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Advancing Grounded Theory
with Mixed Methods
Elizabeth G. Creamer
First published 2022
by Routledge
2 Park Square, Milton Park, Abingdon, Oxon OX14 4RN
and by Routledge
605 Third Avenue, New York, NY 10158
Routledge is an imprint of the Taylor & Francis Group, an informa business
© 2022 Elizabeth G. Creamer
The right of Elizabeth G. Creamer to be identified as author of this work has been asserted
by her in accordance with sections 77 and 78 of the Copyright, Designs and Patents Act
1988.
All rights reserved. No part of this book may be reprinted or reproduced or utilised in any
form or by any electronic, mechanical, or other means, now known or hereafter invented,
including photocopying and recording, or in any information storage or retrieval system,
without permission in writing from the publishers.
Trademark notice: Product or corporate names may be trademarks or registered trademarks,
and are used only for identification and explanation without intent to infringe.
British Library Cataloguing-in-Publication Data
A catalogue record for this book is available from the British Library
Library of Congress Cataloging-in-Publication Data
A catalog record for this book has been requested
This book is dedicated to my older sister, born Linda Lee Greene, who died of leukemia just
a few weeks before the COVID outbreak was officially acknowledged in the United States.
She was an indefatigable champion of my turn to textbook writing and the audience of
emerging scholars across the world it addresses.
Abbreviated table of
contents
Preface xvii
1 Definitions 1
2 Variety 26
3 Process 46
4 Visualization 72
5 Dissonance 93
6 Reporting 119
Appendices 147
Index 168
Annotated table of contents
Preface xvii
Purpose xviii
Goals xviii
Audience xix
The author’s qualifications and positionality xx
Pedagogical features xxi
Theoretical coding 58
Mixed analysis through integrated case-based memos 62
Theoretical sampling 65
Conclusions 69
Glossary 143
Appendices 147
Appendix A: List of exemplars by chapter 149
Appendix B: List of examples of MM-GTM 151
Appendix C: Summary by chapter and cross-cutting theme 153
References 156
Index 168
Tables, figures, and boxes
TABLES
4.4 Davis and Baulch’s (2011) Visual Depiction of Common Life Trajectories 84
4.5 Illustrative Joint Display Linking Qualitative and Quantitative Data from the
Data Matrix from the Forest Example 88
4.6 Linking Key Themes from Chapter 4 to Cross-Cutting Themes 90
5.1 Varying Points of View about Exceptions, Dissonance, and the Need for
Verification in Grounded Theory and the Implications for Mixed Method
Designs, by School of Thought 98
5.2 Procedures that Leverage Dissonance in Ways that Advance Theoretical
Reasoning 101
5.3 Innovative Features of the Chapter Exemplars 102
5.4 Example of Data for a Case-Based Analysis with Visual Components 106
5.5 Shell of a Concordance Table Illustrating a Way to Document Strength
of Support Across Cases 114
5.6 Excerpt from a Joint Display from Castro et al. (2010) that Reveals a
Clear Pattern 115
5.7 Documenting the Systematic Testing of Alternative Explanations from
the Hypothetical Collaborative Space Study 116
5.8 Additions from Chapter 5 to the Architecture of the Cross-Cutting Themes 117
6.1 Documenting the Contribution of Selected Theoretical Propositions from
a Grounded Theory Model: A Hypothetical Example 136
FIGURES
BOXES
Leading experts in the development of grounded theory have long expressed support for the
potential to consider multiple sources of data in service of using a qualitative approach to
develop or refine an explanatory framework. Those endorsing the idea of utilizing quantitative
data along with qualitative data in grounded theory have not considered the impact this could
have on research procedures like theoretical sampling. Despite this long-standing endorsement
of the benefits of collecting both qualitative and quantitative data and evidence that this has
been done with some frequency in practice, no one to date has dedicated the type of attention
that is needed to create an intellectual framework for how mixed methods and grounded theory
can be paired in ways that respect the integrity of each.
Both mixed methods and grounded theory have proven themselves to be methodolo-
gies that are adaptable to diverse circumstances and philosophical paradigms (Sebastian, 2019;
Urquhart, 2013). This groundbreaking book introduces an innovative perspective on mixed
method grounded theory methodology (MM-GTM) by conceptualizing it holistically as a
distinct, qualitatively robust method and methodology that retains the integrity each of the
methodologies it embraces. The methodology builds on the multiple areas of overlap between
the methodological assumptions of grounded theory and mixed methods, while at the same
time recognizing that each has a unique contribution to make. MM-GTM takes advantage of
the strengths of each method. The methodological framework presented is not positioned as a
critique of grounded theory, but an expansion of the ways it can be used in conjunction with
different types of data.
Advancing Grounded Theory with Mixed Methods illustrates ways that the interest in diverse
perspectives embedded in a dialectical logic that includes abduction can reframe core grounded
theory procedures, like coding and theoretical sampling, as mixed method procedures. This
approach disrupts the notion that using mixed methods with grounded theory is accom-
plished simply by the addition of quantitative data or analytical procedures. It also contests the
assumption that the main reason for pairing mixed methods with grounded theory is to add a
quantitative stage whose purpose is to confirm the qualitative findings. Instead, it proposes a
methodological framework that maintains the integrity of both the method and methodology
of grounded theory, while demonstrating ways they can be used in tandem with other methods
to generate new analytical and theoretical insight that is useful in applied fields.
Academic fields differ in the priority awarded to research that has a theoretical foundation.
It is mandatory for research in some fields, like experimental psychology, where an investigator
xviii PREFACE
is expected to deploy a formal theory that has demonstrated reliability in multiple settings.
The role of an off-the-shelf theory as an indicator of quality is less apparent in fields that have
a distinctly applied focus, including nursing and education where grounded theory has been
used most widely. In those settings, a theoretical framework is sometimes consulted later in the
research process to explain unexpected findings. A methodologist well known in the community
of nursing scholars and among mixed methodologists, Margarite Sandelowski (1993) maintains,
stated or not, theoretical understanding is always implicit in the way a problem is conceived.
