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What is a framework? Understanding their purpose, value, development and use

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• Stefan Partelow   ORCID: orcid.org/0000-0002-7751-4005 1 , 2  

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Many frameworks exist across the sciences and science-policy interface, but it is not always clear how they are developed or can be applied. It is also often vague how new or existing frameworks are positioned in a theory of science to advance a specific theory or paradigm. This article examines these questions and positions the role of frameworks as integral but often vague scientific tools, highlighting benefits and critiques. While frameworks can be useful for synthesizing and communicating core concepts in a field, they often lack transparency in how they were developed and how they can be applied. Positioning frameworks within a theory of science can aid in knowing the purpose and value of framework use. This article provides a meta-framework for visualizing and engaging the four mediating processes for framework development and application: (1) empirical generalization, (2) theoretical fitting, (3) application, and (4) hypothesizing. Guiding points for scholars and policymakers using or developing frameworks in their research are provided in closing.

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The development of ‘frameworks’ is at present probably the most common strategy in the field of natural resources management to achieve integration and interdisciplinarity. Mollinga , 2008

…it is not clear what the role of a scientific framework should be, and relatedly, what makes for a successful scientific framework. Ban and Cox, 2017

Introduction

Frameworks are important research tools across nearly all fields of science. They are critically important for structuring empirical inquiry and theoretical development in the environmental social sciences, governance research and practice, the sustainability sciences and fields of social-ecological systems research in tangent with the associated disciplines of those fields (Binder et al. 2013 ; Pulver et al. 2018 ; Colding and Barthel 2019 ). Many well-established frameworks are regularly applied to collect new data or to structure entire research programs such as the Ecosystem Services (ES) framework (Potschin-Young et al. 2018 ), the Social-Ecological Systems Framework (SESF) (McGinnis and Ostrom 2014a ), Earth Systems Governance (ESG) (Biermann et al. 2010 ), the Driver-Impact-Pressure-State-Response (DIPSR) framework, and the Life Cycle Assessment (LCA) framework. Frameworks are also put forth by major scientific organizing bodies to steer scientific and policy agendas at regional and global levels such as the Intergovernmental Science-Policy Platform on Biodiversity and Ecosystem Services (IPBES) (Díaz et al. 2015 ) and the Global Sustainable Development Report’s transformational levers and fields (UN 2019 ).

Despite the countless frameworks, it is not always clear how a framework can be developed or applied (Ban and Cox 2017 ; Partelow 2018 ; Nagel and Partelow 2022 ). Development may occur through empirically backed synthesis or by scholars based on their own knowledge, values, or interests. These diverse development pathways do, however, result in common trends. The structure of most frameworks is the identification of a set of concepts and their general relationships — often in the form box-and-arrow diagrams — that are loosely defined or unspecified. This hallmark has both benefits and challenges. On one hand, this is arguably the purpose of frameworks, to structure the basic ideas of theory or conceptual thinking, and if they were more detailed they would be models. On the other hand, there is often a “black box” nature to frameworks. It is often unclear why some sets of concepts and relationships are chosen for integration into frameworks, and others not. As argued below, these choices are often the result of the positionality of the framework’s creators. Publications of frameworks, furthermore, often lack descriptions of their value and potential uses compared to other frameworks or analytical tools that exist in the field.

Now shifting focus to how frameworks are applied. Some frameworks provide measureable indicators as the key variables in the framework, but many only suggest general concepts. This creates the need to link concepts and their relationships to data through other more tangible indicators. Methods to measure such indicators will also be needed in new empirical studies. These methodological and study design steps necessary to associate data to framework concepts is often referred to as “operationalizing” a framework. However, without guidance on how to do this, scholars are often left with developing their own strategies, which can lead to heterogeneous and idiosyncratic methods and data. These challenges can be referred to as methodological gaps (Partelow 2018 ), where the details of how to move from concept to indicator to measurement to data transformation, are not always detailed in a way that welcomes replicability or learning. This is not necessarily a problem if the purpose of a framework is to only guide the analysis of individual cases or synthesis activities in isolation, for example to inform local management, but it hinders meta-analyses, cross-case learning and data interpretability for others.

In this article, a brief overview of framework definitions and current synthesis literature are reviewed in the “ What is a framework? ” section. This is coupled with the argument that frameworks often lack clarity in their development and application because their positioning within a theory of science is unclear. In the “ Mechanisms of framework development and use: a meta-framework ” section, a meta-framework is proposed to assist in clarifying the four major levers with which frameworks are developed and applied: (1) empirical generalization, (2) theoretical fitting, (3) hypothesizing, and (4) application. The meta-framework aims to position individual frameworks into a theory of science, which can enable scholars to take a conceptual “step back” in order to view how their engagement with a framework contributes to their broader scientific goal and field. Two case studies of different frameworks are provided to explore how the meta-framework can aid in comparing them. This is followed by a discussion of what makes a good framework, along with explicit guiding points for the use of frameworks in research and policy practice.

What is a framework?

The definition and purpose of a framework is likely to vary across disciplines and thematic fields (Cox et al. 2016 ). There is no universal definition of a framework, but it is useful to provide a brief overview of different definitions for orientation. The Cambridge Dictionary states that frameworks are “a supporting structure around which something can be built; a system of rules, ideas, or beliefs that is used to plan or decide something.” Schlager ( 2007 , 293) states that “frameworks provide a foundation for inquiry,” and Cumming ( 2014 , 5) adds that this “does not necessarily depend on deductive logic to connect different ideas.” Importantly, Binder et al., ( 2013 , 2) note that “a framework provides a set of assumptions, concepts, values and practices,” emphasizing the normative or inherently subjective logic to framework development. A core theme being plurality and connectivity. Similarly, McGinnis and Ostrom ( 2014a , 1) define frameworks as “the basic vocabulary of concepts and terms that may be used to construct the kinds of causal explanations expected of a theory. Frameworks organize diagnostic, descriptive, and prescriptive inquiry.” In a review comparing ten commonly used frameworks in social-ecological systems (SES) research, Binder et al., ( 2013 , 1) state that frameworks are useful for developing “a common language, to structure research on SES, and to provide guidance toward a more sustainable development of SES.” In a similar review, Pulver et al., ( 2018 , 1) suggest that frameworks “assist scholars and practitioners to analyze the complex, nonlinear interdependencies that characterize interactions between biophysical and social arenas and to navigate the new epistemological, ontological, analytical, and practical horizons of integrating knowledge for sustainability solutions.” It is important to recognize that the above claims often suggest the dualistic or bridging positions held by frameworks, in both theory building and for guiding empirical observations. However, there is relatively little discussion in the above literature on how frameworks act as bridging tools within a theory of science or how frameworks add value as positioning tools in a field.

Every framework has a position, meaning it is located within a specific context of a scientific field. As positioning tools, frameworks seem to “populate the scientist’s world with a set of conceptual objects and (non-causal) relationships among them,” shaping (and sometimes limiting) the way we think about problems and potential solutions (Cox et al. 2016 , 47). Thus, using a specific framework helps in part to position the work of a researcher in a field and its related concepts, theories and paradigms.

Four factors can be considered to evaluate the positioning of a framework: (a) who developed it, (b) the values being put forth by those researchers, (c) the research questions engaged with, and (d) the field in which it is embedded. For example, the Social-Ecological Systems Framework (SESF) (Ostrom 2009 ) was developed by (a) Elinor Ostrom who developed the framework studying common-pool resource and public goods governance from the 1960s until the 2000s. Ostrom’s overall goal was (b) to examine the hindering and enabling conditions for governance to guide the use and provision common goods towards sustainability outcomes. Her primary research questions (c) related to collective action theory, unpacking how and why people cooperate with each other or not. The field her work is embedded in (d) is an interdisciplinary mix between public policy, behavioral and institutional economics. Scholars who use Ostrom’s SESF today, carry this history with them and therefore position themselves, whether implicitly or explicitly, as part of this research landscape as systems thinkers and interdisciplinarians, even if they have other scholarly positions.

Frameworks are positioned within a theory of science. Understanding this positioning can guide scholars in comprehending how their engagement with frameworks contributes to the overall advancement of their field. To do this, taking a conceptual “step back” is necessary, to distinguish between different levels of theory in science. From the conceptually broadest to the most empirically specific, we can identify the following levels of theory: paradigms, frameworks, specific theories, models/archetypes and cases (Table 1 ). Knowledge production processes flow up and down these levels of theory. For example, as argued by Kuhn ( 1962 ), the purpose of a scientific field is to advance its paradigm. Thus, the study of empirical observations (e.g., case studies) — and the development of models or theories resulting from those data — are aimed at advancing the overarching paradigm. Such paradigms could be conservation, democracy, sustainable development or social-ecological systems.

There is a need to connect cases, models and specific theory up to the overall paradigms of a field to make aggregate knowledge gains. Here, the role of frameworks becomes more clear, as bridging tools that enable connections between levels of knowledge. From the top down, frameworks can specify paradigms with more tangible conceptual features and relationships, which can then guide empirical inquiry. For example, the Driver-Pressure-State-Impact-Response (DPSIR) framework (Smeets and Weterings 1999 ; Ness, Anderberg, and Olsson 2010 ) specifies how to evaluate policy options and their effects by focusing on the five embedded concepts in a relational order. Scholars can then generate more specific indicators and methods to measure the five specified features of the framework, and their relationships, to generate empirical insights that now have a direct link to the paradigm of sustainable policy development via the framework.

Furthermore, frameworks can also emerge from the bottom up, by distilling empirical data across cases and thus creating a knowledge bridge of more specified conceptual features and relationships that connect to a paradigm. In both top-down and bottom-up mechanism, frameworks can play a vital role in synthesizing and communicating ideas among scholars in a field — from empirical data to a paradigm. A challenge may be, however, that multiple frameworks have emerged attempting to specify the core conceptual features and relationships in a paradigm. A mature scientific field is likely to have many frameworks to guide research and debate. There is, however, a lack of research and tools available to compare frameworks and their added value.

Beyond their use as positioning tools, frameworks make day-to-day science easier. They can guide researchers in designing new empirical research by indicating which core concepts and relationships are of interest to be measured and compared. Scientific fields also need common fires to huddle around, meaning that we need reference points to initiate scholarly debates, coordinate disparate empirical efforts and to communicate findings and novel advancements through a common language (McGinnis and Ostrom 2014a ; Ban and Cox 2017 ). As such, frameworks are useful for synthesis research, focusing the attention of reviews and meta-analyses around core sets of concepts and relationships.

There is, however, a tension between frameworks that aim to capture complexity and those that aim to simplify core principles. Complexity oriented frameworks often advance systems thinking at the risk of including too many variables. They often have long lists of variables which makes empirical orientation and synthesis difficult. On the other hand, simplification frameworks face the challenge of leaving important things out, with the benefit of clarifying what may be important and giving clear direction.

From a more critical perspective, the “criteria for comparing frameworks are not well developed,” (Schlager, 2007 , 312), and the positionality of frameworks has not been rigorously explored outside of smaller studies. Nonetheless, numerous classifications or typologies of frameworks within specific fields have been suggested (Table 2 ), although not with reference to positionality (Spangenberg 2011 ; Binder et al. 2013 ; Cumming 2014 ; Schlager 2007 ; Ness et al. 2007 ; Potschin-Young et al. 2018 ; Cox et al. 2021 ; Louder et al. 2021 ; Chofreh and Goni 2017 ; Alaoui et al. 2022 ; Tapio and Willamo 2008 ). These studies point to the question of: what makes a good framework? Are there certain quality criteria that make some frameworks more useful than others? There has undoubtedly been a rise in the number of frameworks, but as expressed by Ban and Cox ( 2017 , 2), “it is not clear what the role of a scientific framework should be, and relatedly, what makes for a successful scientific framework. Although there are many frameworks […] there is little discussion on what their scientific role ought to be, other than providing a common scientific language.” The meta-framework presented below serves as a tool for answering these questions and provides guidance for developing and implementing frameworks in a range of settings.

Mechanisms of framework development and use: a meta-framework

This section presents a meta-framework detailing the mechanisms of framework development and use (Fig. 1 ). The meta-framework illustrates the role of frameworks as bridging tools for knowledge synthesis and communication. Therefore, the purpose of the meta-framework is to demonstrate how the mechanisms of framework development and use act as levers of knowledge flow across levels within a theory of science, doing so by enabling the communication and synthesis of knowledge. Introducing the meta-framework has two parts, outlined below.

A meta-framework outlining the central role frameworks play in scientific advancement through their development and use. In the center, frameworks provide two core bridging values: knowledge synthesis and knowledge communication. Three modes of logical reasoning contribute to framework development: induction, deduction and abduction. Frameworks are used and developed through four mediating processes: (1) empirical generalization, (2) theoretical fitting, (3) application, and (4) hypothesizing

First, the meta-framework visualizes the levels along the scale of scientific theory including paradigms, frameworks, specific theory and empirical observations, introduced above. Along this scale, three mechanisms of logical reasoning are typical: induction, deduction, and abduction. Induction is a mode of logical reasoning based on sets of empirical observations, which, when patterns within those observations emerge, can inform more generalized theory formation. Induction, in its pure form, is reasoning without prior assumptions about what we think is happening. In contrast, deduction is a mode of logical reasoning based on testing a claim or hypothesis, often based on a body of theory, against an observation to infer whether or not a claim is true. In contrast to induction, which always leads to probable or fuzzy conclusions, deductive logic provides true or false conclusions. A third mode of logical reasoning is abduction. Abduction starts with a single or limited set of observations, and assumes the most likely cause as a conclusion. Abduction can only provide probable conclusions. Knowledge claims from all three modes of logical reasoning are part of the nexus of potential framework creation or modification.

