Interventions aiming at creating change in the healthcare sector are mainly explored in a randomized controlled trial. This method only to a small extent explores how and under what circumstances interventions produce an effect. The purpose of this paper is to analyze and discuss a qualitative multiple case study as an alternative research strategy. Drawing on empirical examples from an accomplished case study, where the introduction of the concept "Motivational Interviewing" into preventive consultations in ten clinics was investigated, the paper emphasizes three dimensions in the research strategy: First it shows the importance of addressing local actors' construction of meaning, secondly it emphasizes the value of combining process and effect in a synthetic strategy, and thirdly it stresses the consequences of a static/dynamic perspective on change. In conclusion a qualitative multiple case study is a valuable supplement to the existing range of methods in health science.
Tidsskrift for Sygeplejeforskning, 2008, Vol Årg. 24, Issue 3, p. 44-50
Healthcare organizations, intervention, methodology, qualitative multiple case study, research design