The framework I present in this book develops the idea of MM-GTM as both a method
and a methodology. It foregrounds an iterative and interactive approach to data analysis by
overlaying an abductive logic where a back and forth exchange between different types of data
is embedded in the core set of grounded theory procedures.
PURPOSE
The aim of this practical text is to serve as both a resource and an instructional tool to advance
the use of qualitative and mixed method procedures in the development and refinement of
evidence-based explanatory frameworks in education, health sciences, and other applied fields.
I use the expression “explanatory framework” as an umbrella term that includes a grounded
theory, a conceptual framework developed from the literature, and a theoretical framework
that is developed through the systematic empirical procedures. I build on the argument that
“Qualitative research can be prominent in mixed methods research rather than compromised
by it” (Creswell, Shope, Plano Clark, & Green, 2006, p. 1).
This text opens the door to a conversation between qualitative and mixed methods research
by presenting MM-GTM as a type of integration at the methodological level where both meth-
ods make a substantive contribution to explanatory insight. This book is not the resource to
consult for a detailed dissection of differences between the ways that the founders, Glaser and
Strauss, approached grounded theory. Nor does it provide a painstaking historical review about
the ways their thinking evolved over time that already has been well-documented. Although I
take pains to recognize that there are differences between grounded theory approached with a
post-positivist, pragmatist, constructivist, interpretive, or postmodern framework on such issues
as the role of literature, I do this principally to emphasize the dynamism of the methodology
and the ways it has been adapted in practice.
GOALS
This book aims to arm an investigator new to mixed methods and/or grounded theory with
the practical tools necessary to execute MM-GTM, without the suggestion that it uses a “cook-
book” or “one-size-fits-all” approach. Each chapter has a one- or two-word title that zeroes in
on its purpose. The topics addressed in each chapter are listed as follows.
1 Chapter 1: Definitions. This chapter builds an argument for the creative potential of
partnering mixed methods with grounded theory for purposes of advancing analytical
PREFACE xix
AUDIENCE
Grounded theory has become a dominant data-analytic technique in a wide variety of academic
disciplines, including sociology, anthropology, social work, education, information, manage-
ment, nursing, and other fields related to health (Timmermans & Tavory, 2012). In addition
to this list, the book is a resource for early career researchers across the world in other applied
fields, including child development, counseling, criminology, business and management,
human geography, gerontology, and instructional technology. A set of exemplars is featured
that were produced by researchers in diverse fields. The fact that the selection includes several
exemplars that were launched during doctoral research is meant to underscore that combining
mixed methods and grounded theory is not an inordinately ambitious goal for a doctoral stu-
dent. Added to that is the conviction that building or refining a theoretical framework is critical
to the skill set of novice researchers with an ambition to publish.
The textbook will advance the skills of undergraduate and graduate students enrolled in
a research methods course in qualitative, mixed methods, or evaluation. Its most likely home
is a course about qualitative research methods where it would serve as an effective companion
to classic texts about qualitative research by Merriam and Tisdell (2016) or Patton (2002) that
introduce students to a generic set of qualitative analytical procedures. Advancing Grounded The-
ory with Mixed Methods is compatible for pairing with books about grounded theory, including
xx PREFACE
those by Corbin and Strauss (2008) and Charmaz (2006, 2014a). In an evaluation course, this
text could be used to guide a content analysis designed to construct a contextually nuanced
conceptual framework to guide data collection and analysis. The text will extend a mixed
methods research course designed to provide students the skills necessary to write an effective
grant proposal. The insight offered by the text could be leveraged by an assignment to build
and refine a conceptual framework from the literature and, subsequently, to use it as a guide for
developing an interview or observation protocol.
PEDAGOGICAL FEATURES
Several features incorporated in this textbook are designed to facilitate instruction and ease the
process for the reader to distill key points. These are:
• The text has an architecture or infrastructure that is built around a set of three cross-cutting
themes. The link between the discussion and each of the cross-cutting themes is summa-
rized in each chapter. Appendix C provides a comprehensive table that identifies key points
from each chapter, organized by cross-cutting theme.
• Key features of the design of each of the chapter exemplars are summarized in a text box.
• Quotes from methodological leaders in mixed methods and/or qualitative research are set
aside in the text. Reading these before launching into the full chapter is one way to get a
handle on the key arguments presented in each chapter.
• A set of self-assessment review questions appear at the end of each chapter.
xxii PREFACE
• Suggestions for supplemental activities are listed at the end of each chapter.
• Key terms that are used across chapters are listed in a glossary of terms. Each glossary term
is highlighted in bold in the text the first time it is used with an accompanying definition
in italics.
• There are two appendices for those looking for more examples. Citation information
about each of the exemplars I singled out in the text is listed in Appendix A. A list of addi-
tional reputable examples of MM-GTM appears in Appendix B.
CHAPTER 1
Establishing language
and purpose
This chapter builds an argument for the creative potential of partnering mixed methods with grounded
theory for purposes of advancing analytical insight and developing an explanatory framework. It MM-
GTM as a distinct methodology and creates a platform for dialog across disciplines by introducing key
terminology.