Second, the meta-framework has four iterative mediating processes that directly enable the development and/or application of frameworks (Fig. 1 ). Two of the four mediating processes relate to framework development: (1) empirical generalization and (2) theoretical fitting. The other two relate to framework application: (3) hypothesizing, and (4) application (Fig. 1 , Table 3 ). The details of the specific mediating pathways are outlined in Table 3 , including the processes involved in each. There are numerous potential benefits and challenges associated with each (Table 3 ).

The value of a meta-framework

The presented meta-framework (Fig. 1 ) allows us to assess the values different frameworks can provide. If a framework provides a novel synthesis of key ideas or new developments in a field, and communicates those insights well in its composition, it likely adds notable value. If a framework coordinates scientific inquiry across the 1 or more of the four mediating processes, it likely acts as an important gatekeeper and boundary object for what may otherwise be disparate or tangential research. If it contributes substantial advances in 3 or 4 of the mediating processes, the value of the framework is likely higher.

The meta-framework can further help identify the positioning of framework such as the type of logical reasoning processes used to create it, as well as help clarify the role of a framework along the scale of knowledge production (i.e., from data to paradigm). It might be clear, for example, what paradigm or specific theory a framework contributes to. The meta-framework can add value by guiding the assessment of how frameworks fit into the bigger picture of knowledge contribution in their field. Furthermore, many scholars and practitioners are interested in developing new frameworks. The meta-framework outlines the mechanisms that can be considered in creating the framework as well as help developers of new frameworks communicate how their frameworks add value. For example, to link empirical data collection to theoretical work in their field.

The meta-framework can help compare frameworks, to assess strengths and weaknesses in terms of their positioning and knowledge production mechanisms. It can also help elucidate the need for, or value of, new frameworks. This challenge is noted by Cumming ( 2014 , 18) in the field of social-ecological systems, reflecting that “the tendency of researchers to develop “new” frameworks without fully explaining how they relate to other existing frameworks and what new elements they bring to the problem is another obvious reason for the lack of a single dominant, unifying framework.” To showcase such as comparison, two brief examples are provided. The first example features the Driver-Pressure-State-Impact-Response (DPSIR) framework developed by the European Environmental Agency (EEA) (Box 1 ) (Smeets and Weterings 1999 ; Ness, Anderberg, and Olsson 2010 ). The DPSIR framework exemplifies a framework developed from the top-down (theoretical fitting) approach, to better organize the policy goal and paradigm of environmental sustainability to the indicators collected by EU member states. The second example highlights the Social-Ecological Systems Framework (SESF) developed by Elinor Ostrom (Box 2 ) (Ostrom 2009 ; McGinnis and Ostrom 2014a ). The SESF exemplifies a framework developed from the bottom up (empirical generalization) to aggregate data into common variables to enable data standardization and comparison towards theory building to improve environmental governance. In the case examples (Box 1 ; Box 2 ), we can see the value of both frameworks from different perspectives. The examples briefly illustrate how the positionality of each framework dictates how others use them to produce knowledge towards a paradigm. In the case of the DPSIR framework, from the top-down towards a policy goal, and with the SESF, from the bottom-up towards a theoretical goal.

Drivers – Pressures – State – Impact - Response (DPSIR) framework

Social-Ecological Systems Framework (SESF)

Discussion and directions forward

Frameworks are commons objects to huddle around in academic and practitioner communities, providing identity and guiding our effort. They focus scholarly attention on important issues, stimulate cognitive energy and provide fodder for discussion. However, reflection on the role and purpose of the frameworks we use needs to be a more common practice in science. The proposed meta-framework aims to showcase the role of frameworks as boundary objects that connect ideas and concepts to data in constructive and actionable ways, enabling knowledge to be built up and aggregated within scientific fields through using common languages and concepts (Mollinga 2008 ; Klein 1996 ).

Boundary objects such as frameworks can be especially important for inter- and transdisciplinary collaboration, where there may be few prior shared points of conceptual understanding or terminology beyond a problem context. Mollinga ( 2008 , 33) reflects that “frameworks are typical examples of boundary objects, building connections between the worlds of science and that of policy, and between different knowledge domains,” and that “the development of frameworks is at present probably the most common strategy in the field of natural resources management to achieve integration and interdisciplinarity,” (Mollinga, 2008 , 31). They are, however, critically important for both disciplinary specific fundamental research, as well as for bridging science-society gaps through translating often esoteric academic concepts and findings into digestible and often visual objects. For example, the DPSIR framework (Box 1 ) attempts to better organize the analysis of environmental indicators for policy evaluation processes in the EU. Furthermore, Partelow et al., ( 2019 ) and Gurney et al., ( 2019 ) both use Ostrom’s SESF (Box 2 ) as a boundary object at the science-society interface to visually communicate systems thinking and social-ecological interactions to fishers and coastal stakeholders involved in local management decision-making.

An important feature of frameworks is that the very contestation over their nature is perhaps their main value. A framework can only be an effective boundary object if it catalyzes deliberation and scholarly debate — thus contestation over what it is and its value is seeded into the toolbox and identity of a scholarly field. Although most frameworks are likely to have shortcomings, flaws or controversial features, the fact that they motivate engagement around common problems and stimulate scholarly engagement is a value of its own. In doing so, frameworks often become symbols of individual and community identity in contested spaces. This is evidenced in how frameworks are often used to stamp our research as valid, relevant and important to the field, even if done passively. Citing a framework both communicates the general purpose of what a scholar is attempting to achieve to others, and orients science towards a common synthetic object for future knowledge synthesis and debate. These positioning actions are essential for science and practitioner communities to understand a research or policy project, its aims and assumptions. Historically, disciplines have provided this value – signaling the problems, methods and theories one is likely to engage with. Frameworks can act as tools for bridging disciplines, helping to catalyze interdisciplinary engagement (Mollinga 2008 ; Klein 1996 ). As many scientific communities shift focus towards solving real-world problems (e.g., climate change, gender equality), tools that can help scientists’ cooperate and communicate, such as a framework, will continue to play a vital role in achieving knowledge co-production goals.

Guiding points for framework engagement

An aim of this article is not only to reflect on the purpose, value and positioning of frameworks, but to provide some take-away advice for engaging with frameworks in current or future work. Over the course of this article, the question of “What makes a good framework?” has been explored. The meta-framework outlines mechanisms of useful frameworks and can help understand the positioning of frameworks. Nonetheless, more detailed guiding points can be specified for both the use and development of frameworks going forward. A series of guiding points are outlined in Table 4 , generated from the literature cited throughout this article, feedback from colleagues and personal experiences applying and developing numerous frameworks. The guiding points focus on the two types of mediating processes, framework development and use (Table 4 ).

In conclusion, we need to know our academic tools in order make the best use of them in our own research, practice and knowledge communities. Frameworks have gained substantial popularity for the communication and synthesis of academic ideas, and as tools we all have the ability to create and perhaps the responsibility to steward. However, frameworks have struggled to find roots in a theory of science which grounds their contributions in relation to other scientific tools such as models, specific theories and empirical data. There is also a lack of discussion about what makes a good framework and how to apply frameworks in a way to makes those applications of integrative value to an overall community of scholars positioned around it. The meta-framework provided in this article offers insights into how to understand the purpose and positionality of frameworks, as well as the mechanisms for understanding the creation and application of frameworks. The meta-framework further allows for the comparison of frameworks to assess their value.

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Acknowledgements

I would like to thank Michael Cox and Achim Schlüter for their helpful feedback on previous versions of the manuscript and the ideas within it. I am grateful to the Leibniz Centre for Tropical Marine Research (ZMT) in Bremen, and the Center for Life Ethics at the University of Bonn for support.

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Partelow, S. What is a framework? Understanding their purpose, value, development and use. J Environ Stud Sci 13 , 510–519 (2023). https://doi.org/10.1007/s13412-023-00833-w

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Theories are formulated to explain, predict, and understand phenomena and, in many cases, to challenge and extend existing knowledge within the limits of critical bounded assumptions or predictions of behavior. The theoretical framework is the structure that can hold or support a theory of a research study. The theoretical framework encompasses not just the theory, but the narrative explanation about how the researcher engages in using the theory and its underlying assumptions to investigate the research problem. It is the structure of your paper that summarizes concepts, ideas, and theories derived from prior research studies and which was synthesized in order to form a conceptual basis for your analysis and interpretation of meaning found within your research.

Abend, Gabriel. "The Meaning of Theory." Sociological Theory 26 (June 2008): 173–199; Kivunja, Charles. "Distinguishing between Theory, Theoretical Framework, and Conceptual Framework: A Systematic Review of Lessons from the Field." International Journal of Higher Education 7 (December 2018): 44-53; Swanson, Richard A. Theory Building in Applied Disciplines . San Francisco, CA: Berrett-Koehler Publishers 2013; Varpio, Lara, Elise Paradis, Sebastian Uijtdehaage, and Meredith Young. "The Distinctions between Theory, Theoretical Framework, and Conceptual Framework." Academic Medicine 95 (July 2020): 989-994.

Importance of Theory and a Theoretical Framework

Theories can be unfamiliar to the beginning researcher because they are rarely applied in high school social studies curriculum and, as a result, can come across as unfamiliar and imprecise when first introduced as part of a writing assignment. However, in their most simplified form, a theory is simply a set of assumptions or predictions about something you think will happen based on existing evidence and that can be tested to see if those outcomes turn out to be true. Of course, it is slightly more deliberate than that, therefore, summarized from Kivunja (2018, p. 46), here are the essential characteristics of a theory.

• It is logical and coherent
• It has clear definitions of terms or variables, and has boundary conditions [i.e., it is not an open-ended statement]
• It has a domain where it applies
• It has clearly described relationships among variables
• It describes, explains, and makes specific predictions
• It comprises of concepts, themes, principles, and constructs
• It must have been based on empirical data [i.e., it is not a guess]
• It must have made claims that are subject to testing, been tested and verified
• It must be clear and concise
• Its assertions or predictions must be different and better than those in existing theories
• Its predictions must be general enough to be applicable to and understood within multiple contexts
• Its assertions or predictions are relevant, and if applied as predicted, will result in the predicted outcome
• The assertions and predictions are not immutable, but subject to revision and improvement as researchers use the theory to make sense of phenomena
• Its concepts and principles explain what is going on and why
• Its concepts and principles are substantive enough to enable us to predict a future

Given these characteristics, a theory can best be understood as the foundation from which you investigate assumptions or predictions derived from previous studies about the research problem, but in a way that leads to new knowledge and understanding as well as, in some cases, discovering how to improve the relevance of the theory itself or to argue that the theory is outdated and a new theory needs to be formulated based on new evidence.

A theoretical framework consists of concepts and, together with their definitions and reference to relevant scholarly literature, existing theory that is used for your particular study. The theoretical framework must demonstrate an understanding of theories and concepts that are relevant to the topic of your research paper and that relate to the broader areas of knowledge being considered.

The theoretical framework is most often not something readily found within the literature . You must review course readings and pertinent research studies for theories and analytic models that are relevant to the research problem you are investigating. The selection of a theory should depend on its appropriateness, ease of application, and explanatory power.

The theoretical framework strengthens the study in the following ways :

• An explicit statement of  theoretical assumptions permits the reader to evaluate them critically.
• The theoretical framework connects the researcher to existing knowledge. Guided by a relevant theory, you are given a basis for your hypotheses and choice of research methods.
• Articulating the theoretical assumptions of a research study forces you to address questions of why and how. It permits you to intellectually transition from simply describing a phenomenon you have observed to generalizing about various aspects of that phenomenon.
• Having a theory helps you identify the limits to those generalizations. A theoretical framework specifies which key variables influence a phenomenon of interest and highlights the need to examine how those key variables might differ and under what circumstances.
• The theoretical framework adds context around the theory itself based on how scholars had previously tested the theory in relation their overall research design [i.e., purpose of the study, methods of collecting data or information, methods of analysis, the time frame in which information is collected, study setting, and the methodological strategy used to conduct the research].

By virtue of its applicative nature, good theory in the social sciences is of value precisely because it fulfills one primary purpose: to explain the meaning, nature, and challenges associated with a phenomenon, often experienced but unexplained in the world in which we live, so that we may use that knowledge and understanding to act in more informed and effective ways.

