Cited by 258Qualitative Research Methods and ApplicationsQualitative Research Methods and EthicsMethodologies in Health Research and Practice

How to … assess the quality of qualitative research

Open access
Stenfors, Terese, Kajamaa, Anu, Bennett, Deirdre·2020·The Clinical Teacher

Abstract

SUMMARY: As a clinician interested in qualitative research, you are likely to have pondered whether a particular study is trustworthy. How do you know whether qualitative research findings are valid and can be applied in your setting? The quality standards you would look for in quantitative research do not apply. Furthermore, qualitative research is conducted within a number of paradigms, or ways of understanding the nature of reality and knowledge, each associated with different ways of defining, understanding and reporting quality. This ‘How to …’ article aims to support health care practitioners, educators and researchers to recognise some of the essential characteristics or ‘markers’ of high‐quality qualitative research. We hope that this article will support those reflecting on the quality of their own research, those justifying research design to funders and those reviewing qualitative research for journals or for inclusion in reviews.

AI snapshot

Written from the paper’s full text.

TL;DR

This "How to …" article guides health care practitioners, educators and researchers in recognising the essential markers of high-quality qualitative research, arguing that quantitative quality standards do not apply. It presents four widely used trustworthiness criteria—credibility, dependability, confirmability and transferability—plus reflexivity, and discusses checklists such as COREQ, SRQR, Tracy and CASP.

Key findings

No empirical findings; the paper is a methodological guidance piece. Its core claims are:

  • Four criteria are widely used to appraise trustworthiness of qualitative research: credibility, dependability, confirmability and transferability, with reflexivity added as an additional quality marker (Table 1).
  • Credibility requires alignment between theory, research question, data collection, analysis and results; sample size is not a key marker—depth, richness and appropriateness of data matter more, and Morse's factors (scope, topic nature, prior knowledge, design, data quality, useful information per participant, shadowed data) should be considered.
  • Confirmability is enhanced by including quotes or similar research data; quantifying qualitative findings (e.g. "80% of all respondents agreed") may not strengthen the research (Monrouxe and Rees).
  • Checklists (COREQ, SRQR, Tracy, CASP) can help identify quality markers, but a high score may say little about whether findings apply in your setting; many researchers oppose uncritical checklist use.

Methods

Not stated in the paper (no empirical design, data or sample); this is a conceptual "How to …" guidance article drawing on cited methodological literature. It is organised around assessing quality of the research methodology, the research findings, and quality checklists as tools.

Limitations

The paper states that many researchers oppose checklists and suggest they may be counterproductive if used uncritically and without consideration of research context, and cautions that a high checklist score may say little about applicability in your setting given varying theoretical/philosophical frameworks and journal standards. Evident from the text: no empirical validation of the proposed markers is presented, and the authors note that markers differ between qualitative methodologies and from quantitatively oriented natural sciences.

Model-written summary. Check it against the paper before relying on it.

Integrity signals

Registry

Crossref · 10.1111/tct.13242

Cites

13 of 13 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Claims the paper makes

0 of 10 cited sources checked · 0 supported · 0 flagged

  • Interpretationreasoning

    The number of respondents or the length of observations are not necessarily the key markers of high-quality qualitative research.

    “The number of respondents or the length of observations are not necessarily the key markers to indicate high-quality research.”
    Quote in the paperNot a substantial claim
  • Premisecitation

    Four criteria - credibility, dependability, confirmability and transferability - are widely used to appraise the trustworthiness of qualitative research.

    “Four criteria are widely used to appraise the trustworthiness of qualitative research: credibility, dependability, confirmability and transferability.3”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [3]

      Not checked in the free run.

  • Classified as probably not a substantial claim. 22
  • May combine two claims. 8
  • Classified as probably not a substantial claim.

    Interpretationreasoning

    Disclosing information about the researcher's role in the methodology section increases the transparency and trustworthiness of the research findings.

    “Disclosing such information in the methodology section is important and increases the transparency and trustworthiness of the research findings.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    The concept of saturation is widely debated, and information power might be a better concept.

    “This concept is widely debated, however, and Varpio et al. provides a great description of why information power might be a better concept.6”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [6] source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    SRQR was developed especially for medical education, whereas Tracy and CASP present criteria for qualitative research applicable across genres and methodologies.

    “Another checklist, developed especially for medical education, is Standards for Reporting Qualitative Research (SRQR), whereas Tracy and Critical Appraisal Skills Programme (CASP) present criteria for qualitative research applicable across genres and methodologies.[10][11][12]”
    Quote in the paperNot a substantial claim0 of 3 sources checked
    • cites [10] source

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    • cites [11] source

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    • cites [12]

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  • Probably not a substantial claim: may not pass S2 (checkable), S3 (load-bearing).

    Interpretationreasoning

    A less rich data sample (for example very short interviews) is likely to be of less value to the research than fewer in-depth interviews that provide rich insight.