• Abduction
• Analytic density
• Conceptual framework
• Constant comparative method
• Fully integrated mixed methods research (FIMMR)
• Fully integrated mixed method grounded theory methodology (FIMM-GTM)
• Grounded theory
• Mixed method research
• Mixed method grounded theory methodology (MM-GTM)
• Multi-method research
• Theory
INTRODUCTION
Since it first began to ferment as a movement with its own set of methodological gurus, mixed
method approaches have continually demonstrated adaptability to diverse problems and disci-
plinary contexts. Its astonishingly broad cross-disciplinary appeal may be unique in that there are
thousands of examples of empirical publications and an expansive body of methodological litera-
ture supporting the creativity and ingenuity in which it has been applied in practice. Emerging
at the same time as the movement toward interdisciplinary team-centered research, the span
of the usefulness of approaches that combine methods in practice can be seen by the applica-
tion of mixed methods to study topics as diverse as poverty in Bangladesh, climate change in
2 DEFINITIONS
Siberia, police practices in Canada, managing the growth in urban locations, and safe drinking
water in rural Aboriginal communities. One reason for the adaptability of mixed methods is
that it shares, along with multi-method research, the bedrock assumption of the contribution
to quality of consulting multiple sources of data that is an ontological assumption endorsed by
virtually all social and behavioral researchers. What distinguishes mixed method from multi-
method research is the priority awarded to integrating information from multiple sources of
data. Multi-method research incorporates multiple sources of data and/or methods but does not integrate
them in a substantive way.
At the core of the logic of mixed methods is a commitment to the purposeful engage-
ment of diverse sources of data, analytical procedures, methods, and perspectives in pursuit of
greater understanding of the complex interplay between individual and social phenomenon
and the natural environment. The most common form of mixing is at the methodological level
(Sandelowski, 2014). Its wide adoption across fields of inquiry invites the kind of cross-method
conversations that are evident in integrated methodological approaches, like mixed methods
approaches to grounded theory (Creamer, 2018a), case study (Cook & Kamalodeen, 2020;
Guetterman & Fetters, 2018), participatory action research (Ivankova, 2015; Ivankova &
Wingo, 2018), and visual methods (Shannon-Baker & Edwards, 2018). Such partnering chal-
lenges us to reconsider the long-standing notion that in today’s rapidly changing world that a
researcher can afford to narrowly identify his or her expertise as either qualitative or quantita-
tive. Addressing multi-dimensional topics like those related to poverty, health inequality, immi-
gration, violence, or sustainability requires expertise in a variety of domains. Every researcher
needs the skills to be adept at using more than one method to contribute to cutting-edge
research.
In the social sciences, we are better scholars, more able to contribute to social inquiry at
large, if we develop expertise in a variety of approaches.
(Pearce, 2015, p. 54)
There are many different ways to build a theoretical component in a research study, includ-
ing by integrating findings from multiple sources of data to build and test a grounded theory or
to refine or debunk a long-standing one that has been validated in other settings. Approaches
vary as a researcher might initiate a study with a theoretical orientation, find themselves in a
position to see the merits in more than one theoretical orientation, or unexpectedly find the
need to reach out to the literature to find an explanation for a paradoxical finding. Each of these
different approaches to theory construction or refinement underscores a commitment to the
contribution to quality of diverse research practices and approaches.
sciences. The text will fit well in a graduate level research method training course or seminar
that begins with a review of grounded theory methods and then shifts to how these can be
extended through mixed methods.
One of the aims of this chapter is to open the door for ongoing, cross-disciplinary dialog
between qualitative and mixed methods researchers by presenting mixed method grounded
theory methodology (MM-GTM) as a type of integrated methodology. A methodology is a
specialized type of theory that provides a logic that links procedures. An integrated methodol-
ogy links one or more methods that are epistemologically compatible. The methodology is not
presented as a critique of grounded theory, but as an expansion of the ways it can be used in
research in the social and human sciences.
The first chapter introduces some of the key terminology and many of the key themes
that will be developed throughout the subsequent five chapters. It builds an argument for
MM-GTM as an integrated methodology. The cross-cutting themes weave in and out of every
chapter, re-surfacing in each to be further developed and elaborated.
Three principal ideas are at the center of this chapter:
1 The methodological literature, if not necessarily what is evident in practice, has narrowly
framed the use of mixed methods with grounded theory in ways that preserve the distinc-
tions between the qualitative and quantitative strands where one phase devoted to devel-
oping theory using grounded theory methods and a second that is used to refine or test it
using quantitative methods.
2 A MM-GTM approach can also be used to develop or refine an explanatory framework
in ways that embed the logic of mixed method in grounded theory analytical procedures.
3 Unexpected findings that emerge from comparing and integrating different sources of data
are a major source of innovation and theoretical insights.
Theory construction is at the heart of the scientific process (Jaccard & Jacoby, 2010) and
evidence-based practice. A methodologist well known in the community of nursing scholars
4 DEFINITIONS
and among mixed methodologists, Margarite Sandelowski (1993) maintains, stated or not,
theoretical understanding is always implicit in the way a problem is conceived. Understood in
everyday conversation as a hunch or supposition (Weick, 1995), a theory can be viewed simply
as an explanation for the way things work (Collins & Stockton, 2018). In the context of empiri-
cal research, a theory is a cohesive explanatory framework generated through a systematic set of empirical
procedures. In empirical research where theory is constructed from data, a theoretical framework
offers an explanation for a complex phenomenon without erasing the variability in the way it is
experienced. Expanding on the relationship between theory and the way research is executed,
Agerfalk (2014) wrote: “Theories help to organize our thoughts, explain phenomena, ensure
consistent explanations, improve our predictions, and inform design” (p. 594).
In the context of the social and human sciences, the type of theory produced through
MM-GTM is not an abstraction with limited practical utility. A theory can provide an explana-
tion or multiple explanations not only about what is happening in a setting, but also why and
how that might be the case. Its practical utility to evidence-based policy and practices lies in
offering a better understanding of the “why” and “how” of observed effects (Burch & Henrich,
2017). This kind of reasoning is essential to justify an intervention designed to improve learn-
ing, health, or well-being. Without a theoretical basis, an intervention is an expensive version
of trial and error (Eccles, Grimshaw, Walker, Johnston,& Pitts, 2005). Using multiple methods
and multiple frameworks creates the best context for generating novel ideas and new insight
(Jaccard & Jacoby, 2010).
