John L. Anderson

Demystifying Research for Medical and Healthcare Students


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final performances of the three groups of subjects and finally they compared them. Then they published their findings and toured the world giving talks about their work before moving on to develop their work further. Nice work if you can get it!

       Research is the art of the possible!

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      Introduction

      It is time now for us to move out of the laboratory. Let's consider some experiments which have been done in real‐life situations. There have been experimental studies which have been set up in real‐life situations – in everyday settings.

      They tend to involve work which could not be conducted in laboratories – they are naturalistic – i.e., they are done in real‐life situations. In many, it may not be possible to introduce experimental variables, or to randomise participants to experimental and control groups. However, at times situations may arise which result in there being an ‘experimental‐like’ situation, or a quasi‐experimental situation, which allows us to make observations and measurements – as though it were a laboratory experiment. In this chapter we shall have a look at them and the issues that come up in them.

      So, real‐life experiments:

       Are still in the quantitative domain – we measure and count, we use numbers.

       They are usually hypothetico‐deductive – we have a clear purpose and set of expectations in mind before we begin.

       They are in the interventional sector – we introduce an experimental variable which was not there at the start.

       They are prospective – we have a start point where we make our initial measurements, we have our interventions, and we have an end point when we make our final measurements.

       They are useful for answering questions about what would happen in a real‐life situation if we changed one or more of the factors in that situation.

Schematic illustration of the qualitative, mixed, and quantitative research methodologies. Laboratory experiments from the quantitative methods is highlighted.

      After the outbreak had passed, the authorities replaced the pump handle. They rejected Snow's explanation that faecal contamination of the water supply was responsible for the cholera outbreak, as it was too unpleasant at that time to accept the faecal–oral route of transmission (Chapelle 2005). How times have changed!

A photograph of John Snow.

      Source: Unknown author / Wikimedia Commons / Public domain.

      Mary Sissons conducted her classic study of interactions between people of different social classes in Paddington Station in London (Sissons, 1971). Thinking of all the happy hours I have spent waiting for trains there between 1967 and now makes me realise how much it has changed. It used to be much larger inside before the shops and restaurants were added, and therefore there were many more offices overlooking the vast station concourse. It was the perfect place for ‘people watching’. So, Mary was able to set up her cameras in the offices overlooking the station concourse. Of course, this sort of study raises many more ethical issues now than it did then – see Reece and Siegal’s (1991) book on the ethics of social research.

      She found that middle‐class to middle‐class interactions went more smoothly than any others. Instant rapport was more likely, the interactions lasted longer, there was more smiling and there was a definite ending. This experiment was used by the Open University and the BBC as a featured example of Field Research. Google it! Watch the video.