COHERENCE, CREATIVITY AND AUDACITY IN METHODOLOGICAL DECISIONS

Carper’s ways of knowing (e.g., empirics, aesthetics, ethics, and personal) undeniably imprinted the generation and understanding of nursing knowledge1 positioning nursing as a standalone profession separate from medicine. While Chinn and Kramer2 have added to these ways of knowing to include emancipatory knowing, today, there are calls1^,3 for inclusion of the political way of knowing to this list to reshape nursing research methodologies to generate socially relevant knowledge that can respond to claims for social justice and health equity. Noncolonialist philosophies, advocacy actions for human rights, and anti-discriminatory policy development genuinely should guide nursing research targeting the social determinants of health1. Decolonization of nursing knowledge legitimates noncolonial philosophies promoting the goals of social justice and humanization for all3. To achieve this, research-practice-education agendas need to include diverse individuals’ frames of reference, knowledge patterns, and culture3. This will best inform policy reviews and development.

To counteract the imprints of colonialist philosophies over the South epistemology4^-5, Santos proposed the paradigm of prudent knowledge for a decent life5 Its principles refer to scientific-natural knowledge in its forms as social, local, and common sense. Therefore, redesigning methods to mobilize all social, technological, and instrumental assets3 to increase recruitment and participation of hard-to-reach populations (e. g., living in distant locations, at risk for social isolation, limited or diminished exposure to research) using technology, demonstrates audacity and freedom to integrate an extensive number of approaches and methods6. For instance, human-centered design incorporates overlapping collaborative processes and data collection procedures in eHealth projects7^-8. Another example is the purposeful innovation in research by the Iceberg Innovation Model9 and its interconnected layers: the innovative research tools and their use, and the guiding principles of innovative methods. Of particular interest is the latter one that highlights the engagement in holistic innovation, the development of theory and method together, the necessity to be reflexive in innovating methods, and the need to execute meticulous clarity of method presentation9.

The increment of research during the pandemic brought forward researchers' need to adapt, re-create and re-design data collection procedures. By doing so, they uncovered the societies’ digital gaps, mainly when using online and phone data collection. Researchers faced challenges and opportunities to make remote data collection a methodological rigorous procedure while knowing that prospective participants might be eager to share their stories and experiences. Within such a context, situations such as unequal access, availability of technology, strict observance of risk of disembodiment, safety, and vulnerability were possible10. However, with facilitated accessibility to online social communication, online research approaches could enhance social inclusion of disadvantaged participants and social care research capacity11^-12. Sensitive topics (e.g., victimization, health issues, sexuality) can be virtually addressed with a collection of rich data recognizing the difficulty of reading visual cues13. Favorably, the inclusion of persons with mental illnesses as research participants could allow the collection of digital stories and video testimonies, for example, as a narrative-based art form13 These approaches give voice to participants’ experiences and promote participant empowerment and community building for this population.

If innovation and creativity remain appealing for nursing research, it is noteworthy to say that the transfer of evidence to practice may be troublesome. Technology and knowledge translation to advance nursing practice (in all contexts) may represent insurmountable barriers for nursing researchers in low and middle-income countries. Incorporation of technology in the cycle of knowledge production is questionable. For example, South America nursing scholars have shared that research about contemporary practice issues requires an intellectual collaboration with other disciplines to enhance knowledge translation initiatives for the profession14. Collaborations that will respond to technology users and adopters need to overcome existing barriers related to technology incorporation into practice15. Collaboration as a multidisciplinary research team may expand the access to less-known research methods and theories. For instance, the exploration of population’s access to e-health information in e-health literacy research can benefit from knowledge about digital tracking of data (e.g. the usage of digital media)16. Since interest for digital health is growing in the region, understanding of users’ responsiveness to digital health initiatives can occur through the lens of artificial intelligence correlated theories (e.g., unified theory of acceptance and use of technology; game theory; planned behavior; behavioral reasoning; evolutionary theory)17.

Potentially, nursing researchers can foresee benefits in such an approach to inspire the design of coherent, audacious, and creative research proposals. Even the needed methodological sophistication18 can be achieved to revolutionize the future of nursing research agendas.