The Conceptual Framework. College of Education. Alabama State University; Corvellec, Hervé, ed. What is Theory?: Answers from the Social and Cultural Sciences . Stockholm: Copenhagen Business School Press, 2013; Asher, Herbert B. Theory-Building and Data Analysis in the Social Sciences . Knoxville, TN: University of Tennessee Press, 1984; Drafting an Argument. Writing@CSU. Colorado State University; Kivunja, Charles. "Distinguishing between Theory, Theoretical Framework, and Conceptual Framework: A Systematic Review of Lessons from the Field." International Journal of Higher Education 7 (2018): 44-53; Omodan, Bunmi Isaiah. "A Model for Selecting Theoretical Framework through Epistemology of Research Paradigms." African Journal of Inter/Multidisciplinary Studies 4 (2022): 275-285; Ravitch, Sharon M. and Matthew Riggan. Reason and Rigor: How Conceptual Frameworks Guide Research . Second edition. Los Angeles, CA: SAGE, 2017; Trochim, William M.K. Philosophy of Research. Research Methods Knowledge Base. 2006; Jarvis, Peter. The Practitioner-Researcher. Developing Theory from Practice . San Francisco, CA: Jossey-Bass, 1999.

Strategies for Developing the Theoretical Framework

I.  Developing the Framework

Here are some strategies to develop of an effective theoretical framework:

• Examine your thesis title and research problem . The research problem anchors your entire study and forms the basis from which you construct your theoretical framework.
• Brainstorm about what you consider to be the key variables in your research . Answer the question, "What factors contribute to the presumed effect?"
• Review related literature to find how scholars have addressed your research problem. Identify the assumptions from which the author(s) addressed the problem.
• List  the constructs and variables that might be relevant to your study. Group these variables into independent and dependent categories.
• Review key social science theories that are introduced to you in your course readings and choose the theory that can best explain the relationships between the key variables in your study [note the Writing Tip on this page].
• Discuss the assumptions or propositions of this theory and point out their relevance to your research.

A theoretical framework is used to limit the scope of the relevant data by focusing on specific variables and defining the specific viewpoint [framework] that the researcher will take in analyzing and interpreting the data to be gathered. It also facilitates the understanding of concepts and variables according to given definitions and builds new knowledge by validating or challenging theoretical assumptions.

II.  Purpose

Think of theories as the conceptual basis for understanding, analyzing, and designing ways to investigate relationships within social systems. To that end, the following roles served by a theory can help guide the development of your framework.

• Means by which new research data can be interpreted and coded for future use,
• Response to new problems that have no previously identified solutions strategy,
• Means for identifying and defining research problems,
• Means for prescribing or evaluating solutions to research problems,
• Ways of discerning certain facts among the accumulated knowledge that are important and which facts are not,
• Means of giving old data new interpretations and new meaning,
• Means by which to identify important new issues and prescribe the most critical research questions that need to be answered to maximize understanding of the issue,
• Means of providing members of a professional discipline with a common language and a frame of reference for defining the boundaries of their profession, and
• Means to guide and inform research so that it can, in turn, guide research efforts and improve professional practice.

Adapted from: Torraco, R. J. “Theory-Building Research Methods.” In Swanson R. A. and E. F. Holton III , editors. Human Resource Development Handbook: Linking Research and Practice . (San Francisco, CA: Berrett-Koehler, 1997): pp. 114-137; Jacard, James and Jacob Jacoby. Theory Construction and Model-Building Skills: A Practical Guide for Social Scientists . New York: Guilford, 2010; Ravitch, Sharon M. and Matthew Riggan. Reason and Rigor: How Conceptual Frameworks Guide Research . Second edition. Los Angeles, CA: SAGE, 2017; Sutton, Robert I. and Barry M. Staw. “What Theory is Not.” Administrative Science Quarterly 40 (September 1995): 371-384.

Structure and Writing Style

The theoretical framework may be rooted in a specific theory , in which case, your work is expected to test the validity of that existing theory in relation to specific events, issues, or phenomena. Many social science research papers fit into this rubric. For example, Peripheral Realism Theory, which categorizes perceived differences among nation-states as those that give orders, those that obey, and those that rebel, could be used as a means for understanding conflicted relationships among countries in Africa. A test of this theory could be the following: Does Peripheral Realism Theory help explain intra-state actions, such as, the disputed split between southern and northern Sudan that led to the creation of two nations?

However, you may not always be asked by your professor to test a specific theory in your paper, but to develop your own framework from which your analysis of the research problem is derived . Based upon the above example, it is perhaps easiest to understand the nature and function of a theoretical framework if it is viewed as an answer to two basic questions:

• What is the research problem/question? [e.g., "How should the individual and the state relate during periods of conflict?"]
• Why is your approach a feasible solution? [i.e., justify the application of your choice of a particular theory and explain why alternative constructs were rejected. I could choose instead to test Instrumentalist or Circumstantialists models developed among ethnic conflict theorists that rely upon socio-economic-political factors to explain individual-state relations and to apply this theoretical model to periods of war between nations].

The answers to these questions come from a thorough review of the literature and your course readings [summarized and analyzed in the next section of your paper] and the gaps in the research that emerge from the review process. With this in mind, a complete theoretical framework will likely not emerge until after you have completed a thorough review of the literature .

Just as a research problem in your paper requires contextualization and background information, a theory requires a framework for understanding its application to the topic being investigated. When writing and revising this part of your research paper, keep in mind the following:

• Clearly describe the framework, concepts, models, or specific theories that underpin your study . This includes noting who the key theorists are in the field who have conducted research on the problem you are investigating and, when necessary, the historical context that supports the formulation of that theory. This latter element is particularly important if the theory is relatively unknown or it is borrowed from another discipline.
• Position your theoretical framework within a broader context of related frameworks, concepts, models, or theories . As noted in the example above, there will likely be several concepts, theories, or models that can be used to help develop a framework for understanding the research problem. Therefore, note why the theory you've chosen is the appropriate one.
• The present tense is used when writing about theory. Although the past tense can be used to describe the history of a theory or the role of key theorists, the construction of your theoretical framework is happening now.
• You should make your theoretical assumptions as explicit as possible . Later, your discussion of methodology should be linked back to this theoretical framework.
• Don’t just take what the theory says as a given! Reality is never accurately represented in such a simplistic way; if you imply that it can be, you fundamentally distort a reader's ability to understand the findings that emerge. Given this, always note the limitations of the theoretical framework you've chosen [i.e., what parts of the research problem require further investigation because the theory inadequately explains a certain phenomena].

The Conceptual Framework. College of Education. Alabama State University; Conceptual Framework: What Do You Think is Going On? College of Engineering. University of Michigan; Drafting an Argument. Writing@CSU. Colorado State University; Lynham, Susan A. “The General Method of Theory-Building Research in Applied Disciplines.” Advances in Developing Human Resources 4 (August 2002): 221-241; Tavallaei, Mehdi and Mansor Abu Talib. "A General Perspective on the Role of Theory in Qualitative Research." Journal of International Social Research 3 (Spring 2010); Ravitch, Sharon M. and Matthew Riggan. Reason and Rigor: How Conceptual Frameworks Guide Research . Second edition. Los Angeles, CA: SAGE, 2017; Reyes, Victoria. Demystifying the Journal Article. Inside Higher Education; Trochim, William M.K. Philosophy of Research. Research Methods Knowledge Base. 2006; Weick, Karl E. “The Work of Theorizing.” In Theorizing in Social Science: The Context of Discovery . Richard Swedberg, editor. (Stanford, CA: Stanford University Press, 2014), pp. 177-194.

Writing Tip

Borrowing Theoretical Constructs from Other Disciplines

An increasingly important trend in the social and behavioral sciences is to think about and attempt to understand research problems from an interdisciplinary perspective. One way to do this is to not rely exclusively on the theories developed within your particular discipline, but to think about how an issue might be informed by theories developed in other disciplines. For example, if you are a political science student studying the rhetorical strategies used by female incumbents in state legislature campaigns, theories about the use of language could be derived, not only from political science, but linguistics, communication studies, philosophy, psychology, and, in this particular case, feminist studies. Building theoretical frameworks based on the postulates and hypotheses developed in other disciplinary contexts can be both enlightening and an effective way to be more engaged in the research topic.

CohenMiller, A. S. and P. Elizabeth Pate. "A Model for Developing Interdisciplinary Research Theoretical Frameworks." The Qualitative Researcher 24 (2019): 1211-1226; Frodeman, Robert. The Oxford Handbook of Interdisciplinarity . New York: Oxford University Press, 2010.

Another Writing Tip

Don't Undertheorize!

Do not leave the theory hanging out there in the introduction never to be mentioned again. Undertheorizing weakens your paper. The theoretical framework you describe should guide your study throughout the paper. Be sure to always connect theory to the review of pertinent literature and to explain in the discussion part of your paper how the theoretical framework you chose supports analysis of the research problem or, if appropriate, how the theoretical framework was found to be inadequate in explaining the phenomenon you were investigating. In that case, don't be afraid to propose your own theory based on your findings.

Yet Another Writing Tip

What's a Theory? What's a Hypothesis?

The terms theory and hypothesis are often used interchangeably in newspapers and popular magazines and in non-academic settings. However, the difference between theory and hypothesis in scholarly research is important, particularly when using an experimental design. A theory is a well-established principle that has been developed to explain some aspect of the natural world. Theories arise from repeated observation and testing and incorporates facts, laws, predictions, and tested assumptions that are widely accepted [e.g., rational choice theory; grounded theory; critical race theory].

A hypothesis is a specific, testable prediction about what you expect to happen in your study. For example, an experiment designed to look at the relationship between study habits and test anxiety might have a hypothesis that states, "We predict that students with better study habits will suffer less test anxiety." Unless your study is exploratory in nature, your hypothesis should always explain what you expect to happen during the course of your research.

The key distinctions are:

• A theory predicts events in a broad, general context;  a hypothesis makes a specific prediction about a specified set of circumstances.
• A theory has been extensively tested and is generally accepted among a set of scholars; a hypothesis is a speculative guess that has yet to be tested.

Cherry, Kendra. Introduction to Research Methods: Theory and Hypothesis. About.com Psychology; Gezae, Michael et al. Welcome Presentation on Hypothesis. Slideshare presentation.

Still Yet Another Writing Tip

Be Prepared to Challenge the Validity of an Existing Theory

Theories are meant to be tested and their underlying assumptions challenged; they are not rigid or intransigent, but are meant to set forth general principles for explaining phenomena or predicting outcomes. Given this, testing theoretical assumptions is an important way that knowledge in any discipline develops and grows. If you're asked to apply an existing theory to a research problem, the analysis will likely include the expectation by your professor that you should offer modifications to the theory based on your research findings.

Indications that theoretical assumptions may need to be modified can include the following:

• Your findings suggest that the theory does not explain or account for current conditions or circumstances or the passage of time,
• The study reveals a finding that is incompatible with what the theory attempts to explain or predict, or
• Your analysis reveals that the theory overly generalizes behaviors or actions without taking into consideration specific factors revealed from your analysis [e.g., factors related to culture, nationality, history, gender, ethnicity, age, geographic location, legal norms or customs , religion, social class, socioeconomic status, etc.].

Philipsen, Kristian. "Theory Building: Using Abductive Search Strategies." In Collaborative Research Design: Working with Business for Meaningful Findings . Per Vagn Freytag and Louise Young, editors. (Singapore: Springer Nature, 2018), pp. 45-71; Shepherd, Dean A. and Roy Suddaby. "Theory Building: A Review and Integration." Journal of Management 43 (2017): 59-86.

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• v.21(3); Fall 2022

Literature Reviews, Theoretical Frameworks, and Conceptual Frameworks: An Introduction for New Biology Education Researchers

Julie a. luft.

† Department of Mathematics, Social Studies, and Science Education, Mary Frances Early College of Education, University of Georgia, Athens, GA 30602-7124

Sophia Jeong

‡ Department of Teaching & Learning, College of Education & Human Ecology, Ohio State University, Columbus, OH 43210

Robert Idsardi

§ Department of Biology, Eastern Washington University, Cheney, WA 99004

Grant Gardner

∥ Department of Biology, Middle Tennessee State University, Murfreesboro, TN 37132

Associated Data

To frame their work, biology education researchers need to consider the role of literature reviews, theoretical frameworks, and conceptual frameworks as critical elements of the research and writing process. However, these elements can be confusing for scholars new to education research. This Research Methods article is designed to provide an overview of each of these elements and delineate the purpose of each in the educational research process. We describe what biology education researchers should consider as they conduct literature reviews, identify theoretical frameworks, and construct conceptual frameworks. Clarifying these different components of educational research studies can be helpful to new biology education researchers and the biology education research community at large in situating their work in the broader scholarly literature.

INTRODUCTION

Discipline-based education research (DBER) involves the purposeful and situated study of teaching and learning in specific disciplinary areas ( Singer et al. , 2012 ). Studies in DBER are guided by research questions that reflect disciplines’ priorities and worldviews. Researchers can use quantitative data, qualitative data, or both to answer these research questions through a variety of methodological traditions. Across all methodologies, there are different methods associated with planning and conducting educational research studies that include the use of surveys, interviews, observations, artifacts, or instruments. Ensuring the coherence of these elements to the discipline’s perspective also involves situating the work in the broader scholarly literature. The tools for doing this include literature reviews, theoretical frameworks, and conceptual frameworks. However, the purpose and function of each of these elements is often confusing to new education researchers. The goal of this article is to introduce new biology education researchers to these three important elements important in DBER scholarship and the broader educational literature.