Theories help to organize our thoughts, explain phenomena, ensure consistent explana-
tions, improve our predictions, and inform design.
(Agerfalk, 2014, p. 594)
No matter how well substantiated, many widely cited theories about human behavior, such
as those about learning or motivation or rational choice, are shaped by the socio-cultural climate
at the time they were first conceived and validated. They can be a poor fit to guide investigations
of dynamic environments like schools, hospitals, or for-profit or not-for-profit organization and
the diverse clientele they serve. In a multi-cultural society, for example, it seems antiquated to
assume a perspective developed in the 1950s that an immigrant’s acculturation to a new society
requires the abandonment of one’s home culture, foods, and holiday practices. We can yearn for
the seeming certainty offered by a well-established theory and validated instruments, but one
of the principal conclusions drawn by researchers struggling to explain dissonance between the
results suggested by their qualitative and quantitative data is that the phenomenon they studied
were far more complex and multi-faceted than initially conceived (Creamer, 2018c).
Grounded theory
There are multiple prominent schools of thought about grounded theory and what constitutes its
core principles. The method, according to Charmaz and Thornberg (2020), is often mistakingly
treated as a “mechanical application of procedures” (p. 7). Grounded theory is first and foremost
a methodology that provides a comprehensive approach to generate a theoretical framework inductively from
data. “The very purpose of grounded theory research is to produce theory,” Sandelowski maintains
DEFINITIONS 5
(1993, p. 214). The aim of grounded theory is to develop an abstract explanation, not predic-
tion (Charmaz, 2017a). Although approached in many different ways, grounded theory is con-
ventionally conceived as a systematic inductive or emergent approach to understand basic social
psychological processes and the ways individuals, groups, or organizations change over time
(Benoliel, 1996). According to Glaser, grounded theory is “the systematic generation of theory
from data that has itself been systematically obtained” (1978a, p. 2). Although arguably in can
never be entirely so, an inductive or emergent approach is used both to build and refine theory.
Grounded theory makes the critical distinction between the process of discovery associated
with an inductive mindset and theory generation and the confirmatory mindset and deductive
reasoning associated with hypotheses testing. Theory building, not verification, is the aim of
grounded theory (Urquhart, Lehmann, & Myers 2010).
Although it is not something most grounded theorists write about, a conceptual frame-
work is one of many variants of the way that theorizing can be approached in a research study.
This type of explanatory framework is a critical step in the process of constructing the design
of a study because it can provide a logical coherence that links across of phases of the research
process (Creswell & Plano, 2011; Maxwell & Loomis, 2003). A conceptual framework offers a tenta-
tive explanatory framework that is based on a synthesis of related literature and what is known in a practical
way about a phenomenon. It is assembled by the researcher to map how all the literature works
together in a study (Collins & Stockton, 2018). It reflects assumptions about the phenomenon
being studied (Maxwell, 2012). A conceptual framework often integrates more than one theo-
retical perspective. Conflicting explanations evident in the literature can offer a convenient and
elegant way to frame the need for a study.
Although the terms are often used interchangeably, a theoretical (analytical or explana-
tory framework) and a conceptual framework differ in the source on which they are based. A
theoretical framework is empirical; it emerges from a systematic and, hopefully, through analy-
sis of data. Although this point is controversial among grounded theory experts, a conceptual
framework is structured through preliminary engagement with the literature. Likely to undergo
many revisions over the course of a study, a conceptual framework serves multiple functions.
These include (a) to identify a tentative set of core constructs, (b) to structure data collection
instruments, and (c) to create a tentative, initial coding scheme. Viewing it as tentative and
eminently revisable is one way to avoid “forcing” it on the interpretation of the data. It is help-
ful to maintain a stance where, as Gorard characterizes it, theory is always partial, tentative, and
waiting to be replaced by a better explanation (Gorard, 2004).
The role of preconceptions and the literature at the onset of a grounded theory study
remains a hotly contested one among grounded theory practitioners, as does the discussion
about how much the literature can be engaged at the onset of a study without unduly biasing the
researcher. I address both are issues in Chapter 2. The invitation and the challenge in grounded
theory is to maintain the type of exploratory stance that invites discovery and new insight.
One of the methodological drives of grounded theory is as a data-driven way to under-
stand basic social-psychological processes that involve change over time (Benoliel, 1996).
6 DEFINITIONS
Social-psychological processes are temporal in that they involve change over time. Charmaz
describes a temporal process as having “clear beginnings and endings, and benchmarks in between”
(2006, p. 10). This temporality is linked to a process that leads to change (Charmaz, 2006).
Glaser (1978a) observed that research about basic social-psychological process can be based
on the individual as the unit of analysis. A study about the development of identity as a scientist,
engineer, or medical practitioner, for example, uses the individual as the unit of analysis. On the
other hand, a study of teams might use the group as the unit of analysis. Understanding underly-
ing processes that shape a phenomenon is not simply about validating knowledge but developing
explanations that point to connections and relationships that have not been observed before (Van
Maanen, Sorensen, & Mitchell, 2007). It requires knowledge of interactions within a context
(Irwin, 2008) and considering those contexts as multiple and multi-faceted (Charmaz, 2017a).
Attending to social processes can offset the tendency in qualitative research, particularly in the
Western world, to frame our questions and analysis at the level of the individual (Charmaz, 2017a).
The potential to think theoretically about a phenomenon is vastly expanded when we step back
from a singular focus on individual experiences, to one that considers these in terms of multiple,
intersecting contextual influences. This might be how relationships, familial units, neighborhoods,
communities, organizations, and culture can influence individual perceptions and experience.