    “a less rich data sample (for example very short interviews) is likely to be of less value to the research than fewer in-depth interviews that provide rich insight.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisenone given

    Saturation or data sufficiency are commonly used terms to indicate credibility, suggesting that enough data were gathered to identify all relevant aspects needed to answer the research question.

    “Similarly, saturation or data sufficiency are commonly used terms to indicate credibility, suggesting that enough data were gathered to identify all relevant aspects to answer the research question.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S2 (checkable).

    Interpretationreasoning

    A high score on a quality checklist may say little about whether the findings can be applied in a given setting, because authors' theoretical and philosophical frameworks and journal standards vary immensely.

    “We would caution, however, that a high score on such a list may say little about whether the findings can be applied in your setting, bearing in mind that the authors' theoretical and philosophical frameworks and the standards of journals vary immensely.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S2 (checkable), S3 (load-bearing).

    Premisecitation

    Quantifying qualitative findings by expressions such as percentages may not strengthen the research.

    “however, Monrouxe and Rees provide a compelling argument for why this may not be strengthening the research.8”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [8] source

      Not checked in the free run.

  • Classified as probably not a substantial claim.

    Interpretationreasoning

    In qualitative research, the person collecting the data plays a central role.

    “In qualitative research, the person collecting the data plays a central role (compare the roles of a researcher conducting a personal interview versus a researcher collecting data through an online questionnaire).”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    COREQ is perhaps the most commonly used framework today, and some journals now require authors to use it when submitting an article.

    “The perhaps most commonly used framework today is Consolidated Criteria for Reporting Qualitative Research (COREQ), and some journals now require authors to use this when submitting an article.9”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [9] source

      Not checked in the free run.

  • Classified as probably not a substantial claim. May combine two claims.

    Interpretationreasoning

    Whether the interviewer is an expert on the topic is likely to affect the interview, as are factors such as the interviewees' and respondents' respective ages, gender and professions.

    “Whether the interviewer is an expert on the topic is also likely to affect the interview, as well as other factors such as the interviewees' and the respondents' respective ages, gender and professions.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    The concepts of triangulation or crystallisation are used as quality markers in somewhat different ways depending on the paradigm.

    “Varpio et al. further explain how the concepts of triangulation or crystallisation are used as a quality marker in somewhat different ways, depending on the paradigm.6”
    Quote in the paperNot a substantial claim0 of 1 sources checked
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  • Classified as probably not a substantial claim.

    Premisecitation

    Reflexivity - the researcher reflecting on his or her role in the study - is a key marker of quality.

    “This process, reflexivity, is a key marker of quality.7”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [7] source

      Not checked in the free run.

  • Classified as probably not a substantial claim.

    Interpretationreasoning

    A teacher interviewing his or her students is likely to get different answers than a student asking peers the same questions.

    “A teacher interviewing his or her students is likely to get different answers than a student asking peers the same questions.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S4 (based).

    Interpretationnone given

    The quality standards looked for in quantitative research do not apply to qualitative research.

    “The quality standards you would look for in quantitative research do not apply.”
    Quote in the paperNot a substantial claim
    • Rests on an assumption: Qualitative research is conducted within a number of paradigms, each associated with different ways of defining, understanding and reporting quality.
  • Probably not a substantial claim: may not pass S2 (checkable), S4 (based).

    Interpretationnone given

    A detailed description of the research process - including context, aims, questions and design, theoretical underpinnings, methods of data collection and analysis, results, discussion, and their careful alignment - usually increases the quality of a qualitative study.

    “In sum, a detailed description of the research process, including the research context, research aims, questions and design, theoretical underpinnings, and the methods of data collection and data analysis, results, discussion, and their careful alignment, usually increases the quality of a qualitative study.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S2 (checkable), S3 (load-bearing), S4 (based).

    Interpretationnone given

    In the write-up of the findings, confirmability is enhanced by the inclusion of quotes or similar research data.

    “In the write-up of the findings, confirmability is enhanced by the inclusion of quotes or similar research data.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S4 (based).

    Interpretationnone given

    Describing the process of data collection and data analysis in enough detail for someone to follow the same steps supports the dependability of the research.

    “Most importantly, the process of data collection and data analysis should be described in enough detail for someone to follow the same steps.This supports the dependability of the research.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Interpretationreasoning

    It is very difficult to know beforehand how many respondents will be needed in qualitative studies, and there is flexibility regarding this point.

    “Taken together, this makes it very difficult to know beforehand how many respondents will be needed, and in qualitative studies there is flexibility regarding this point.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S2 (checkable), S3 (load-bearing), S4 (based). May combine two claims.

    Interpretationnone given

    Qualitative findings may inform theory and methodology development, but they may not be directly transferrable to other social or organisational settings.