The first element we discuss is a review of research (literature reviews), which highlights the need for a specific research question, study problem, or topic of investigation. Literature reviews situate the relevance of the study within a topic and a field. The process may seem familiar to science researchers entering DBER fields, but new researchers may still struggle in conducting the review. Booth et al. (2016b) highlight some of the challenges novice education researchers face when conducting a review of literature. They point out that novice researchers struggle in deciding how to focus the review, determining the scope of articles needed in the review, and knowing how to be critical of the articles in the review. Overcoming these challenges (and others) can help novice researchers construct a sound literature review that can inform the design of the study and help ensure the work makes a contribution to the field.

The second and third highlighted elements are theoretical and conceptual frameworks. These guide biology education research (BER) studies, and may be less familiar to science researchers. These elements are important in shaping the construction of new knowledge. Theoretical frameworks offer a way to explain and interpret the studied phenomenon, while conceptual frameworks clarify assumptions about the studied phenomenon. Despite the importance of these constructs in educational research, biology educational researchers have noted the limited use of theoretical or conceptual frameworks in published work ( DeHaan, 2011 ; Dirks, 2011 ; Lo et al. , 2019 ). In reviewing articles published in CBE—Life Sciences Education ( LSE ) between 2015 and 2019, we found that fewer than 25% of the research articles had a theoretical or conceptual framework (see the Supplemental Information), and at times there was an inconsistent use of theoretical and conceptual frameworks. Clearly, these frameworks are challenging for published biology education researchers, which suggests the importance of providing some initial guidance to new biology education researchers.

Fortunately, educational researchers have increased their explicit use of these frameworks over time, and this is influencing educational research in science, technology, engineering, and mathematics (STEM) fields. For instance, a quick search for theoretical or conceptual frameworks in the abstracts of articles in Educational Research Complete (a common database for educational research) in STEM fields demonstrates a dramatic change over the last 20 years: from only 778 articles published between 2000 and 2010 to 5703 articles published between 2010 and 2020, a more than sevenfold increase. Greater recognition of the importance of these frameworks is contributing to DBER authors being more explicit about such frameworks in their studies.

Collectively, literature reviews, theoretical frameworks, and conceptual frameworks work to guide methodological decisions and the elucidation of important findings. Each offers a different perspective on the problem of study and is an essential element in all forms of educational research. As new researchers seek to learn about these elements, they will find different resources, a variety of perspectives, and many suggestions about the construction and use of these elements. The wide range of available information can overwhelm the new researcher who just wants to learn the distinction between these elements or how to craft them adequately.

Our goal in writing this paper is not to offer specific advice about how to write these sections in scholarly work. Instead, we wanted to introduce these elements to those who are new to BER and who are interested in better distinguishing one from the other. In this paper, we share the purpose of each element in BER scholarship, along with important points on its construction. We also provide references for additional resources that may be beneficial to better understanding each element. Table 1 summarizes the key distinctions among these elements.

Comparison of literature reviews, theoretical frameworks, and conceptual reviews

This article is written for the new biology education researcher who is just learning about these different elements or for scientists looking to become more involved in BER. It is a result of our own work as science education and biology education researchers, whether as graduate students and postdoctoral scholars or newly hired and established faculty members. This is the article we wish had been available as we started to learn about these elements or discussed them with new educational researchers in biology.

LITERATURE REVIEWS

Purpose of a literature review.

A literature review is foundational to any research study in education or science. In education, a well-conceptualized and well-executed review provides a summary of the research that has already been done on a specific topic and identifies questions that remain to be answered, thus illustrating the current research project’s potential contribution to the field and the reasoning behind the methodological approach selected for the study ( Maxwell, 2012 ). BER is an evolving disciplinary area that is redefining areas of conceptual emphasis as well as orientations toward teaching and learning (e.g., Labov et al. , 2010 ; American Association for the Advancement of Science, 2011 ; Nehm, 2019 ). As a result, building comprehensive, critical, purposeful, and concise literature reviews can be a challenge for new biology education researchers.

Building Literature Reviews

There are different ways to approach and construct a literature review. Booth et al. (2016a) provide an overview that includes, for example, scoping reviews, which are focused only on notable studies and use a basic method of analysis, and integrative reviews, which are the result of exhaustive literature searches across different genres. Underlying each of these different review processes are attention to the s earch process, a ppraisa l of articles, s ynthesis of the literature, and a nalysis: SALSA ( Booth et al. , 2016a ). This useful acronym can help the researcher focus on the process while building a specific type of review.

However, new educational researchers often have questions about literature reviews that are foundational to SALSA or other approaches. Common questions concern determining which literature pertains to the topic of study or the role of the literature review in the design of the study. This section addresses such questions broadly while providing general guidance for writing a narrative literature review that evaluates the most pertinent studies.

The literature review process should begin before the research is conducted. As Boote and Beile (2005 , p. 3) suggested, researchers should be “scholars before researchers.” They point out that having a good working knowledge of the proposed topic helps illuminate avenues of study. Some subject areas have a deep body of work to read and reflect upon, providing a strong foundation for developing the research question(s). For instance, the teaching and learning of evolution is an area of long-standing interest in the BER community, generating many studies (e.g., Perry et al. , 2008 ; Barnes and Brownell, 2016 ) and reviews of research (e.g., Sickel and Friedrichsen, 2013 ; Ziadie and Andrews, 2018 ). Emerging areas of BER include the affective domain, issues of transfer, and metacognition ( Singer et al. , 2012 ). Many studies in these areas are transdisciplinary and not always specific to biology education (e.g., Rodrigo-Peiris et al. , 2018 ; Kolpikova et al. , 2019 ). These newer areas may require reading outside BER; fortunately, summaries of some of these topics can be found in the Current Insights section of the LSE website.

In focusing on a specific problem within a broader research strand, a new researcher will likely need to examine research outside BER. Depending upon the area of study, the expanded reading list might involve a mix of BER, DBER, and educational research studies. Determining the scope of the reading is not always straightforward. A simple way to focus one’s reading is to create a “summary phrase” or “research nugget,” which is a very brief descriptive statement about the study. It should focus on the essence of the study, for example, “first-year nonmajor students’ understanding of evolution,” “metacognitive prompts to enhance learning during biochemistry,” or “instructors’ inquiry-based instructional practices after professional development programming.” This type of phrase should help a new researcher identify two or more areas to review that pertain to the study. Focusing on recent research in the last 5 years is a good first step. Additional studies can be identified by reading relevant works referenced in those articles. It is also important to read seminal studies that are more than 5 years old. Reading a range of studies should give the researcher the necessary command of the subject in order to suggest a research question.

Given that the research question(s) arise from the literature review, the review should also substantiate the selected methodological approach. The review and research question(s) guide the researcher in determining how to collect and analyze data. Often the methodological approach used in a study is selected to contribute knowledge that expands upon what has been published previously about the topic (see Institute of Education Sciences and National Science Foundation, 2013 ). An emerging topic of study may need an exploratory approach that allows for a description of the phenomenon and development of a potential theory. This could, but not necessarily, require a methodological approach that uses interviews, observations, surveys, or other instruments. An extensively studied topic may call for the additional understanding of specific factors or variables; this type of study would be well suited to a verification or a causal research design. These could entail a methodological approach that uses valid and reliable instruments, observations, or interviews to determine an effect in the studied event. In either of these examples, the researcher(s) may use a qualitative, quantitative, or mixed methods methodological approach.

Even with a good research question, there is still more reading to be done. The complexity and focus of the research question dictates the depth and breadth of the literature to be examined. Questions that connect multiple topics can require broad literature reviews. For instance, a study that explores the impact of a biology faculty learning community on the inquiry instruction of faculty could have the following review areas: learning communities among biology faculty, inquiry instruction among biology faculty, and inquiry instruction among biology faculty as a result of professional learning. Biology education researchers need to consider whether their literature review requires studies from different disciplines within or outside DBER. For the example given, it would be fruitful to look at research focused on learning communities with faculty in STEM fields or in general education fields that result in instructional change. It is important not to be too narrow or too broad when reading. When the conclusions of articles start to sound similar or no new insights are gained, the researcher likely has a good foundation for a literature review. This level of reading should allow the researcher to demonstrate a mastery in understanding the researched topic, explain the suitability of the proposed research approach, and point to the need for the refined research question(s).

The literature review should include the researcher’s evaluation and critique of the selected studies. A researcher may have a large collection of studies, but not all of the studies will follow standards important in the reporting of empirical work in the social sciences. The American Educational Research Association ( Duran et al. , 2006 ), for example, offers a general discussion about standards for such work: an adequate review of research informing the study, the existence of sound and appropriate data collection and analysis methods, and appropriate conclusions that do not overstep or underexplore the analyzed data. The Institute of Education Sciences and National Science Foundation (2013) also offer Common Guidelines for Education Research and Development that can be used to evaluate collected studies.

Because not all journals adhere to such standards, it is important that a researcher review each study to determine the quality of published research, per the guidelines suggested earlier. In some instances, the research may be fatally flawed. Examples of such flaws include data that do not pertain to the question, a lack of discussion about the data collection, poorly constructed instruments, or an inadequate analysis. These types of errors result in studies that are incomplete, error-laden, or inaccurate and should be excluded from the review. Most studies have limitations, and the author(s) often make them explicit. For instance, there may be an instructor effect, recognized bias in the analysis, or issues with the sample population. Limitations are usually addressed by the research team in some way to ensure a sound and acceptable research process. Occasionally, the limitations associated with the study can be significant and not addressed adequately, which leaves a consequential decision in the hands of the researcher. Providing critiques of studies in the literature review process gives the reader confidence that the researcher has carefully examined relevant work in preparation for the study and, ultimately, the manuscript.

A solid literature review clearly anchors the proposed study in the field and connects the research question(s), the methodological approach, and the discussion. Reviewing extant research leads to research questions that will contribute to what is known in the field. By summarizing what is known, the literature review points to what needs to be known, which in turn guides decisions about methodology. Finally, notable findings of the new study are discussed in reference to those described in the literature review.

Within published BER studies, literature reviews can be placed in different locations in an article. When included in the introductory section of the study, the first few paragraphs of the manuscript set the stage, with the literature review following the opening paragraphs. Cooper et al. (2019) illustrate this approach in their study of course-based undergraduate research experiences (CUREs). An introduction discussing the potential of CURES is followed by an analysis of the existing literature relevant to the design of CUREs that allows for novel student discoveries. Within this review, the authors point out contradictory findings among research on novel student discoveries. This clarifies the need for their study, which is described and highlighted through specific research aims.

A literature reviews can also make up a separate section in a paper. For example, the introduction to Todd et al. (2019) illustrates the need for their research topic by highlighting the potential of learning progressions (LPs) and suggesting that LPs may help mitigate learning loss in genetics. At the end of the introduction, the authors state their specific research questions. The review of literature following this opening section comprises two subsections. One focuses on learning loss in general and examines a variety of studies and meta-analyses from the disciplines of medical education, mathematics, and reading. The second section focuses specifically on LPs in genetics and highlights student learning in the midst of LPs. These separate reviews provide insights into the stated research question.

Suggestions and Advice

A well-conceptualized, comprehensive, and critical literature review reveals the understanding of the topic that the researcher brings to the study. Literature reviews should not be so big that there is no clear area of focus; nor should they be so narrow that no real research question arises. The task for a researcher is to craft an efficient literature review that offers a critical analysis of published work, articulates the need for the study, guides the methodological approach to the topic of study, and provides an adequate foundation for the discussion of the findings.

In our own writing of literature reviews, there are often many drafts. An early draft may seem well suited to the study because the need for and approach to the study are well described. However, as the results of the study are analyzed and findings begin to emerge, the existing literature review may be inadequate and need revision. The need for an expanded discussion about the research area can result in the inclusion of new studies that support the explanation of a potential finding. The literature review may also prove to be too broad. Refocusing on a specific area allows for more contemplation of a finding.

It should be noted that there are different types of literature reviews, and many books and articles have been written about the different ways to embark on these types of reviews. Among these different resources, the following may be helpful in considering how to refine the review process for scholarly journals:

• Booth, A., Sutton, A., & Papaioannou, D. (2016a). Systemic approaches to a successful literature review (2nd ed.). Los Angeles, CA: Sage. This book addresses different types of literature reviews and offers important suggestions pertaining to defining the scope of the literature review and assessing extant studies.
• Booth, W. C., Colomb, G. G., Williams, J. M., Bizup, J., & Fitzgerald, W. T. (2016b). The craft of research (4th ed.). Chicago: University of Chicago Press. This book can help the novice consider how to make the case for an area of study. While this book is not specifically about literature reviews, it offers suggestions about making the case for your study.
• Galvan, J. L., & Galvan, M. C. (2017). Writing literature reviews: A guide for students of the social and behavioral sciences (7th ed.). Routledge. This book offers guidance on writing different types of literature reviews. For the novice researcher, there are useful suggestions for creating coherent literature reviews.

THEORETICAL FRAMEWORKS

Purpose of theoretical frameworks.