Examples of social-psychological process that might be the basis of a MM-GTM study are
nearly endless. Some examples of social-psychological processes appear in the following:
Change rarely occurs in a linear or predictable way (Mason, 2006). Individuals, groups, or
organizations are likely to vary in the paths they travel to accomplish change.
methods approach to develop an explanatory framework. Most of these figures have framed
their endorsement in terms of the value of the multiple sources of data, including using quan-
titative data, in grounded theory procedures. Glaser (1978a), for example, famously argued
“all is data” when he extolled the value of taking advantage of a full range of different types
and sources of data. This vantage point is also evident in a statement by Holton and Walsh
(2017) who endorsed the inclusion of quantitative data in grounded theory, without pursuing
it further by suggesting ways that might be accomplished. Authors of a textbook about classic
grounded theory, Holton and Walsh noted: “For grounded theorists, using both qualitative
and quantitative data opens a vast realm of additional empirical possibilities for generating
theory” (2017, p. 11).
Others have made a more obvert connection between mixed methods and grounded
theory by suggesting it can involve not only different sources of qualitative and quantitative
data, but also analytical procedures. This viewpoint is evident, for example, in a statement
by Kathy Charmaz, an influential spokesperson for a constructivist approach to grounded
theory, when she wrote but did not further pursue the idea that “an emerging grounded
theory can indicate needing more than one type of data and can incorporate more than
one type of analysis” (2014a, p. 323). Isabelle Walsh offered an expansive point of view of
the way integration can occur that goes beyond just data. She wrote: “A [grounded theory]
may thus be generated using qualitative and/or quantitative data, methods, and techniques”
(2015, p. 536).
The contribution of dissonance, ambiguity, and paradox is so central to my view of
mixed methods and what Jennifer Greene (2007) refers to as a “mixed method way of
thinking” that it is explicitly referenced in my working definition of mixed method
research:
A systematic approach to data collection and analysis that combines different sources of
data and quantitative and qualitative analytical procedures with the intention to engage
multiple perspectives in order to more fully understand complex social phenomenon.
Dissonance between the results supported by analyses of diferent or integrated sources of data
often can be the frst clear indication that a phenomenon is more complex and multi-faceted
than initially conceived (Creamer, 2018c).
Mixed method grounded theory methodology (MM-GTM) is a methodology that
embeds a dialectical logic in the constant comparative method and grounded theory procedures to develop a
mid-level theoretical framework or to elaborate an existing one. MM-GTM studies that demonstrate
more than a cursory familiarity with grounded theory as a method and methodology often
award more priority to the qualitative research methods than to mixed methods. In the nota-
tion system that serves as a shorthand among methodologists with expertise in mixed methods,
the double capitalizing is intended to communicate an equal partnership where neither mixed
methods nor grounded theory is demoted to a secondary position during data collection and
analysis. The fact the mixed methods appears first in this abbreviation is more a reflection of
my own interests and expertise than it is a statement that one methodology is more important
than the other.
8 DEFINITIONS
increased steadily from 2001 through 2016, followed by a decline in number in 2016
and 2017. Now readily accessible through online repositories, doctoral dissertations are
likely the best prognosticator that the idea of pairing mixed methods with grounded
theory.
Johnson et al. (2010) viewed MM-GTM in a complementary way in that qualitative and
quantitative data are collected about different constructs and for different purposes. Qualita-
tive analysis, for example, can provide an indication of an underlying causal mechanism while
quantitative data more readily identifies both anticipated and unanticipated outcomes. Emerg-
ing so recently after the emergence of mixed methods as a distinct methodology in the late
1980s, the timeframe Johnson and colleagues were operating in may have made it difficult for
them to envision the possibility that qualitative and quantitative data could be collected about
the same constructs.
The logic of a classic approach to MM-GTM introduced by Johnson et al. (2010) extends
to one its first formal manifestations in reporting that emerged from a dissertation completed
by Minjung Shim (Shim et al., 2017) that is discussed in greater detail in the final chapter. R.
B. Johnson was a member of the doctoral committee. The committee also contained a mem-
ber widely recognized for her expertise in grounded theory. Shim described her research as
employing a multi-phase mixed methods research design. Shim declared that the purpose of her
research was to build and confirm a grounded theory model. In reality, like virtually all MM-
GTM research with this aim, she achieved more than a single purpose. She confirmed parts
of the preliminary model developed from the literature and interviews, while simultaneously
elaborating it by removing and adding constructs and hypothesized paths that linked them.
the outcome, and that recognize the multi-dimensionality of core constructs (Creamer, 2021).
The opposite of analytical density, according to Fielding (2009), is the type of tunnel vision
that leads an investigator to refuse to engage a hypothesis or theoretical proposition because it
is incompatible with his or her preconceptions.
The radical potential of mixed methods is not in terms of confirmation but to build pris-
matic understanding of phenomenon and the potential to promote analytical density.
(Fielding, 2012, p. 125)
Similarly, in writing about the link between thinking of research problems in a multi-dimen-
sional way, Jennifer Mason (2006), a sociologist, mounted an argument for putting explanation
at the center of our social research inquiry. She wrote: “Placing explanation at the center of
enquiry refects an interest in the complexities of how and why things change and work as they
do in certain contexts and circumstances” (Mason, 2006, p. 19).
An exemplar of MM-GTM
Research driven by the purpose of integrating mixed methods with grounded theory to develop
a more nuanced and comprehensive understanding is evident in the research Kawamura under-
took for her dissertation, under the supervision of a leader in the mixed methods world, Nataliya
Ivankova (i.e., Kawamura, Ivankova, Kohler, & Purumean-Chaney, 2009). From the field of
public health, her dissertation produced results that suggested that a sense of identification with
a popular media figure can promote behavioral change among patients with hypertension. The
fixing drive of a conventional parallel/concurrent mixed methods design accounts for why
these authors chose to postpone integration of the results of the qualitative and quantitative data
until the penultimate point of bringing the results together at the inference stage.
Box 1.1 summarizes key features of the Kawamura et al. (2009), including its purpose, the
way it was designed, how integration was achieved, strategies used to navigate dissonance, and
the theory produced.
