ArticleInternational journal of qualitative studies on health and well-being2025
Critical evaluation of methodology in "Experiences of insomnia among older people living in nursing homes a qualitative study".
Article in International journal of qualitative studies on health and well-being, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
introductionThis letter critically evaluates the methodology of Eva Hjort Telhede's qualitative study exploring insomnia experiences among nursing homes. While the study contributes valuable insights into subjective sleep challenges, its methodological rigour warrants scrutiny to inform future research.
methodsThe study employed a qualitative descriptive design with semi-structured interviews (
resultsKey methodological strengths included purposive sampling, data saturation, and reflexive practices. Limitations identified were single-researcher bias, lack of intercoder reliability checks, gender imbalance (4 men, 15 women), and exclusion of variables such as cognitive diagnoses and medication use. Environmental factors (e.g. noise and lighting) were self-reported without objective validation, and contextual transferability was constrained by limited demographic diversity. DISCUSSION: The reliance on a single coder and absence of triangulation may compromise the depth of thematic analysis. Recommendations include: (1) multi-researcher collaboration to enhance credibility; (2) inclusive sampling of residents with dementia; (3) mixed-methods designs integrating objective sleep measures; and (4) staff training in sleep hygiene to address institutional barriers. Strengthening methodological transparency and addressing contextual factors could improve future interventions for insomnia in nursing homes.
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