As new education researchers may be less familiar with theoretical frameworks than with literature reviews, this discussion begins with an analogy. Envision a biologist, chemist, and physicist examining together the dramatic effect of a fog tsunami over the ocean. A biologist gazing at this phenomenon may be concerned with the effect of fog on various species. A chemist may be interested in the chemical composition of the fog as water vapor condenses around bits of salt. A physicist may be focused on the refraction of light to make fog appear to be “sitting” above the ocean. While observing the same “objective event,” the scientists are operating under different theoretical frameworks that provide a particular perspective or “lens” for the interpretation of the phenomenon. Each of these scientists brings specialized knowledge, experiences, and values to this phenomenon, and these influence the interpretation of the phenomenon. The scientists’ theoretical frameworks influence how they design and carry out their studies and interpret their data.

Within an educational study, a theoretical framework helps to explain a phenomenon through a particular lens and challenges and extends existing knowledge within the limitations of that lens. Theoretical frameworks are explicitly stated by an educational researcher in the paper’s framework, theory, or relevant literature section. The framework shapes the types of questions asked, guides the method by which data are collected and analyzed, and informs the discussion of the results of the study. It also reveals the researcher’s subjectivities, for example, values, social experience, and viewpoint ( Allen, 2017 ). It is essential that a novice researcher learn to explicitly state a theoretical framework, because all research questions are being asked from the researcher’s implicit or explicit assumptions of a phenomenon of interest ( Schwandt, 2000 ).

Selecting Theoretical Frameworks

Theoretical frameworks are one of the most contemplated elements in our work in educational research. In this section, we share three important considerations for new scholars selecting a theoretical framework.

The first step in identifying a theoretical framework involves reflecting on the phenomenon within the study and the assumptions aligned with the phenomenon. The phenomenon involves the studied event. There are many possibilities, for example, student learning, instructional approach, or group organization. A researcher holds assumptions about how the phenomenon will be effected, influenced, changed, or portrayed. It is ultimately the researcher’s assumption(s) about the phenomenon that aligns with a theoretical framework. An example can help illustrate how a researcher’s reflection on the phenomenon and acknowledgment of assumptions can result in the identification of a theoretical framework.

In our example, a biology education researcher may be interested in exploring how students’ learning of difficult biological concepts can be supported by the interactions of group members. The phenomenon of interest is the interactions among the peers, and the researcher assumes that more knowledgeable students are important in supporting the learning of the group. As a result, the researcher may draw on Vygotsky’s (1978) sociocultural theory of learning and development that is focused on the phenomenon of student learning in a social setting. This theory posits the critical nature of interactions among students and between students and teachers in the process of building knowledge. A researcher drawing upon this framework holds the assumption that learning is a dynamic social process involving questions and explanations among students in the classroom and that more knowledgeable peers play an important part in the process of building conceptual knowledge.

It is important to state at this point that there are many different theoretical frameworks. Some frameworks focus on learning and knowing, while other theoretical frameworks focus on equity, empowerment, or discourse. Some frameworks are well articulated, and others are still being refined. For a new researcher, it can be challenging to find a theoretical framework. Two of the best ways to look for theoretical frameworks is through published works that highlight different frameworks.

When a theoretical framework is selected, it should clearly connect to all parts of the study. The framework should augment the study by adding a perspective that provides greater insights into the phenomenon. It should clearly align with the studies described in the literature review. For instance, a framework focused on learning would correspond to research that reported different learning outcomes for similar studies. The methods for data collection and analysis should also correspond to the framework. For instance, a study about instructional interventions could use a theoretical framework concerned with learning and could collect data about the effect of the intervention on what is learned. When the data are analyzed, the theoretical framework should provide added meaning to the findings, and the findings should align with the theoretical framework.

A study by Jensen and Lawson (2011) provides an example of how a theoretical framework connects different parts of the study. They compared undergraduate biology students in heterogeneous and homogeneous groups over the course of a semester. Jensen and Lawson (2011) assumed that learning involved collaboration and more knowledgeable peers, which made Vygotsky’s (1978) theory a good fit for their study. They predicted that students in heterogeneous groups would experience greater improvement in their reasoning abilities and science achievements with much of the learning guided by the more knowledgeable peers.

In the enactment of the study, they collected data about the instruction in traditional and inquiry-oriented classes, while the students worked in homogeneous or heterogeneous groups. To determine the effect of working in groups, the authors also measured students’ reasoning abilities and achievement. Each data-collection and analysis decision connected to understanding the influence of collaborative work.

Their findings highlighted aspects of Vygotsky’s (1978) theory of learning. One finding, for instance, posited that inquiry instruction, as a whole, resulted in reasoning and achievement gains. This links to Vygotsky (1978) , because inquiry instruction involves interactions among group members. A more nuanced finding was that group composition had a conditional effect. Heterogeneous groups performed better with more traditional and didactic instruction, regardless of the reasoning ability of the group members. Homogeneous groups worked better during interaction-rich activities for students with low reasoning ability. The authors attributed the variation to the different types of helping behaviors of students. High-performing students provided the answers, while students with low reasoning ability had to work collectively through the material. In terms of Vygotsky (1978) , this finding provided new insights into the learning context in which productive interactions can occur for students.

Another consideration in the selection and use of a theoretical framework pertains to its orientation to the study. This can result in the theoretical framework prioritizing individuals, institutions, and/or policies ( Anfara and Mertz, 2014 ). Frameworks that connect to individuals, for instance, could contribute to understanding their actions, learning, or knowledge. Institutional frameworks, on the other hand, offer insights into how institutions, organizations, or groups can influence individuals or materials. Policy theories provide ways to understand how national or local policies can dictate an emphasis on outcomes or instructional design. These different types of frameworks highlight different aspects in an educational setting, which influences the design of the study and the collection of data. In addition, these different frameworks offer a way to make sense of the data. Aligning the data collection and analysis with the framework ensures that a study is coherent and can contribute to the field.

New understandings emerge when different theoretical frameworks are used. For instance, Ebert-May et al. (2015) prioritized the individual level within conceptual change theory (see Posner et al. , 1982 ). In this theory, an individual’s knowledge changes when it no longer fits the phenomenon. Ebert-May et al. (2015) designed a professional development program challenging biology postdoctoral scholars’ existing conceptions of teaching. The authors reported that the biology postdoctoral scholars’ teaching practices became more student-centered as they were challenged to explain their instructional decision making. According to the theory, the biology postdoctoral scholars’ dissatisfaction in their descriptions of teaching and learning initiated change in their knowledge and instruction. These results reveal how conceptual change theory can explain the learning of participants and guide the design of professional development programming.

The communities of practice (CoP) theoretical framework ( Lave, 1988 ; Wenger, 1998 ) prioritizes the institutional level , suggesting that learning occurs when individuals learn from and contribute to the communities in which they reside. Grounded in the assumption of community learning, the literature on CoP suggests that, as individuals interact regularly with the other members of their group, they learn about the rules, roles, and goals of the community ( Allee, 2000 ). A study conducted by Gehrke and Kezar (2017) used the CoP framework to understand organizational change by examining the involvement of individual faculty engaged in a cross-institutional CoP focused on changing the instructional practice of faculty at each institution. In the CoP, faculty members were involved in enhancing instructional materials within their department, which aligned with an overarching goal of instituting instruction that embraced active learning. Not surprisingly, Gehrke and Kezar (2017) revealed that faculty who perceived the community culture as important in their work cultivated institutional change. Furthermore, they found that institutional change was sustained when key leaders served as mentors and provided support for faculty, and as faculty themselves developed into leaders. This study reveals the complexity of individual roles in a COP in order to support institutional instructional change.

It is important to explicitly state the theoretical framework used in a study, but elucidating a theoretical framework can be challenging for a new educational researcher. The literature review can help to identify an applicable theoretical framework. Focal areas of the review or central terms often connect to assumptions and assertions associated with the framework that pertain to the phenomenon of interest. Another way to identify a theoretical framework is self-reflection by the researcher on personal beliefs and understandings about the nature of knowledge the researcher brings to the study ( Lysaght, 2011 ). In stating one’s beliefs and understandings related to the study (e.g., students construct their knowledge, instructional materials support learning), an orientation becomes evident that will suggest a particular theoretical framework. Theoretical frameworks are not arbitrary , but purposefully selected.

With experience, a researcher may find expanded roles for theoretical frameworks. Researchers may revise an existing framework that has limited explanatory power, or they may decide there is a need to develop a new theoretical framework. These frameworks can emerge from a current study or the need to explain a phenomenon in a new way. Researchers may also find that multiple theoretical frameworks are necessary to frame and explore a problem, as different frameworks can provide different insights into a problem.

Finally, it is important to recognize that choosing “x” theoretical framework does not necessarily mean a researcher chooses “y” methodology and so on, nor is there a clear-cut, linear process in selecting a theoretical framework for one’s study. In part, the nonlinear process of identifying a theoretical framework is what makes understanding and using theoretical frameworks challenging. For the novice scholar, contemplating and understanding theoretical frameworks is essential. Fortunately, there are articles and books that can help:

• Creswell, J. W. (2018). Research design: Qualitative, quantitative, and mixed methods approaches (5th ed.). Los Angeles, CA: Sage. This book provides an overview of theoretical frameworks in general educational research.
• Ding, L. (2019). Theoretical perspectives of quantitative physics education research. Physical Review Physics Education Research , 15 (2), 020101-1–020101-13. This paper illustrates how a DBER field can use theoretical frameworks.
• Nehm, R. (2019). Biology education research: Building integrative frameworks for teaching and learning about living systems. Disciplinary and Interdisciplinary Science Education Research , 1 , ar15. https://doi.org/10.1186/s43031-019-0017-6 . This paper articulates the need for studies in BER to explicitly state theoretical frameworks and provides examples of potential studies.
• Patton, M. Q. (2015). Qualitative research & evaluation methods: Integrating theory and practice . Sage. This book also provides an overview of theoretical frameworks, but for both research and evaluation.

CONCEPTUAL FRAMEWORKS

Purpose of a conceptual framework.

A conceptual framework is a description of the way a researcher understands the factors and/or variables that are involved in the study and their relationships to one another. The purpose of a conceptual framework is to articulate the concepts under study using relevant literature ( Rocco and Plakhotnik, 2009 ) and to clarify the presumed relationships among those concepts ( Rocco and Plakhotnik, 2009 ; Anfara and Mertz, 2014 ). Conceptual frameworks are different from theoretical frameworks in both their breadth and grounding in established findings. Whereas a theoretical framework articulates the lens through which a researcher views the work, the conceptual framework is often more mechanistic and malleable.

Conceptual frameworks are broader, encompassing both established theories (i.e., theoretical frameworks) and the researchers’ own emergent ideas. Emergent ideas, for example, may be rooted in informal and/or unpublished observations from experience. These emergent ideas would not be considered a “theory” if they are not yet tested, supported by systematically collected evidence, and peer reviewed. However, they do still play an important role in the way researchers approach their studies. The conceptual framework allows authors to clearly describe their emergent ideas so that connections among ideas in the study and the significance of the study are apparent to readers.

Constructing Conceptual Frameworks

Including a conceptual framework in a research study is important, but researchers often opt to include either a conceptual or a theoretical framework. Either may be adequate, but both provide greater insight into the research approach. For instance, a research team plans to test a novel component of an existing theory. In their study, they describe the existing theoretical framework that informs their work and then present their own conceptual framework. Within this conceptual framework, specific topics portray emergent ideas that are related to the theory. Describing both frameworks allows readers to better understand the researchers’ assumptions, orientations, and understanding of concepts being investigated. For example, Connolly et al. (2018) included a conceptual framework that described how they applied a theoretical framework of social cognitive career theory (SCCT) to their study on teaching programs for doctoral students. In their conceptual framework, the authors described SCCT, explained how it applied to the investigation, and drew upon results from previous studies to justify the proposed connections between the theory and their emergent ideas.

In some cases, authors may be able to sufficiently describe their conceptualization of the phenomenon under study in an introduction alone, without a separate conceptual framework section. However, incomplete descriptions of how the researchers conceptualize the components of the study may limit the significance of the study by making the research less intelligible to readers. This is especially problematic when studying topics in which researchers use the same terms for different constructs or different terms for similar and overlapping constructs (e.g., inquiry, teacher beliefs, pedagogical content knowledge, or active learning). Authors must describe their conceptualization of a construct if the research is to be understandable and useful.

There are some key areas to consider regarding the inclusion of a conceptual framework in a study. To begin with, it is important to recognize that conceptual frameworks are constructed by the researchers conducting the study ( Rocco and Plakhotnik, 2009 ; Maxwell, 2012 ). This is different from theoretical frameworks that are often taken from established literature. Researchers should bring together ideas from the literature, but they may be influenced by their own experiences as a student and/or instructor, the shared experiences of others, or thought experiments as they construct a description, model, or representation of their understanding of the phenomenon under study. This is an exercise in intellectual organization and clarity that often considers what is learned, known, and experienced. The conceptual framework makes these constructs explicitly visible to readers, who may have different understandings of the phenomenon based on their prior knowledge and experience. There is no single method to go about this intellectual work.