BOX 1.1
Integration: Integration occurred at the final inference stage when the theo-
retical framework developed from quantitative analysis and the grounded theory
produced from the qualitative phase. The interweaving of qualitative and quan-
titative constructs produced a composite grounded theory model with a more
multi-faceted set of positive and negative consequences of the program than
was initially conceived. It also identified a set of mediating factors that influ-
enced the process.
Unexpected findings: Because integration did not occur until the final stage of
drawing the composite model, inconsistencies between findings from the quali-
tative and quantitative strands were not pursued.
Theory produced: These authors developed a final composite model that has
all the components of classic grounded theory. At the center of the model is
a three-stage temporal sequence that begins with identified similarity with the
media figure, moves to emotional involvement, and advances to gains in motiva-
tion, attitude, and practice. The composite model is unique because proposed
paths (relationships between constructs) were generated from both the qualita-
tive and quantitative analysis. Some constructs and paths in the model were
derived from both qualitative and quantitative sources.
The authors use language about the value-added of a mixed methods approach to the
development of a grounded theory that highlights its link to complexity. The authors observe:
Neither a quantitative nor a qualitative study by itself would explain the degree and com-
plexity of [parasocial] impact on physical activity and self-efficacy and practices in the
context of this study. Integrating the two models developed from the analysis of quantita-
tive and qualitative study strands provided both the level of detail and comprehensiveness
needed to understand this complex social phenomenon and its roles in promoting health
behavior among its participants.
(Kawamura et al., 2009, p. 100)
The reference to “comprehensiveness” points to the complementarity rationale for using mixed
methods where the principal outcome is to produce a more comprehensive, multi-layered, and
nuanced explanation.
The composite model produced by Kawamura et al. (2009) is essentially a multi-layered,
holistic meta-inference that combines qualitatively and quantitatively derived constructs and
paths. An innovative feature of this article is the way the theoretical framework is visualized.
DEFINITIONS 13
Graphics that depict interrelationships (paths) between constructs derived from both qualitative
and quantitative procedures is another innovative feature of this visualization. Different shad-
ing techniques are used to identify qualitatively and quantitatively derived outcomes, paths, and
mediating factors. Although it only applies in one case, a different box shape designates constructs
in the model that are supported by both qualitative and quantitative data. The uses of different
types of visual symbols and its acknowledgment of both convergence and divergence are the two
principal reasons I reproduce their Figure 4 here with copyright permission as Figure 1.1.
The fact that qualitative and quantitative data were collected and analyzed separately (a
concurrent, parallel design) accounts Kawamura et al.’s (2009) approach to navigating the incon-
sistencies between qualitative and quantitative findings that emerged once they were considered
together as an integrated whole. The authors commented on the inconsistencies, which were
substantial, but reported no steps to reconcile them. Labeling their findings as contradictory,
Kawamura et al. observed: “Four of the five features [of the model] were identified as contra-
dictory across the findings of the qualitative and quantitative analysis” (p. 96). Framing that the
results of the quantitative and qualitatively derived grounded theory models as complementary
by virtue of addressing different research questions, these authors sidestepped further analysis
but chose to embellish their initial conceptual model with some additional constructs that
emerged over the course of the analyses.
is the hinge that links mixed methods, grounded theory, and complexity. Rather than being
framed as a problem or a by-product that signals a weakness in the methods, dissonance, and the
uncertainty associated with it is prized in a dialectical perspective for its potential to generate
innovative insight. The potential for dissonance and the contribution of a dialectical stance to
innovative insight is a theme that connects this and my first textbook (Creamer, 2018a). Jen-
nifer Greene, an influential figure in the formalization of mixed methods as a methodology, is
often quoted for her description of a dialectical stance. She writes, a dialectical stance “seeks
not so much convergence as insight . . . the generation of important understanding through the
juxtaposition of different lenses, perspectives, and stances” (Greene, 2005, p. 208). Dissonance is
not an apologetic footnote to research in mixed methods: it is a player at the center of the stage.
A mixed method way of thinking actively engages with difference and diversity.
(Greene, 2005, p. 208)
The role of seemingly stark diferences between preliminary fndings emerging from qualita-
tive and quantitative analytical procedures and the contribution of unexpected sources of data
is evident in two of the exemplars I feature in this textbook. As she navigated the complexities
of her dissertation research, fndings that countered the intent of her randomized control study
(RCT) led Christina Catallo to take an unexpected detour. She diagrammed an individual
change map for each participant to pinpoint the key decision points of a group of women who
scored high on a survey about intimate partner violence, but nevertheless chose not to disclose
it to emergency room personnel (i.e., Catallo, Jack, Ciliska, & MacMillan, 2013). Catallo et al.’s
research is discussed in greater detail in the next chapter.
Although mixed methods and grounded theory have been paired productively and innova-
tive ways for quite some time, particularly in applied fields like education and nursing, a philo-
sophical foundation for this argument has not previously been developed. I explore this task in
some detail in the next section of the chapter.
Both mixed methods and grounded theory have been characterized as methodologies that
are adaptable to diverse circumstances and priorities. Innovative applications of each continue
to emerge. Highlighting the ways researchers adapt grounded theory to diverse circum-
stances, Seidel and Urquhart (2013, p. 237) observed: “Grounded theory method (GTM) is
an evolving method that is subject to idiosyncratic interpretation and flexible deployment.”
Reiterating the idiosyncratic way grounded theory has been deployed, Morse and Niehaus
(2009) maintain that “All types of grounded theory are individual methods in their own
right” (Morse & Niehaus, 2009, p. 95). The way an investigator deploys a methodology is an
expression of his or her ontological and epistemological perspective and the wider social and
intellection strains of thought that influence a time period (Ralph, Birks, & Chapman, 2015).
