–334. doi:10.1136/qshc.2003.008425
28.
LingardL.ReznickR.EspinS.RegehrG.De VitoI. (2002). Team communications in the operating room: Talk patterns, sites of tension, and implications for novices. Academic Medicine, 77, 232–237. doi:10.1097/00001888-200203000-00013
29.
MaysN.PopeC. (1995). Observational methods in health care settings. British Medical Journal, 311(6998), 182–184. doi:10.2307/29728110
MorganS.PullonS.McKinlayE. (2015). Observation of interprofessional collaborative practice in primary care teams: An integrative literature review. International Journal of Nursing Studies, 52, 1217–1230. doi:10.1016/j.ijnurstu.2015.03.008
32.
MorseJ. M. (2003). Perspectives of the observer and the observed. Qualitative Health Research, 13, 155–157. doi:10.1177/1049732302239595
33.
MorseJ. M. (2010). Simultaneous and sequential qualitative mixed method designs. Qualitative Inquiry, 16, 483–491. doi:10.1177/1077800410364741
34.
MorseJ. M.CheekJ. (2014). Making room for qualitatively-driven mixed-method research. Qualitative Health Research, 24, 3–5. doi:10.1177/1049732313513656
35.
MulhallA. (2003). In the field: Notes on observation in qualitative research. Journal of Advanced Nursing, 41, 306–313. doi:10.1046/j.1365-2648.2003.02514.x
36.
MurphyE.DingwallR. (2007). Informed consent, anticipatory regulation and ethnographic practice. Social Science & Medicine, 65, 2223–2234. doi:10.1016/j.socscimed.2007.08.008
37.
OandasanI. F.ConnL. G.LingardL.KarimA.JakuboviczD.WhiteheadC.. . . ReevesS. (2009). The impact of space and time on interprofessional teamwork in Canadian primary health care settings: Implications for health care reform. Primary Health Care Research & Development, 10, 151–162. doi:10.1017/S1463423609001091
38.
O’CathainA.MurphyE.NichollJ. (2008). The quality of mixed methods studies in health services research. Journal of Health Services Research & Policy, 13, 92–98. doi:10.1258/jhsrp.2007.007074
39.
ØdegardA. (2006). Exploring perceptions of interprofessional collaboration in child mental health care. International Journal of Integrated Care, 6, e25. Retrieved from http://www.ijic.org/index.php/ijic
40.
PhillipsC. B.DwanK.HepworthJ.PearceC.HallS. (2014). Using qualitative mixed methods to study small health care organizations while maximising trustworthiness and authenticity. BMC Health Services Research, 14, Article 559. doi:10.1186/s12913-014-0559-4
41.
ProudfootJ.JayasingheU. W.HoltonC.GrimmJ.BubnerT.AmorosoC.. . . HarrisM. F. (2007). Team climate for innovation: What difference does it make in general practice?International Journal for Quality in Health Care, 19, 164–169. doi:10.1093/intqhc/mzm005
42.
PullonS.MorganS.MacdonaldL.McKinlayE.GrayB. (2016). Observation of interprofessional collaboration in primary care practice: A multiple case study. Manuscript submitted for publication.
43.
QuinlanE. (2008). Conspicuous invisibility: Shadowing as a data collection strategy. Qualitative Inquiry, 14, 1480–1499. doi:10.1177/1077800408318318
44.
RoperJ.ShapiraJ. (2000). Ethnography in nursing research. Thousand Oaks, CA: Sage.
45.
RowleyJ. (2002). Using case studies in research. Management Research News, 25, 16–27. doi:10.1108/01409170210782990
46.
RussellG.AdvocatJ.GeneauR.FarrellB.ThilleP.WardN.EvansS. (2012). Examining organizational change in primary care practices: Experiences from using ethnographic methods. Family Practice, 29, 455–461. doi:10.1093/fampra/cmr117
47.
SavageJ. (2000). Ethnography and health care. British Medical Journal, 321, 1400–1402. doi:10.1136/bmj.321.7273.1400
48.
SinclairL. B.LingardL. A.MohabeerR. N. (2009). What’s so great about rehabilitation teams? An ethnographic study of interprofessional collaboration in a rehabilitation unit. Archives of Physical Medicine and Rehabilitation, 90, 1196–1201. doi:10.1016/j.apmr.2009.01.021
49.
StrasserD. C.FalconerJ. A.StevensA. B.UomotoJ. M.HerrinJ.BowenS. E.BurridgeA. B. (2008). Team training and stroke rehabilitation outcomes: A cluster randomized trial. Archives of Physical Medicine and Rehabilitation, 89, 10–15. doi:10.1016/j.apmr.2007.08.127
50.
WalsheC.EwingG.GriffithsJ. (2012). Using observation as a data collection method to help understand patient and professional roles and actions in palliative care settings. Palliative Medicine, 26, 1048–1054. doi:10.1177/0269216311432897
51.
WilesR.CoffeyA.RobisonJ.ProsserJ. (2013). Ethical regulation and visual methods: Making visual research impossible or developing good practice?Sociological Research Online, 17, 8. doi:10.5153/sro.2274
52.
XyrichisA.LowtonK. (2008). What fosters or prevents interprofessional teamworking in primary and community care? A literature review. International Journal of Nursing Studies, 45, 140–153. doi:10.1016/j.ijnurstu.2007.01.015
53.
YinR. K. (1994). Case study research: Design and methods (2nd ed.). Thousand Oakes, CA: Sage.
54.
YinR. K. (2014). Case study research: Design and methods (5th ed.). Thousand Oaks, CA: Sage.