Reeves et al. (2016) is an example of an article that proposed a conceptual framework about graduate teaching assistant professional development evaluation and research. The authors used existing literature to create a novel framework that filled a gap in current research and practice related to the training of graduate teaching assistants. This conceptual framework can guide the systematic collection of data by other researchers because the framework describes the relationships among various factors that influence teaching and learning. The Reeves et al. (2016) conceptual framework may be modified as additional data are collected and analyzed by other researchers. This is not uncommon, as conceptual frameworks can serve as catalysts for concerted research efforts that systematically explore a phenomenon (e.g., Reynolds et al. , 2012 ; Brownell and Kloser, 2015 ).

Sabel et al. (2017) used a conceptual framework in their exploration of how scaffolds, an external factor, interact with internal factors to support student learning. Their conceptual framework integrated principles from two theoretical frameworks, self-regulated learning and metacognition, to illustrate how the research team conceptualized students’ use of scaffolds in their learning ( Figure 1 ). Sabel et al. (2017) created this model using their interpretations of these two frameworks in the context of their teaching.

Conceptual framework from Sabel et al. (2017) .

A conceptual framework should describe the relationship among components of the investigation ( Anfara and Mertz, 2014 ). These relationships should guide the researcher’s methods of approaching the study ( Miles et al. , 2014 ) and inform both the data to be collected and how those data should be analyzed. Explicitly describing the connections among the ideas allows the researcher to justify the importance of the study and the rigor of the research design. Just as importantly, these frameworks help readers understand why certain components of a system were not explored in the study. This is a challenge in education research, which is rooted in complex environments with many variables that are difficult to control.

For example, Sabel et al. (2017) stated: “Scaffolds, such as enhanced answer keys and reflection questions, can help students and instructors bridge the external and internal factors and support learning” (p. 3). They connected the scaffolds in the study to the three dimensions of metacognition and the eventual transformation of existing ideas into new or revised ideas. Their framework provides a rationale for focusing on how students use two different scaffolds, and not on other factors that may influence a student’s success (self-efficacy, use of active learning, exam format, etc.).

In constructing conceptual frameworks, researchers should address needed areas of study and/or contradictions discovered in literature reviews. By attending to these areas, researchers can strengthen their arguments for the importance of a study. For instance, conceptual frameworks can address how the current study will fill gaps in the research, resolve contradictions in existing literature, or suggest a new area of study. While a literature review describes what is known and not known about the phenomenon, the conceptual framework leverages these gaps in describing the current study ( Maxwell, 2012 ). In the example of Sabel et al. (2017) , the authors indicated there was a gap in the literature regarding how scaffolds engage students in metacognition to promote learning in large classes. Their study helps fill that gap by describing how scaffolds can support students in the three dimensions of metacognition: intelligibility, plausibility, and wide applicability. In another example, Lane (2016) integrated research from science identity, the ethic of care, the sense of belonging, and an expertise model of student success to form a conceptual framework that addressed the critiques of other frameworks. In a more recent example, Sbeglia et al. (2021) illustrated how a conceptual framework influences the methodological choices and inferences in studies by educational researchers.

Sometimes researchers draw upon the conceptual frameworks of other researchers. When a researcher’s conceptual framework closely aligns with an existing framework, the discussion may be brief. For example, Ghee et al. (2016) referred to portions of SCCT as their conceptual framework to explain the significance of their work on students’ self-efficacy and career interests. Because the authors’ conceptualization of this phenomenon aligned with a previously described framework, they briefly mentioned the conceptual framework and provided additional citations that provided more detail for the readers.

Within both the BER and the broader DBER communities, conceptual frameworks have been used to describe different constructs. For example, some researchers have used the term “conceptual framework” to describe students’ conceptual understandings of a biological phenomenon. This is distinct from a researcher’s conceptual framework of the educational phenomenon under investigation, which may also need to be explicitly described in the article. Other studies have presented a research logic model or flowchart of the research design as a conceptual framework. These constructions can be quite valuable in helping readers understand the data-collection and analysis process. However, a model depicting the study design does not serve the same role as a conceptual framework. Researchers need to avoid conflating these constructs by differentiating the researchers’ conceptual framework that guides the study from the research design, when applicable.

Explicitly describing conceptual frameworks is essential in depicting the focus of the study. We have found that being explicit in a conceptual framework means using accepted terminology, referencing prior work, and clearly noting connections between terms. This description can also highlight gaps in the literature or suggest potential contributions to the field of study. A well-elucidated conceptual framework can suggest additional studies that may be warranted. This can also spur other researchers to consider how they would approach the examination of a phenomenon and could result in a revised conceptual framework.

It can be challenging to create conceptual frameworks, but they are important. Below are two resources that could be helpful in constructing and presenting conceptual frameworks in educational research:

• Maxwell, J. A. (2012). Qualitative research design: An interactive approach (3rd ed.). Los Angeles, CA: Sage. Chapter 3 in this book describes how to construct conceptual frameworks.
• Ravitch, S. M., & Riggan, M. (2016). Reason & rigor: How conceptual frameworks guide research . Los Angeles, CA: Sage. This book explains how conceptual frameworks guide the research questions, data collection, data analyses, and interpretation of results.

CONCLUDING THOUGHTS

Literature reviews, theoretical frameworks, and conceptual frameworks are all important in DBER and BER. Robust literature reviews reinforce the importance of a study. Theoretical frameworks connect the study to the base of knowledge in educational theory and specify the researcher’s assumptions. Conceptual frameworks allow researchers to explicitly describe their conceptualization of the relationships among the components of the phenomenon under study. Table 1 provides a general overview of these components in order to assist biology education researchers in thinking about these elements.

It is important to emphasize that these different elements are intertwined. When these elements are aligned and complement one another, the study is coherent, and the study findings contribute to knowledge in the field. When literature reviews, theoretical frameworks, and conceptual frameworks are disconnected from one another, the study suffers. The point of the study is lost, suggested findings are unsupported, or important conclusions are invisible to the researcher. In addition, this misalignment may be costly in terms of time and money.

Conducting a literature review, selecting a theoretical framework, and building a conceptual framework are some of the most difficult elements of a research study. It takes time to understand the relevant research, identify a theoretical framework that provides important insights into the study, and formulate a conceptual framework that organizes the finding. In the research process, there is often a constant back and forth among these elements as the study evolves. With an ongoing refinement of the review of literature, clarification of the theoretical framework, and articulation of a conceptual framework, a sound study can emerge that makes a contribution to the field. This is the goal of BER and education research.

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• What Is a Conceptual Framework? | Tips & Examples

What Is a Conceptual Framework? | Tips & Examples

Published on 4 May 2022 by Bas Swaen and Tegan George. Revised on 18 March 2024.

A conceptual framework illustrates the expected relationship between your variables. It defines the relevant objectives for your research process and maps out how they come together to draw coherent conclusions.

Keep reading for a step-by-step guide to help you construct your own conceptual framework.

Table of contents

Developing a conceptual framework in research, step 1: choose your research question, step 2: select your independent and dependent variables, step 3: visualise your cause-and-effect relationship, step 4: identify other influencing variables, frequently asked questions about conceptual models.

A conceptual framework is a representation of the relationship you expect to see between your variables, or the characteristics or properties that you want to study.

Conceptual frameworks can be written or visual and are generally developed based on a literature review of existing studies about your topic.

Your research question guides your work by determining exactly what you want to find out, giving your research process a clear focus.

However, before you start collecting your data, consider constructing a conceptual framework. This will help you map out which variables you will measure and how you expect them to relate to one another.

In order to move forward with your research question and test a cause-and-effect relationship, you must first identify at least two key variables: your independent and dependent variables .

• The expected cause, ‘hours of study’, is the independent variable (the predictor, or explanatory variable)
• The expected effect, ‘exam score’, is the dependent variable (the response, or outcome variable).

Note that causal relationships often involve several independent variables that affect the dependent variable. For the purpose of this example, we’ll work with just one independent variable (‘hours of study’).

Now that you’ve figured out your research question and variables, the first step in designing your conceptual framework is visualising your expected cause-and-effect relationship.

It’s crucial to identify other variables that can influence the relationship between your independent and dependent variables early in your research process.

Some common variables to include are moderating, mediating, and control variables.

Moderating variables

Moderating variable (or moderators) alter the effect that an independent variable has on a dependent variable. In other words, moderators change the ‘effect’ component of the cause-and-effect relationship.

Let’s add the moderator ‘IQ’. Here, a student’s IQ level can change the effect that the variable ‘hours of study’ has on the exam score. The higher the IQ, the fewer hours of study are needed to do well on the exam.

Let’s take a look at how this might work. The graph below shows how the number of hours spent studying affects exam score. As expected, the more hours you study, the better your results. Here, a student who studies for 20 hours will get a perfect score.

But the graph looks different when we add our ‘IQ’ moderator of 120. A student with this IQ will achieve a perfect score after just 15 hours of study.

Below, the value of the ‘IQ’ moderator has been increased to 150. A student with this IQ will only need to invest five hours of study in order to get a perfect score.

Here, we see that a moderating variable does indeed change the cause-and-effect relationship between two variables.

Mediating variables

Now we’ll expand the framework by adding a mediating variable . Mediating variables link the independent and dependent variables, allowing the relationship between them to be better explained.

Here’s how the conceptual framework might look if a mediator variable were involved:

In this case, the mediator helps explain why studying more hours leads to a higher exam score. The more hours a student studies, the more practice problems they will complete; the more practice problems completed, the higher the student’s exam score will be.

Moderator vs mediator

It’s important not to confuse moderating and mediating variables. To remember the difference, you can think of them in relation to the independent variable:

• A moderating variable is not affected by the independent variable, even though it affects the dependent variable. For example, no matter how many hours you study (the independent variable), your IQ will not get higher.
• A mediating variable is affected by the independent variable. In turn, it also affects the dependent variable. Therefore, it links the two variables and helps explain the relationship between them.

Control variables

Lastly,  control variables must also be taken into account. These are variables that are held constant so that they don’t interfere with the results. Even though you aren’t interested in measuring them for your study, it’s crucial to be aware of as many of them as you can be.

A mediator variable explains the process through which two variables are related, while a moderator variable affects the strength and direction of that relationship.

No. The value of a dependent variable depends on an independent variable, so a variable cannot be both independent and dependent at the same time. It must be either the cause or the effect, not both.

Yes, but including more than one of either type requires multiple research questions .

For example, if you are interested in the effect of a diet on health, you can use multiple measures of health: blood sugar, blood pressure, weight, pulse, and many more. Each of these is its own dependent variable with its own research question.

You could also choose to look at the effect of exercise levels as well as diet, or even the additional effect of the two combined. Each of these is a separate independent variable .

To ensure the internal validity of an experiment , you should only change one independent variable at a time.

A control variable is any variable that’s held constant in a research study. It’s not a variable of interest in the study, but it’s controlled because it could influence the outcomes.

A confounding variable , also called a confounder or confounding factor, is a third variable in a study examining a potential cause-and-effect relationship.

A confounding variable is related to both the supposed cause and the supposed effect of the study. It can be difficult to separate the true effect of the independent variable from the effect of the confounding variable.

In your research design , it’s important to identify potential confounding variables and plan how you will reduce their impact.

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Home » Framework Analysis – Method, Types and Examples

Framework Analysis – Method, Types and Examples

Table of Contents

Framework Analysis

Definition:

Framework Analysis is a qualitative research method that involves organizing and analyzing data using a predefined analytical framework. The analytical framework is a set of predetermined themes or categories that are derived from the research questions or objectives. The framework provides a structured approach to data analysis and can help to identify patterns, themes, and relationships in the data.

Steps in Framework Analysis

Here are the general steps in Framework Analysis:

Familiarization

Get familiar with the data by reading and re-reading it. This step helps you to become immersed in the data and to get a sense of its content, structure, and scope.

Identify a Coding Framework

Identify a coding framework or set of themes that will be used to analyze the data. These themes can be derived from existing literature or theories or developed based on the data itself.

Code the data by applying the coding framework to the data. This involves breaking down the data into smaller units and assigning each unit to a particular theme or category.

Chart or summarize the data by creating tables or matrices that display the distribution and frequency of each theme or category across the data set.

Mapping and interpretation

Analyze the data by examining the relationship between different themes or categories, and by exploring the implications and meanings of the findings in relation to the research question.

Verification

Verify the accuracy and validity of the findings by checking them against the original data, comparing them with other sources of data, and seeking feedback from others.

Report the findings by presenting them in a clear, concise, and organized manner. This involves summarizing the key themes, presenting supporting evidence, and providing interpretations and recommendations based on the findings.

Framework Analysis Conducting Guide

Here is a step-by-step guide to conducting framework analysis:

• Define the research question: The first step in conducting framework analysis is to clearly define the research question or objective that you want to investigate.
• Develop the analytical framework: Develop a coding framework or a set of predetermined themes or categories that are relevant to the research question. These themes or categories can be derived from existing literature or theories, or they can be developed based on the data collected.
• Data collection: Collect the data using a suitable method such as interviews, focus groups, surveys or observation.
• Familiarization: Transcribe and familiarize yourself with the data. Read through the data several times and take notes to identify any patterns, themes or issues that are emerging.
• Coding : Code the data by identifying key themes or categories and assigning each piece of information to a specific theme or category.
• Charting: Create charts or tables that display the frequency and distribution of each theme or category. This helps to summarize the data and identify patterns.
• Mapping and interpretation: Analyze the data to identify patterns, relationships, and themes. Interpret the findings in light of the research objectives and provide explanations for any significant patterns or themes that have emerged.
• Validation : Validate the findings by sharing them with others and seeking feedback. This can help to ensure that the findings are robust and reliable.
• Report writing: Write a report that summarizes the findings, includes quotes or examples from the data to support the findings and provides recommendations for future research.

