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. 2020 Feb 19;17(4):1347. doi: 10.3390/ijerph17041347

Table A1.

A summary of the hierarchy of evidence-for-practice in qualitative research [22].

Study Type Features Limitations Evidence for Practice
Generalizable studies (level I) Sampling focused by theory and the literature, extended as a result of analysis to capture diversity of experience. Analytic procedures comprehensive and clear. Located in the literature to assess relevance to other settings. Main limitations are in reporting when the word length of articles does not allow a comprehensive account of complex procedures. Clear indications for practice or policy may offer support for current practice, or critique with indicated directions for change.
Conceptual studies (level II) Theoretical concepts guide sample selection, based on analysis of literature. May be limited to one group about which little is known or a number of important subgroups. Conceptual analysis recognizes diversity in participants’ views. Theoretical concepts and minority or divergent views that emerge during analysis do not lead to further sampling. Categories for analysis may not be saturated. Weaker designs identify the need for further research on other groups, or urge caution in practice. Well-developed studies can provide good evidence if residual uncertainties are clearly identified.
Descriptive studies (level III) Sample selected to illustrate practical rather than theoretical issues. Record a range of illustrative quotes including themes from the accounts of “many,” “most,” or “some” study participants. Do not report full range of responses. Sample not diversified to analyse how or why differences occur. Demonstrate that a phenomenon exists in a defined group. Identify practice issues for further consideration.
Single case study (level IV) Provides rich data on the views or experiences of one person. Can provide insights in unexplored contexts. Does not analyse applicability to other contexts. Alerts practitioners to the existence of an unusual phenomenon.