    “The findings may inform theory and methodology development, but they may not be directly transferrable to other social or organisational settings.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    Morse proposes that the following factors be taken into consideration when judging data adequacy: the scope of the study; the nature of the topic; what is already known about the studied phenomenon; the study design; the quality of the data; the amount of useful information obtained from each participant; and the use of shadowed data.

    “Morse proposes the following factors to be taken into consideration: the scope of the study; the nature of the topic; what is already known about the studied phenomenon; the study design; the quality of the data; the amount of useful information”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [5] source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Interpretationnone given

    In some studies, the credibility of the analysis can be enhanced through member reflections, in which preliminary findings are presented to participants for input and elaboration.

    “In some studies, the credibility of the analysis can be enhanced through member reflections, which means that the preliminary findings are presented to the participants for input and elaboration.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S2 (checkable), S3 (load-bearing), S4 (based).

    Interpretationnone given

    It may not be possible to analyse a huge volume of data in the appropriate depth required for certain methodologies.

    “Moreover, it may not be possible to analyse a huge volume of data in the appropriate depth required for certain methodologies”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S4 (based). May combine two claims.

    Interpretationnone given

    The markers of quality differ between qualitative research and quantitatively oriented natural sciences, and variation also exists between different qualitative methodologies.

    “It is important to note that these markers differ between qualitative research and quantitatively oriented natural sciences, albeit that variation also exists between different qualitative methodologies.”
    Quote in the paperNot a substantial claim
    • Rests on an assumption: Qualitative research is conducted within a number of paradigms, each associated with different ways of defining, understanding and reporting quality.
23 of 23
  • The paper relies on this without support.

    Qualitative research is conducted within a number of paradigms, each associated with different ways of defining, understanding and reporting quality.

    “Furthermore, qualitative research is conducted within a number of paradigms, or ways of understanding the nature of reality and knowledge, each associated with different ways of defining, understanding and reporting quality.”
  • The paper relies on this without support.

    Clinicians interested in qualitative research have pondered whether a particular study is trustworthy.

    “As a clinician interested in qualitative research, you are likely to have pondered whether a particular study is trustworthy.”
2 of 2

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • The concept of reflexivity is often added to trustworthiness, although some see reflexivity as a means of ensuring research findings are credible and confirmable.

    “To these, the concept of REFLEXIVITY is often added (e.g., Richardson, 2000; Stenfors et al., 2020), although some see reflexivity as a means of ensuring research findings are credible and confirmable.”

    From How do language education researchers attend to quality in qualitative studies? (2025) · cites this paper as Stenfors et al., 2020

  • Quality in qualitative research can be discerned both from authors' descriptions of how the study was designed and conducted as well as their explicit accounts of how quality was attended to, typically in the methodology section.

    “Consequently, quality in qualitative research can be discerned both from authors ' descriptions of how the study was designed and conducted as well as their explicit accounts of how quality was attended to, typically in the methodology section of research articles (Marsden, 2019; Stenfors et al., 2020).”

    From How do language education researchers attend to quality in qualitative studies? (2025) · cites this paper as Stenfors et al., 2020

  • The use of expressions such as '80% of all respondents agreed that' or 'only one of the interviewees mentioned that' may quantify qualitative findings.

    “The use of expressions (for instance, ''80% of all respondents agreed that'' or ''only one of the interviewees mentioned that'') may also quantify qualitative findings (Stenfors et al., 2020).”

    From Criteria for Good Qualitative Research: A Comprehensive Review (2022) · cites this paper as Stenfors et al., 2020

Cites

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Authors
Stenfors, T., Kajamaa, A., & Bennett, D.
Affiliations
  • Karolinska Institutet (SE)
  • University of Helsinki (FI)
  • University College Cork (IE)
Corresponding author
Stenfors, Terese
Venue
The Clinical Teacher
Publisher
Wiley
Published
2020-08-13
Volume
17
Issue
6
Pages
596-599
ISSN
  • 1743-4971 (ISSN-L)
  • 1743-498X
OpenAlex
W3048948054
Cited by
258
References
13
Citations by year
2026: 49 · 2025: 59 · 2024: 55 · 2023: 64 · 2022: 19 · 2021: 11 · 2020: 1
FWCI
36.05
Type
journal article
Language
en
Open access
Locations
  • The Clinical Teacher (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • Työväentutkimus Vuosikirja (submittedVersion)
Funders
Rijksuniversiteit Groningen
Topics
  • Social Sciences › Education › Qualitative Research Methods and Applications
  • Social Sciences › Sociology and Political Science › Qualitative Research Methods and Ethics
  • Health Sciences › Health Professions › Health Information Management › Methodologies in Health Research and Practice
Keywords
qualitative research quality, quality assessment, research validity, research paradigms, research design, research appraisal
MeSH terms
Delivery of Health Care, Humans, Qualitative Research

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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

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Classified by jev-1.13-20260917 (gold-guideline-v0.2) on 2026-10-10.

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