Applications of Framework Analysis

Framework Analysis has a wide range of applications in research, including:

• Policy analysis: Framework Analysis can be used to analyze policies and policy documents to identify key themes, patterns, and underlying assumptions.
• Social science research: Framework Analysis is commonly used in social science research to analyze qualitative data from interviews, focus groups, and other sources.
• Health research: Framework Analysis can be used to analyze qualitative data from health research studies, such as patient and provider perspectives, to identify themes and patterns.
• Environmental research : Framework Analysis can be used to analyze qualitative data from environmental research studies to identify themes and patterns related to environmental attitudes, behaviors, and practices.
• Education research: Framework Analysis can be used to analyze qualitative data from educational research studies to identify themes and patterns related to teaching practices, student learning, and educational policies.
• Market research: Framework Analysis can be used to analyze qualitative data from market research studies to identify themes and patterns related to consumer attitudes, behaviors, and preferences.

Examples of Framework Analysis

Here are some examples of Framework Analysis in various research contexts:

• Health Research: A study on the experiences of cancer survivors might use Framework Analysis to identify themes related to the psychological, social, and physical aspects of survivorship. Themes might include coping strategies, social support, and health outcomes.
• Education Research: A study on the impact of a new teaching approach might use Framework Analysis to identify themes related to the implementation of the approach, the effectiveness of the approach, and barriers to its implementation. Themes might include teacher attitudes, student engagement, and logistical challenges.
• Environmental Research : A study on the factors that influence pro-environmental behaviors might use Framework Analysis to identify themes related to environmental attitudes, behaviors, and practices. Themes might include social norms, personal values, and perceived barriers to behavior change.
• Policy Analysis: A study on the implementation of a new policy might use Framework Analysis to identify themes related to policy development, implementation, and outcomes. Themes might include stakeholder perspectives, organizational structures, and policy effectiveness.
• Social Science Research: A study on the experiences of immigrant families might use Framework Analysis to identify themes related to the challenges and opportunities faced by immigrant families in their new country. Themes might include language barriers, cultural differences, and social support.

When to use Framework Analysis

Framework Analysis is a useful method for analyzing qualitative data when the research questions require an in-depth exploration of a particular phenomenon, concept, or experience. It is particularly useful when:

• The research involves multiple sources of qualitative data, such as interviews, focus groups, or documents, that need to be analyzed and compared.
• The research questions require a systematic and structured approach to data analysis that enables the identification of patterns, themes, and relationships in the data.
• The research involves a large and complex dataset that requires a method for organizing and synthesizing the data in a meaningful way.
• The research aims to generate new insights and understandings from the data, rather than testing pre-existing hypotheses or theories.
• The research requires a method that is transparent, replicable, and verifiable, as Framework Analysis provides a clear framework for data analysis and reporting.

Purpose of Framework Analysis

The purpose of Framework Analysis is to systematically organize and analyze qualitative data in a structured and transparent manner. The method is designed to identify patterns, themes, and relationships in the data that are relevant to the research question or objective. By using a rigorous and transparent approach to data analysis, Framework Analysis enables researchers to generate new insights and understandings from the data, and to provide a clear and structured presentation of the findings.

The method is particularly useful for analyzing large and complex qualitative datasets that require a method for organizing and synthesizing the data in a meaningful way. It can be used to explore a wide range of research questions and objectives across various fields, including health research, social science research, education research, policy analysis, and environmental research, among others.

Overall, the purpose of Framework Analysis is to provide a systematic and transparent method for analyzing qualitative data that enables researchers to generate new insights and understandings from the data in a rigorous and structured manner.

Characteristics of Framework Analysis

Some Characteristics of Framework Analysis are:

• Systematic and Structured Approach: Framework Analysis provides a systematic and structured approach to data analysis that involves a series of steps that are followed in a predetermined order.
• Transparency and Replicability: Framework Analysis emphasizes transparency and replicability, as it involves a clearly defined process for data analysis that can be applied consistently across different datasets and research questions.
• Flexibility : Framework Analysis is flexible and adaptable to a wide range of research contexts and objectives, as it can be used to analyze qualitative data from various sources and to explore different research questions.
• In-depth Exploration of the Data: Framework Analysis enables an in-depth exploration of the data, as it involves a thorough and detailed analysis of the data to identify patterns, themes, and relationships.
• Applicable to Large and Complex Datasets: Framework Analysis is particularly useful for analyzing large and complex qualitative datasets, as it provides a method for organizing and synthesizing the data in a meaningful way.
• Data-Driven: Framework Analysis is data-driven, as it focuses on the analysis and interpretation of the data rather than on pre-existing hypotheses or theories.
• Emphasis on Contextual Understanding : Framework Analysis emphasizes contextual understanding, as it involves a detailed examination of the data to identify the social, cultural, and environmental factors that may influence the phenomena under investigation.

Advantages of Framework Analysis

Some Advantages of Framework Analysis are as follows:

• Transparency : Framework Analysis provides a clear and structured approach to data analysis, which makes the process transparent and easy to follow. This ensures that the findings can be easily replicated or verified by other researchers.
• Thorough Analysis : Framework Analysis enables a thorough and detailed analysis of the data, which allows for the identification of patterns, themes, and relationships that may not be apparent through other methods.
• Contextual Understanding: Framework Analysis emphasizes the importance of understanding the context in which the data was collected, which enables a more nuanced interpretation of the findings.
• Collaborative Analysis: Framework Analysis can be used as a collaborative method for data analysis, as it allows multiple researchers to work together to analyze the data and develop a shared understanding of the findings.
• Efficient and Time-saving: Framework Analysis can be an efficient and time-saving method for analyzing qualitative data, as it provides a structured and organized approach to data analysis that can help researchers manage and synthesize large datasets.
• Comprehensive Reporting: Framework Analysis can help ensure that the research findings are comprehensive and well-reported, as the method provides a clear framework for presenting the results.

Limitations of Framework Analysis

Some Limitations of Framework Analysis are as follows:

• Subjectivity : Framework Analysis relies on the interpretation of the researchers, which can introduce subjectivity into the analysis process.
• Time-consuming : Framework Analysis can be a time-consuming method for data analysis, particularly when working with large and complex datasets.
• Limited ability to generate new theory : Framework Analysis is a deductive approach that relies on pre-existing theories and concepts to guide the analysis, which may limit the ability to generate new theoretical insights.
• Risk of oversimplification: The structured approach of Framework Analysis can lead to oversimplification of the data, as complex issues may be reduced to predefined categories or themes.
• Limited ability to capture the complexity of the data : The predefined categories or themes used in Framework Analysis may not be able to capture the full complexity of the data, particularly when dealing with nuanced or context-specific phenomena.
• Limited use with non-textual data : Framework Analysis is primarily designed for analyzing qualitative textual data and may not be as effective for analyzing non-textual data such as images, videos, or audio recordings.

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Researcher, Academic Writer, Web developer

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Navigating the Research Landscape: A Deep Dive into the FINER Method

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Table of Contents

Within the complex field of scientific research, the development of a well-structured and feasible research question serves as the fundamental basis of a meaningful investigation. The process of transforming a clinical problem into a structured inquiry is a thorough one, as it sets the direction for the entire research effort. The FINER criteria, which is an acronym representing the fundamental characteristics of a research issue, remains a valuable tool for researchers, particularly those who are in the early stages of their professional journey.

Setting the Stage: The Role of the Research Protocol

Before learning the FINER approach, it’s important to comprehend the study protocol’s structure. This documented plan is essential for funding applications and science. It helps researchers organize their study to be logical, focused, and efficient. The protocol describes the study’s goals, methodology, statistics, and organization, guiding the research from start to finish.

“A good research question should pass the ‘‘So what?’’ test. Getting the answer should contribute usefully to our state of knowledge.” (Hulley et al. 22)

A Closer Look at the FINER Criteria

FINER is an acronym that stands for Feasible, Interesting, Novel, Ethical, and Relevant. These five attributes are essential in ensuring that a research question is not only well-constructed but is also capable of driving a study that’s both meaningful and impactful.

1. Feasible:

Feasibility is all about the practicality of a study. It’s about asking whether the study can be done given the available resources, time, and technology. It’s crucial to consider if the sample size is attainable, if the variables can be measured effectively, and if there are enough resources, including funding and expertise, to carry the study through to completion.

Essential considerations are as follows:

• Does the available timeframe allow for the execution of the research?
• Does the necessary technology and knowledge exist to facilitate the execution of my study?
• Can I pay for it?
• Will my study yield the desired level of impact and significance for the intended audience?
• Is there sufficient access to the desired group or an adequate number of participants to ensure the attainment of reliable results?

2. Interesting:

A study needs to captivate the attention of not just the researcher but also the wider audience, including peers, collaborators, and potential funders. An interesting study is like a story that needs to be told – it’s compelling, it’s engaging, and it adds a rich layer to the existing body of knowledge. This process can be described as a dynamic interplay between familiar and unfamiliar elements, skillfully arranged to align with established literary works, emerging patterns, and unexplored areas of investigation.

Novelty is about bringing something new to the table. It’s about ensuring that the research contributes fresh insights and perspectives to the existing body of knowledge.  A novel study serves as a symbol of innovation, shedding light on uncharted areas, providing new viewpoints, and questioning conventional frameworks.

4. Ethical:

Ethics is the cornerstone of any credible research. It’s about ensuring that the study is conducted with integrity, respect, and responsibility, safeguarding the dignity and well-being of participants. Ethical research is anchored in principles like informed consent, confidentiality, and beneficence, ensuring that the study is conducted with the highest moral standards.

5. Relevant:

Relevance ensures that the research resonates with the real world. It’s about making sure that the findings of the study are not just theoretical but have practical implications, influencing and enriching clinical practice, policy-making, and societal well-being.

Application and Examples of the FINER Criteria

Understanding the theoretical aspects of the FINER criteria is essential, but seeing them applied in real-world research scenarios can offer invaluable insights. Let’s explore how these criteria can be practically employed, drawing from the rich insights provided in the sources shared earlier.

• Feasible: Consider a study aiming to explore the impact of a new drug on a specific health condition. The feasibility can be assessed by considering the availability of participants, the accessibility of the drug, the presence of necessary technology and expertise, and the allocation of adequate funding and time.
• Interesting: A research question becomes interesting when it addresses a gap in existing knowledge or explores a pressing issue in a specific field. For instance, a study exploring a novel approach to managing a common health condition can captivate the attention of medical professionals, patients, and policymakers.
• Novel: Novelty is showcased in a study that brings fresh insights or explores uncharted territories. For example, a research project investigating the genetic basis of a disease previously studied only at the symptomatic level can be considered novel.
• Ethical: Ethical considerations are paramount. A study proposing to explore the effects of a new treatment must ensure participants’ safety, informed consent, and data privacy, adhering to established ethical guidelines.
• Relevant: Relevance is illustrated in studies that address current challenges or opportunities in a specific field. For instance, a study exploring the efficacy of online therapy sessions can be highly relevant given the increasing reliance on virtual healthcare.

In conclusion…

The FINER criteria aren’t just a checklist – they’re the foundational elements that ensure a study is robust, impactful, and meaningful. In the world of scientific research, where theories and methods intertwine and discoveries emerge, the FINER criteria serve as a guide, ensuring that every step of the research journey is marked by precision, purpose, and impact.

They ensure that every research endeavor is a balanced blend of truth-seeking, impact, and innovation. For the adept researcher, equipped with insights from credible sources, the FINER criteria transform from a set of principles to a powerful tool, turning every research question into a gateway of endless possibilities.

And remember, Elsevier is here to support researchers in making a significant impact. Our Language Editing Plus Service is designed to refine and enhance your manuscript, ensuring clarity, logic, and adherence to journal requirements. With unlimited rounds of language review and comprehensive support throughout the submission process, we’re here to ensure your research not only shines but also reaches its fullest potential. Use the simulator below to get a price quote for your manuscript, based on the total number of words.

