Characteristics and quality of reporting qualitative nursing research related to the COVID-19 pandemic: a systematic search and critical review

This study focused on the identification of the characteristics and reporting quality of qualitative nursing published research related to COVID-19 pandemic. We used a systematic search approach to identify qualitative nursing studies published related to the COVID-19 and then carried out a critical review with the use of content analysis of the identified articles, relying on a checklist created based on two standardized checklists (SRQR and COREQ). A total of 444 published studies were included and critically reviewed. The most productive country was the USA, which corresponds with a bibliometric analysis of COVID-19 research published in a nursing journal. This can be explained by the fact that the USA is one of the most impacted countries by COVID-19 [27] and is one of the most prolific countries regarding nursing research [28]. A significant finding of our study is that the majority of articles were published in journals ranked within Quartile 1. This suggests that the research produced during this period not only addressed urgent topics but also met high academic standards.

In addition, the findings revealed that the most represented topics and target population were related to the workforce experience and clinical nurses respectively, this is consistent with an article that focused on the reflections on nursing research during the pandemic COVID-19 [2]. Interestingly, clinical nurses were the predominant target population of the articles reviewed, this is possibly attributable to the challenge of conducting research with patients and the public due to pandemic-related restrictions. This thematic focus is likely driven by the critical challenge and changes by clinical nurses during the pandemic, highlighting their significant role in the frontline response and the need to understand and support them.

It was surprising to see that the use of standardized checklists to guide research studies by the researchers was notably low, with only 30.4% mentioning the use of standardized checklists. This finding is particularly noteworthy in the context of qualitative nursing research during the COVID-19 pandemic, a period that demanded high-quality evidence to inform rapidly changing clinical practices. The low adoption rate of standardized checklists may reflect gaps in researchers’ awareness or accessibility to these tools, or perhaps a broader issue in the research culture that undervalues structured guidance in study design and reporting, as these checklists aim to improve the quality of reporting these study types and allow readers to better understand the design, conduct, analysis and findings of published studies [25].

Traditional qualitative research data collection methods like interviews and discussions were supposed to be most impacted by the pandemic. Surprisingly, 86% (n = 382) of the included articles used interviews or discussions as the data collection methods, and 28% of the researchers remained choosing the face-to-face interview method. We questioned how communication and facial expression were observed if facemasks were worn during the interview. Among the included studies that used the interview method in data collection, a significant proportion with 66% of these interviews were conducted remotely, either by telephone or online. These findings align with the literature reviewed, where nursing researchers in the USA reported an increase in the use of online platforms, as well as sending emails and phone calls for data collection, a trend which has seen a significant increase [8]. Researchers in Japan also reported having to adapt their research methods according to changes in the research environment, moving from in-person interviews to remote telephone interviews, collecting data while maintaining the social distancing, and online data collection [8]. A randomized research study comparing online interviews to in-person interviews person to assess health conditions was conducted in Australia. The results of this study showed that online interviews were preferred by a greater proportion of participants than in-person interviews, and then those assigned to the online group had a lower dropout rate. Additionally, the use of online interviews did not result in a loss of data quality [29]. Another study also indicated that online modalities for conducting qualitative research did not lead to substantially different thematic findings than in-person data collection [30]. These suggest that remote data collection methods would be a good choice for researchers, especially in situations where face-to-face interactions are challenging or not possible. The success of remote interviews in maintaining data quality, participant engagement, and lower dropout rates indicates their viability as a robust alternative to traditional methods. This shift not only ensures the continuity of research during crises like the COVID-19 pandemic but also offers a flexible and efficient approach for future qualitative studies. Embracing remote data collection can enhance the adaptability of research designs and potentially broaden the reach and inclusivity of participant recruitment, making it a valuable methodological option for qualitative nursing researchers.

The adoption of software tools in data analysis was surprisingly low, with only 37% of studies utilizing such resources. This finding suggests a potential area for further development in qualitative research practices, particularly to enhance efficiency and collaboration, especially in scenarios necessitating remote work and data sharing, especially during the pandemic when social contact was limited. In addition, there are other benefits of using qualitative data analysis software, including freedom from manual and administrative tasks, saving time, greater flexibility, and improved validity and reliability, and traceability of qualitative research [31].

In summary, this study carried out an in-depth analysis of data relating to the journals, articles, researchers, and methods used, identifying both strengths and areas requiring improvement. It highlighted the editorial quality of the publications and the methodological diversity observed in qualitative nursing studies linked to the COVID-19 pandemic. We found that many articles demonstrated commendable transparency in explicitly detailing their research approach, data collection processes, sampling methods, and data analysis techniques. However, some areas need improvement. A key aspect is the insufficient representation of strategies to ensure study rigor, such as triangulation and validation by respondents. It is essential to include critical reflection on the role of researchers, potential biases and their influence during the analysis and selection of data for presentation. Additionally, discussions about data saturation and sequential analysis can significantly strengthen the quality of qualitative research reporting. It is important that authors not only explain the methods or techniques they used but also provide clear and detailed justifications for their choices.

The effective translation of nursing research into clinical practice is critical, especially as healthcare professionals heavily depend on the latest research to guide their practices and decisions. The variability in the quality and reliability of research articles can lead to the adoption of clinical practices that may not be supported by strong evidence, potentially affecting patient care and hindering the advancement of nursing practice [32]. Therefore, improving the transparency and rigor of research methodology reporting is essential to ensure that clinical practices are based on reliable and robust evidence. Our study highlights the importance of methodological clarity and the use of standardized checklists in guiding research, This is increasingly relevant as nursing research evolves to meet global health challenges. By ensuring the high quality of reporting qualitative research, we can better bridge the gap between research and clinical practice, leading to improved patient outcomes and more effective healthcare delivery.