How to … assess the quality of qualitative research
Open accessAbstract
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
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Cites
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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.
InterpretationreasoningDisclosing 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 claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
PremisecitationThe 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.
PremisecitationSRQR 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 checkedProbably not a substantial claim: may not pass S2 (checkable), S3 (load-bearing).
InterpretationreasoningA 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 claimProbably not a substantial claim: may not pass S3 (load-bearing).
Premisenone givenSaturation 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 claimProbably not a substantial claim: may not pass S2 (checkable).
InterpretationreasoningA 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 claimProbably not a substantial claim: may not pass S2 (checkable), S3 (load-bearing).
PremisecitationQuantifying 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.
InterpretationreasoningIn 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 claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
PremisecitationCOREQ 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.
InterpretationreasoningWhether 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 claimProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationThe 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- cites [6] source
Not checked in the free run.
Classified as probably not a substantial claim.
PremisecitationReflexivity - 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.
InterpretationreasoningA 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 claimProbably not a substantial claim: may not pass S4 (based).
Interpretationnone givenThe 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 givenA 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 claimProbably not a substantial claim: may not pass S2 (checkable), S3 (load-bearing), S4 (based).
Interpretationnone givenIn 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 claimProbably not a substantial claim: may not pass S4 (based).
Interpretationnone givenDescribing 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 claimMay combine two claims.
InterpretationreasoningIt 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 claimProbably not a substantial claim: may not pass S2 (checkable), S3 (load-bearing), S4 (based). May combine two claims.
Interpretationnone givenQualitative 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 claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
PremisecitationMorse 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 givenIn 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 claimProbably not a substantial claim: may not pass S2 (checkable), S3 (load-bearing), S4 (based).
Interpretationnone givenIt 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 claimProbably not a substantial claim: may not pass S4 (based). May combine two claims.
Interpretationnone givenThe 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.
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.”
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
Tong, A., Sainsbury, P., & Craig, J. (2007) · International Journal for Quality in Health Care · doi:10.1093/intqhc/mzm042 · Cited by 42,509 · see citing works
Handbook of Qualitative Research
Crozier, G., Denzin, N., & Lincoln, Y. (1994) · British Journal of Educational Studies · doi:10.2307/3121684 · Cited by 26,636 · see citing works
Standards for Reporting Qualitative Research: A Synthesis of Recommendations
O’Brien, B. C., Harris, I. B., Beckman, T. J., Reed, D. A., & Cook, D. A. (2014) · Academic Medicine · doi:10.1097/acm.0000000000000388 · Cited by 12,211 · see citing works
Qualitative Quality: Eight “Big-Tent” Criteria for Excellent Qualitative Research
Tracy, S. J. (2010) · Qualitative Inquiry · doi:10.1177/1077800410383121 · Cited by 7,536 · see citing works
Handbook of Qualitative Research
Londoño Fernández, J. L. (1994) · Journal of Environmental Psychology · doi:10.1016/s0272-4944(05)80230-0 · Cited by 5,754 · see citing works
Critical analysis of strategies for determining rigor in qualitative inquiry
Morse, J. M. (2015) · Qualitative Health Research · doi:10.1177/1049732315588501 · Cited by 2,809 · see citing works
International journal for quality in health care
(1998) · Nursing Management · doi:10.7748/nm.5.4.39.s28 · Cited by 1,124 · see citing works
Varpio, L., Ajjawi, R., Monrouxe, L. V., O'Brien, B. C., & Rees, C. E. (2017) · Medical Education · doi:10.1111/medu.13124 · Cited by 1,028 · see citing works
How to … be reflexive when conducting qualitative research
Barrett, A., Kajamaa, A., & Johnston, J. (2020) · The Clinical Teacher · doi:10.1111/tct.13133 · Cited by 203 · see citing works
Self-citationJoining a conversation: the problem/gap/hook heuristic
Lingard, L. (2015) · Perspectives on Medical Education · doi:10.1007/s40037-015-0211-y · Cited by 117 · see citing works
How to…write a good research question
Mattick, K. L., Johnston, J., & de la Croix, A. (2018) · The Clinical Teacher · doi:10.1111/tct.12776 · Cited by 57 · see citing works
When I say … quantification in qualitative research
Monrouxe, L. V., & Rees, C. E. (2020) · Medical Education · doi:10.1111/medu.14010 · Cited by 50 · see citing works
How to…do research interviews in different ways
de la Croix, A., Barrett, A., & Stenfors, T. (2018) · The Clinical Teacher · doi:10.1111/tct.12953 · Cited by 40 · see citing works
Self-citation
Flagged first, then by citations
Cited by
Sorted by citations
Criteria for Good Qualitative Research: A Comprehensive Review
Yadav, D. (2022) · The Asia-Pacific Education Researcher · doi:10.1007/s40299-021-00619-0 · Cited by 217 · see citing works
A systematic literature review of the role of trust and security on FinTech adoption in banking
Jafri, J. A., Mohd Amin, S. I., Abdul Rahman, A., & Mohd Nor, S. (2024) · Heliyon · doi:10.1016/j.heliyon.2023.e22980 · Cited by 126 · see citing works
How do language education researchers attend to quality in qualitative studies?
Mirhosseini, S.-A., & Pearson, W. S. (2025) · Language Teaching · doi:10.1017/s0261444824000053 · Cited by 17 · see citing works
- 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
- hybrid
- doi.org
- Licence
- 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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