There are multiple areas of the overlap between the methodological assumptions of
grounded theory and mixed methods. The areas where there is an overlap in the method-
ological assumptions provide the groundwork for the argument of MM-GTM as a distinct
DEFINITIONS 15
• Utilized mostly
in applied fields • Adaptive
• Aim to contribute Design
to analytic density • Iterative
• Considers Component
multi-level
sociocultural
context Contextual Research
Issues Design
• Sensitizing
Concept
Analytic Analytic • Constant
• Abduction Logic Procedures
• Adaptible to Comparative
Diverse Method
Paradigms • Theoretical
Samping
FIGURE 1 .2 The Link Between Mixed Methods, Grounded Theory Methods, and Theory
Building
Figure 1.2 summarizes key areas of overlap between the methodological framework of
grounded theory and mixed methods. Four areas are highlighted: contextual issues, research
design, analytic logic, and analytic procedures. The contextual overlap between grounded the-
ory and mixed methods includes (a) an emphasis on developing analytical density, (b) that both
methods are used most frequently in applied fields, (c) compatibility with diverse philosophi-
cal paradigms, and (d) that research questions are constructed in a multi-dimensional way that
recognizes a multi-layered social-cultural context.
A second area of overlap shown in Figure 1.2 relates to an adaptive design (Poth, 2020)
that both recognizes and generates complexity. An iterative component fueled by the constant
comparative method is a second feature of the design.
16 DEFINITIONS
The analytic logic recognized in Figure 1.2 highlights abduction as part of both the con-
stant comparative method and theoretical sampling. The final section of Figure 1.2 recognizes
analytical procedures that can accommodate many types of approaches, including mixed meth-
ods. This applies to theoretical sampling, developing a coding system, and the role of the lit-
erature and other theories in serving as sensitizing concepts and to explain unexpected findings
that emerge during the coding process.
The methodological assumptions of most approaches to grounded theory and mixed
methods might seem to differ in terms of the appreciation for the contribution of dissonance
to generating theoretical insight. This is related to the role of verification and the treatment
of exceptions. Very little space is awarded to these topics in most textbooks about grounded
theory. The act of engaging or integrating findings from different sources of data that occurs in
mixed methods allows for confirmation, but at the same time recognizes the disconnects that
generate topics for further exploration.
We further explore some of the major areas of overlap between mixed methods and
grounded theory in the next section.
data, looking for similarities and differences to help toward conceptualizing and theory building,”
Walsh wrote (2014). She added: “The use of mixed methods can feed into the cycles of induc-
tive analysis and constant comparison required by the grounded theory method” (2014 p. 13).
In a study with a strong mixed methods orientation, Gasson and Waters (2013) also referred to
the analytical process they employed in ways that link mixed methods, grounded theory, and
the constant comparative method: “Qualitative and quantitative analyses where embedded, and
our results emerged through constant iterations between qualitative and quantitative data as they
were collected and thru the analyses of all our data as one set” (p. 154), they noted.
MM-GTM is adaptable for use with an existing data set. This could be the case, for exam-
ple, with a study involving social media posts or a body of documents like case notes or memos,
where analysis could be launched with a small a subset of the data. In this scenario, theoretical
sampling might involve dipping back into a data set to target the selection of cases to further
elaborate the properties of a core construct.
insight, Locke et al. (2008) highlight the pivotal role that doubt or uncertainty play in the pro-
cess of theorizing. Doubt can initiate an inquiry, as when a researcher finds competing expla-
nations for a phenomenon, none of which resonates with her experience. Locke et al. vividly
capture the process that might ensue when preliminary analysis yields dissonance in that the
results are completely at odds with what was anticipated:
Doubt is the engine of abduction. The living state of doubt drives and energizes us to
generate possibilities, try them out, modify, transform, or abandon them, try again, and so
on, until new concepts or patters are generated that productively satisfy our doubt. From
this perspective, doubt is essential, not aberrant, part of the research process: The question
is not whether, but how to engage doubt [emphasis theirs].
(p. 908)
These authors highlight the inventiveness that is required to work your way through these kinds
of “empirical conundrums.”
An abductive process is particularly useful in light of unexpected research findings (Tim-
mermans & Tavory, 2012). It is probably very compatible with a team setting where collabora-
tors work in a very interactive style and feel free to bat about very different ideas about how
to explain paradoxical findings. In an abductive approach, intriguing findings can generate a
very tentative hypothesis (if–then types of statements generally referred to as propositions in
grounded theory research) that are weighed deductively, and then further excavated by addi-
tional data analyses and often data collection.
Table 1.1 provides an overview of the steps in an analytical process for MM-GTM that is
iterative and includes an inductive, deductive, and abductive logic during analysis. The table
highlights integration by adding a center column that is absent from more conventional depic-
tions of the research process in mixed methods research.
Table 1.1 depicts an analytical process that begins with the separate analysis of qualita-
tive and quantitative data that can occur in concurrently or sequentially. Then it shifts to a
more integrated approach where there is a type of cycling between induction and deduction
to generate hypotheses and then to move on to explore them further through additional data
collection and analysis (Thomas, 2010). Rather than the view emerging from the first and sec-
ond generation of methodological textbooks about mixed methods that frame inferences and
meta-inferences as only occurring at the final stage of the analytical process, Table 1.1 depicts a
process where interpretation and inferences are drawn throughout the research process.
The type of active dialog depicted in Table 1.1 between findings emerging from different
sources of data requires both creativity and insight into its potential implications that can only
come from being embedded in the literature. One who argues that regardless of paradigm all
research involves interpretation, Bazeley writes: “Researchers move routinely between deduc-
tive and inductive thinking about their topic as they consider what is known and puzzle about
what they are finding out in an iterative cycle of developing and testing ideas from and with
data” (2018b, pp. 335–336). I explore the process of abduction further in Chapter 3 about how
a mixed methods approach can be embedded in grounded theory procedures.