REFERENCES

• 1. Thorne S. Rethinking Carper's personal knowing for 21st century nursing. Nurs Philosophy [Internet]. 2020 [cited 2022 Nov 16];21(4):e12307. Available from: https://doi.org/10.1111/nup.12307
  » https://doi.org/10.1111/nup.12307
• 2. Chinn PL, Kramer MK. Nursing's fundamental patterns of knowing. In: Chinn PL, Kramer MK, editors. Integrated theory and knowledge development in nursing. 8th ed. Saint Louis: Elsevier; 2010. p. 1- 23.
• 3. Chinn PL. Decolonizing nursing knowledge. Nurs Philosophy [Internet]. 2022 [cited 2022 Nov 17];23(4):e12410. Available from: https://doi.org/10.1111/nup.12410
  » https://doi.org/10.1111/nup.12410
• 4. Gomes FM. As epistemologias do Sul de Boaventura de Sousa Santos: por um resgaste do Sul Global. Rev Páginas Fil [Internet]. 2012 [cited 2022 Nov 19];4(2):39-54. Available from: https://doi.org/10.15603/2175-7747/pf.v4n2p39-54
  » https://doi.org/10.15603/2175-7747/pf.v4n2p39-54
• 5. Santos BS. Um discurso sobre as ciências. 7th ed. São Paulo: Cortez; 2010.
• 6. Zanchetta MS, Metersky K, Medeiros M, Santos WS, Mésenge C, Lessa IM. Conducting international online surveys: trials, tribulations, and suggestions for success. NTQR [Internet]. 2022 [cited 2022 Nov 16];10:e514. Available from: https://doi.org/10.36367/ntqr.10.2022.e514
  » https://doi.org/10.36367/ntqr.10.2022.e514
• 7. Göttgens I, Oertelt-Prigione S. The application of human-centered design approaches in health research and innovation: a narrative review of current practices. JMIR Mhealth Uhealth [Internet]. 2021 [cited 2022 Nov 15];9(12):e28102. Available from: https://doi.org/10.2196/28102
  » https://doi.org/10.2196/28102
• 8. Kip H, Keizer J, da Silva MC, Beerlage-de Jong N, Köhle N, Kelders SM. Methods for human-centered ehealth development: narrative scoping review. J Med Internet Res [Internet]. 2022 [cited 2022 Nov 13];24(1):e31858. Available from: https://doi.org/10.2196/31858
  » https://doi.org/10.2196/31858
• 9. Lê JK, Schmid T. The practice of innovating research methods. Organ Res Methods [Internet]. 2022 [cited 2022 Nov 13];25(2):308-36. Available from: https://doi.org/10.1177/1094428120935498
  » https://doi.org/10.1177/1094428120935498
• 10. Meixne C, Spitzner DJ. Leveraging the power of online qualitative inquiry in mixed methods research: novel prospects and challenges amidst COVID-19. J Mix Methods Res [Internet]. 2022 [cited 2022 Nov 13];17(2):171-86. Available from: https://doi.org/10.1177/15586898221084504
  » https://doi.org/10.1177/15586898221084504
• 11. Keemink JR, Sharp RJ, Dargan AK, Forder JE. Reflections on the use of synchronous online focus groups in social care research. IJQM [Internet]. 2022 [cited 2022 Nov 13];21(3). Available from: https://doi.org/10.1177/16094069221095314
  » https://doi.org/10.1177/16094069221095314
• 12. Thunberg S, Arnell L. Pioneering the use of technologies in qualitative research - a research review of the use of digital interviews. IJSRM [Internet]. 2022 [cited 2022 Nov 13];25(6):757-68. Available from: https://doi.org/10.1080/13645579.2021.1935565
  » https://doi.org/10.1080/13645579.2021.1935565
• 13. Ferrari M, Fazeli S, Mitchell C, Shah J, Iyer SN. Exploring empathy and compassion using digital narratives (the Learning to Care Project): protocol for a multiphase mixed methods study. JMIR Res Protoc [Internet]. 2022 [cited 2022 Nov 14];11(1):e33525. Available from: https://doi.org/10.2196/33525
  » https://doi.org/10.2196/33525
• 14. Cañon-Montañez W, Mena SPQ, Rodríguez-Acelas AL. Challenges for the development of nursing knowledge in times of the syndemics due to Covid-19. Texto Contexto Enferm [Internet]. 2021 [cited 2022 Nov 16];30:e20210102. Available from: https://doi.org/10.1590/1980-265X-TCE-2021-0102
  » https://doi.org/10.1590/1980-265X-TCE-2021-0102
• 15. Silva TIM, Braz PR, Cavalcante RB, Alves M. Diffusion of innovations theory and its applicability in research studies on nursing and health. Texto Contexto Enferm [Internet]. 2022 [cited 2022 Nov 10];31:e20210322. Available from: https://doi.org/10.1590/1980-265X-TCE-2021-0322
  » https://doi.org/10.1590/1980-265X-TCE-2021-0322
• 16. Christner C, Urman A, Adam S, Maier M. Automated tracking approaches for studying online media use: a critical review and recommendations. Commun Methods Meas [Internet]. 2022 [cited 2022 Nov 13];16(2):79-95. Available from: https://doi.org/10.1080/19312458.2021.1907841
  » https://doi.org/10.1080/19312458.2021.1907841
• 17. Mariani MM, Perez-Vega R, Wirtz J. AI in marketing, consumer research and psychology: a systematic literature review and research agenda. Psychol Mark [Internet]. 2021 [cited 2022 Nov 10];39(4):755-76. Available from: https://doi.org/10.1002/mar.21619
  » https://doi.org/10.1002/mar.21619
• 18. Zanchetta MS. Methodological sophistication: some difficulties in nursing research. Rev Enferm Ref [Internet]. 2021 [cited 2022 Nov 9];5(7):e21ED7. Available from: https://doi.org/10.12707/RV21ED7
  » https://doi.org/10.12707/RV21ED7

Publication Dates

• Publication in this collection
  01 May 2023
• Date of issue
  2023

History

• Received
  22 Nov 2022
• Accepted
  02 Dec 2022