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102<br />

Chapter 3 Research Framework<br />

In summary, case study design is useful under the following circumstances:<br />

1) When complex situations need to be addressed, like resident autonomy – what<br />

facilitates it and what hinders it. (For example, Shiu (2001) used a single<br />

embedded case study to investigate the complex issue <strong>of</strong> how residents<br />

perceive a sense <strong>of</strong> control or lack <strong>of</strong> control within a home for older people).<br />

2) When context is central to the study, in this case, the context <strong>of</strong> residential care<br />

in <strong>Ireland</strong>, and the context <strong>of</strong> the care environment (multiple data collection<br />

methods enable the full picture to be revealed. Johansson et al. (2006) stated<br />

that case study enables the understanding <strong>of</strong> the context).<br />

3) When multiple perspectives need to be recognised, like residents, relatives, and<br />

healthcare pr<strong>of</strong>essionals. (Payne et al. (2007) reflected upon the empowerment<br />

potential <strong>of</strong> case study for its participants).<br />

4) When research needs to be flexible. Working with older people may require<br />

adaptations to data collection tools’ initial design, and the researcher may need<br />

to work with the pace <strong>of</strong> the participants and understand that the pace may be<br />

different to their own. (Redfern et al., 2002 acknowledged the need to ensure<br />

the case study is manageable).<br />

5) When research needs to be congruent with clinical practice. Multiple data<br />

collection methods enable the researcher to observe practice and talk to<br />

staff/residents/relatives about practice. (McCormack et al., 2008 stated that<br />

case studies try to understand how a particular issue translates into real<br />

situations).<br />

The findings from phase one <strong>of</strong> the study suggested that more work needed to be<br />

done and hence the researcher added a second phase to the study.<br />

3.6 Exploration and Understanding <strong>of</strong> Action Research<br />

Methodology<br />

Phase two <strong>of</strong> this study adopted an action research approach. Action research is a<br />

form <strong>of</strong> enquiry that enables practitioners everywhere to investigate and evaluate<br />

their work. They ask, “What am I doing? What do I need to improve? How do I<br />

improve it?” Action Research (AR) is <strong>of</strong>ten referred to as participatory research,

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