Value-Added
of MMR
Incentive to use
Value-Added of GT multiple types of
Set of Analytical data.
Procedures Attention to exceptions,
verfication, &
Ensure there is a Strong dissonance.
Exploratory Component Diverse approaches
to sampling.
FIGURE 1.3 Overlap Between the Analytic Logic and Procedures of Grounded Theory
and Mixed Methods
set of procedures for data collection and analysis that are absent from mixed methods. Both of these
can offset an inclination to downplay the qualitative portion of MM-GTM. The unique contribu-
tion of mixed methods includes a push to be inclusive of different types of data, a logic that justifies
attention to dissonance, and more options for sampling, verification, and weighing exceptions.
Figure 1.3 uses a Venn diagram to depict the unique contributions of grounded theory and
of mixed methods as research methods used in a MM-GTM project.
The topics of verification or confirmation and the treatment of exceptions are two areas
where it is possible to pinpoint what can be gained through the pairing of mixed methods and
grounded theory. Leading voices in the different approaches to grounded theory, including its
founders, do not award much attention to procedures that contribute to verification, seeing
the purpose of grounded theory as developing theory rather than verifying it (Dey, 1999). The
same ambivalence extends to exceptions and outliers. Charmaz acknowledges the role of con-
firming hunches and promising leads but resists the idea of systematic attempts at verification in
grounded theory (Morgan, 2020). There is little justification for verification in constructivism
because all truth claims are equally valid (Bryant, 2009). Similarly, dissonance is only prioritized
as a source of original insight in postmodern approaches to grounded theory (Apramian, Cris-
tancho, Watling, & Lingard, 2017).
For me, insight about the ways mixed methods is used in practice has been propelled less
by a prescription derived from a textbook, but from attention to dissecting how it has been
DEFINITIONS 21
reported in empirical publications. When it is driven by curiosity and the quest to find
innovative examples, the scope of the search for exemplars profits by a purposeful strategy
to expand the reach of the mainstream journals, like the Journal of Mixed Method Research or
the International Journal of Multiple Research Approaches, which have made such an impact on
the field. These are by no means the only sources of creative examples of mixed methods
research. Appearance of good examples in a wide range of disciplinary venues that extend
beyond those in health sciences and education attest not only to the breadth of the use of
mixed approaches and its acceptance in many publication venues, but also can be seen as one
way that mixed methods promotes conversations that cross disciplines. I have been very pur-
poseful in my selection of examples and exemplars in this text to present an expansive view
of the way that mixed methods and grounded theory methods have been combined to com-
municate its wide use across multiple disciplinary venues. For the sake of simplicity, I refer
to them all as MM-GTM even though it would be more accurate to describe the examples
as MM-GT.
My own search to locate every possible article I could lay my hands on that include the
terms “grounded theory” and “mixed methods” in the title or abstract, has brought me to a
more positive impression than Guetterman et al. (2017) were able to extract from their catalog-
ing of the way grounded theory procedures was implemented. On scrutiny, I set aside most of
the examples they located through a systematic review as reflecting a simple QUAL + QUAN
combination logic. This means they had a qualitative phase and a quantitative phase, but the
two were not integrated in a meaningful way. This is the reason there is little overlap between
the articles this group located through their systematic search procedures and the articles I use
as examples and exemplars in this text.
I ultimately selected nine articles to feature as exemplars of MM-GTM from about 50
articles I studied with considerable intensity. I consulted more than one article about an exem-
plar when it was possible with the conviction derived from an earlier study that this approach
not only yields more data but also provides a more accurate way to gauge integration and the
use of a theoretical framework (i.e., Creamer, Guetterman, Govia, & Fetters, 2020). A sum-
mary of each of the exemplars is set aside in each chapter in a text box. A list of these appears
in Appendix A. All of the exemplars I selected refer to use mixed methods to develop and/or
to refine a theoretical or conceptual framework. Each appeared in the form of a peer-reviewed
journal article. Each has a rigorous qualitative phase where qualitative data and analytical pro-
cedures are not used simply to add color and human interest to reporting, but for purposes of
expanding and enriching explanatory insight.
Qualities of the exemplars include the following:
Table 1.2 provides a list of the exemplars of MM-GTM and identifies the chapter where
they are featured. All of these are FIMM-GTM. Table 1.2 lists the articles, their academic field,
22 DEFINITIONS
* Only one article is listed in this table. Some chapter exemplars (e.g., Catallo & Shim) generated more than one
publication.
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Language: Hungarian
A VILÁGEGYETEM ÉLETE
BUDAPEST
FRANKLIN-TÁRSULAT
MAGYAR IROD. INTÉZET ÉS KÖNYVNYOMDA
1914
A VILÁGEGYETEM ÉLETE
ÉS MEGISMERÉSÉNEK TÖRTÉNETE
SVANTE ARRHENIUS
A STOCKHOLMI FIZIKAI ÉS KÉMIAI NOBEL-INTÉZET IGAZGATÓJA
FORDITOTTA
Dr POLGÁR GYULA
BUDAPEST
FRANKLIN-TÁRSULAT
MAGYAR IROD. INTÉZET ÉS KÖNYVNYOMDA
1914
FRANKLIN-TÁRSULAT NYOMDÁJA.
A SZERZŐ ELŐSZAVA.
A tojások összetörtek,
Darabokra repedeztek.
A tojások nem jutának
Sárba részei nem hullának;
Töredéki váltak jóra
Gyönyörü szép darabokra:
A tojásnak alsó fele
Alsó anyafölddé leve,
A tojásnak felső része
Elváltozék felső égre,
Sárgájának felső szine
Váltott nappá fenn sütnie,
Fejérének felső része
Ez meg holddá derengnie
A tojásban mi tarka volt
Csillaggá vált s égen ragyog
Mi fekete vala benne
Felhő lett a levegőbe.