The article “FINER: a Research Framework” on the Elsevier Author Services blog is based on the following credible sources:

• Hulley SB, Cummings SR, Browner WS, Grady DG, Newman TB. Designing clinical research. 3rd ed. Philadelphia (PA): Lippincott Williams and Wilkins; 2007.

https://edisciplinas.usp.br/pluginfile.php/5486505/mod_resource/content/1/Stephen%20B.%20Hull

ey%2C%20Steven%20R.%20Cummings%2C%20Warren%20S.%20Browner%2C%20Deborah%20G

.%20Grady%2C%20Thomas%20B.%20Newm.pdf

• Mohanan, Saritha & Parameswaran, Narayanan. (2022). FINER criteria – What does it mean?. 2. 115. 10.25259/CSDM_123_2022.

https://www.researchgate.net/publication/365592378_FINER_criteria_-_What_does_it_mean

• Fandino W. Formulating a good research question: Pearls and pitfalls. Indian J Anaesth. 2019 Aug;63(8):611-616. doi: 10.4103/ija.IJA_198_19. PMID: 31462805; PMCID: PMC6691636.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6691636/

• https://ehsanx.github.io/Scientific-Writing-for-Health-Research/research-question.html

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Research Process

• Brainstorming
• Explore Google This link opens in a new window
• Explore Web Resources
• Explore Background Information
• Explore Books
• Explore Scholarly Articles
• Narrowing a Topic
• Primary and Secondary Resources
• Academic, Popular & Trade Publications
• Scholarly and Peer-Reviewed Journals
• Grey Literature
• Clinical Trials
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• Cited References
• Citing Articles
• Related Results
• Search Within Publication
• Database Alerts & RSS Feeds
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• Persistent URLs
• Literature Gap and Future Research
• Web of Knowledge
• Annual Reviews
• Systematic Reviews & Meta-Analyses
• Finding Seminal Works
• Exhausting the Literature
• Finding Dissertations
• Researching Theoretical Frameworks
• Research Methodology & Design
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Additional Guidance

• Organizing Your Social Sciences Research Paper: Theoretical Framework University of Southern California
• The Research Planning Process: Theoretical Framework (video)
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• Understanding, selecting, and integrating a Theoretical framework in dissertation research: Creating the blueprint for your “house” Grant, C., & Osanloo, A. (2014). Understanding, Selecting, and Integrating a Theoretical Framework in Dissertation Research: Creating the Blueprint for Your "House". Administrative Issues Journal: Connecting Education, Practice, And Research, 4(2), 12-26.
• What is a Theoretical Framework? Merriam, S. B., & Tisdell, E. J. (2015). Qualitative research: A guide to design and implementation. John Wiley & Sons.

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If you are looking for a document in the Dissertation Center or Applied Doctoral Center and can't find it please contact your Chair or The Center for Teaching and Learning at [email protected]

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Theoretical Frameworks

Theoretical frameworks provide a particular perspective, or lens, through which to examine a topic. There are many different lenses, such as psychological theories, social theories, organizational theories and economic theories, which may be used to define concepts and explain phenomena. Sometimes these frameworks may come from an area outside of your immediate academic discipline. Using a theoretical framework for your dissertation can help you to better analyze past events by providing a particular set of questions to ask, and a particular perspective to use when examining your topic.

Traditionally, Ph.D. and Applied Degree research must include relevant theoretical framework(s) to frame, or inform, every aspect of the dissertation. Further, Ph.D. dissertations should make an original contribution to the field by adding support for the theory, or, conversely, demonstrating ways in which the theory may not be as explanatory as originally thought. You can learn more about the theoretical framework requirements in the NU Dissertation Center .

It can be difficult to find scholarly work that takes a particular theoretical approach because articles, books, and book chapters are typically described according to the topics they tackle rather than the methods they use to tackle them. Further, there is no single database or search technique for locating theoretical information. However, the suggestions below provide techniques for locating possible theoretical frameworks and theorists in the Library databases. In addition to your Library research, you should discuss possible theories your Dissertation Chair to ensure they align with your study. Also, keep in mind that you will probably find and discard several potential theoretical frameworks before one is finally chosen.

• The Theoretical Framework Guide from the NU Center for Teaching and Learning
• Theoretical Frameworks Entry from the The SAGE Encyclopedia of Qualitative Research Methods
• Theoretical Frameworks in Qualitative Research Book effectively explains, through discussion and example, what a theoretical framework is, how it is used in qualitative research, and the effects it has on the research process.

Conceptual Frameworks

A conceptual framework provides the concept or set of related concepts supporting the basis or foundation of a study. It creates a conceptual model for possible strategies or courses of action identified as important for researching a particular problem or issue. While a conceptual framework is often referred to interchangeably with a theoretical framework, it maintains a distinct purpose. A conceptual framework is used to clarify concepts, organize ideas, and identify relationships with which to frame a study. Concepts are logically developed and organized to support an overall framework and often exhibited graphically within dissertation research. Note that a dissertation may include both a theoretical framework and a conceptual framework.

The suggestions below provide techniques for locating possible conceptual frameworks in the Library databases. Note when examples may use the term "theoretical framework," you may change your search terms to "conceptual framework." In addition to your Library research, you should discuss possible frameworks your Dissertation Chair to ensure they align with your study. Also, keep in mind that you will probably find and discard several potential conceptual frameworks before one is finally chosen.

• The Conceptual Framework Guide from the NU Center for Teaching and Learning
• Conceptual Framework Entry from the SAGE Encyclopedia of Educational Research, Measurement, and Evaluation
• E-Book Databases
• ProQuest Dissertations & Theses
• NavigatorSearch
• SAGE Research Methods
• Web of Science

Content: A reference database useful for accessing scholarly definitions, background and contextual information. Subjects covered include art, biography, business, economics, education, history, literature, music, psychology, religion, and science and technology.

Purpose: An excellent starting point for brainstorming a research topic and building out your initial search terms list.

Special Features: Mindmap; related articles; image search

Content: Ebooks with coverage across all academic disciplines. The collection offers a critical mass of more than 150,000 foundational scholarly ebooks with balanced quantity and quality to improve teaching, learning and research workflow and outcomes.

Purpose: Provides access to multidisciplinary ebooks for download or to be read online.

Special Features: Browse by subject option; highlight and take notes in text.

Help using this database.

Content : Books, chapters, and peer-reviewed content about a diverse range of topics.

Purpose: Users may access full text, and authoritative information about many topics.

Special Features: Users may explore topics and subjects.

Use the Library’s e-book databases to gather background information on a particular theory or theorist. Since the e-book databases will contain fewer resources than a database containing thousands of scholarly journal articles, it is best to keep your search terms a little more broad.

For example, a search for education theory in the Ebook Central database results in many relevant e-books, as shown below. Expanding the Table of Contents will provide additional details about the e-book.

Encyclopedias and handbooks will also provide reliable background information on particular theories. For example, a search for cognitive developmental theory in the Credo Reference database results in a number of reference entries which discuss the history of the theory, identify relevant theorists, and cite seminal research studies.

You may search for theorists and theoretical information using Google and Google Scholar , as well. However, please keep in mind that you will need to be more discriminating when it comes to using material found on open access websites. We recommend reviewing the Website Evaluation guidelines when considering online sources.

One method that may be used in Google is limiting your search by a particular domain name. If a website ends in .org, .gov, or .edu, it is more likely to be a scholarly source. If it ends in .com or .net it is less likely to be a scholarly source. In the search below, for example, we have limited our search for "leadership theories" to just those websites ending with .edu. You may also find this domain limiter under Tools>Advanced Search.

Note: Limiting to a particular domain is not necessary in Google Scholar, as all results in Google Scholar may be considered scholarly. This may include articles, theses, books, abstracts and court opinions, material from academic publishers, professional societies, online repositories, universities and other web sites.

For additional information, see the following:

• Google for School LibGuide
• Google Scholar Quick Tutorial Video A short video demonstration of using Google Scholar for academic research.
• Limit By Domain FAQ

Content: National University & NCU student dissertations and literature reviews.

Purpose: Use for foundational research, to locate test instruments and data, and more. 

Special Features: Search by advisor (chair), degree, degree level, or department. Includes a read-aloud feature.

Content: Global student dissertations and literature reviews.

Special Features: Search by advisor (chair), degree, degree level, or department. Includes a read-aloud feature

The ProQuest Dissertations & Theses database (PQDT) is the world's most comprehensive collection of dissertations and theses. It is the database of record for graduate research, with over 2.3 million dissertations and theses included from around the world.

Since most doctoral research requires a theoretical framework, looking at completed dissertations related to your topic is an effective way to identify relevant theories and theorists. ProQuest Dissertations & Theses Global provides access to over 3 million full text doctoral dissertations and graduate theses. You may limit your search to only doctoral dissertations by using the Advanced Search screen. Look at the table of contents or abstract for reference to theoretical framework, as shown below. The dissertation’s references/bibliography will have a full citation to the original theorist’s research.

Content: Scholarly journals, e-books, videos and more. 

Purpose: A key multidisciplinary database for most topics. It is one of the library’s main search engines and the most comprehensive single search. 

Note: Certain library databases and publisher content are not searchable in NavigatorSearch, and individual databases may need to be searched to retrieve information due to unique content. NavigatorSearch can be found at https://resources.nu.edu .

On the NavigatorSearchscreen, include theor* as one your search terms, as shown below. It will retrieve results that include one of the following keywords: theory, theories, theoretical, theorist, or theorists . It is important to keep in mind, however, that this is not a foolproof method for locating theoretical frameworks. Scholars will often cite theory or theorists in order to refute them, or because they are saying something that's tangentially related, or they may even just refer to theory briefly in passing. In our example, we have selected the field for AB Abstract because if theory is mentioned within the abstract, the study is more likely to take a theoretical approach.  

As shown below, results from our example search clearly include articles which apply theory to the topic of curriculum design.  

Remember to look past the article title. Theoretical information may be mentioned in a subheading, or referred to elsewhere in the document. Use the FIND feature in your PDF viewer or internet browser to scan the document for terms such as theor*  (to pull up theory, theorist, theoretical), framework, conceptual, perspective , etc., as shown below.

Content: Books, reference works, journal articles, and instructional videos on research methods and design. 

Purpose: Use to learn more about qualitative, quantitative, and mixed methods research. 

Special Features: Includes a methods map, project planner, and "which stats" test

SAGE Research Methods  is a multimedia database containing more than 1,000 books, reference works, journal articles, and instructional videos covering every step of the research process. It includes e-books and e-book chapters which may help you better understand the theoretical framework aspect of your research study. A selection of resources is included below:

Searching in SAGE Research Methods

Use the main search bar to locate information about theoretical frameworks. Search the general phrase "theoretical frameworks," or the name of a specific theoretical framework like "social cognitive theory," in quotation marks to yield results with that specific phrase. See the example below.

You may also browse content in this database by Discipline . Select  Browse  on the top navigation to view a list of key topics.

• Anfara, V. (2008). Theoretical frameworks. In L. M. Given (Ed.), The SAGE Encyclopedia of Qualitative Research Methods. (pp. 870-874). Thousand Oaks, CA: SAGE Publications, Inc.
• Anfara, V. A., & Mertz, N. T. (Eds.). (2006). Theoretical frameworks in qualitative research. Thousand Oaks, CA: SAGE Publications, Inc.
• Theoretical framework. (2014). In Walker, R., & Solvason, C. Success with your early years research project (pp. 21-32). London: SAGE Publications Ltd.

Content: Citations and articles in multi-disciplines not found through a NavigatorSearch.

Purpose: Used to conduct topic searches as well as find additional resources that have cited a specific resource (citation network).

You may conduct a Cited Reference Search in Web of Science to find articles that cite a primary theorist in your area. These articles are likely to tackle your topic through your theoretical lens, or will point you toward another article that does. To access Web of Knowledge, go to A-Z Databases from the Library’s home page.

On the Web of Science home page, click on Cited Reference Search  to search for articles that cite a person's work. 

Enter the name of a key theorist in your area (in our example, John Dewey) in the format they specify (in this case Dewey J*), as shown below, and press "Search."

On the results screen, select the appropriate Web of Science category under Refine Results. For example, we could select “Education Educational Research” and then click “Refine.” You may wish to further refine by Document Type, Research Area, Author, etc. (also located on the left hand menu). Sorting your results by “Times Cited - Oldest to Newest"  is an effective way to discover the most frequently cited works. 

• 12Manage Global knowledge platform on management and business administration, including descriptions of frameworks. Requires free email sign up.
• Academic Theories Includes alphabetical listing of theories, as well as grouping by type.
• Communication Theories Provides list of communication theories grouped according to topic.
• Psychological Theories Browse alphabetically or use the clusters feature to view theories grouped by similar topics or approaches.
• Theories Used in Information Systems (IS) Research Click on a linked theory name to find details about the theory, some examples of IS papers using the theory, and links to related sites.

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• Open access
• Published: 29 May 2024

Exploring the use of body worn cameras in acute mental health wards: a mixed-method evaluation of a pilot intervention

• Una Foye 1 , 2 ,
• Keiran Wilson 1 , 2 ,
• Jessica Jepps 1 , 2 ,
• James Blease 1 ,
• Ellen Thomas 3 ,
• Leroy McAnuff 3 ,
• Sharon McKenzie 3 ,
• Katherine Barrett 3 ,
• Lilli Underwood 3 ,
• Geoff Brennan 1 , 2 &
• Alan Simpson 1 , 2  

BMC Health Services Research volume  24 , Article number:  681 ( 2024 ) Cite this article

199 Accesses

12 Altmetric

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Body worn cameras (BWC) are mobile audio and video capture devices that can be secured to clothing allowing the wearer to record some of what they see and hear. This technology is being introduced in a range of healthcare settings as part of larger violence reduction strategies aimed at reducing incidents of aggression and violence on inpatient wards, however limited evidence exists to understand if this technology achieves such goals.

This study aimed to evaluate the implementation of BWCs on two inpatient mental health wards, including the impact on incidents, the acceptability to staff and patients, the sustainability of the resource use and ability to manage the use of BWCs on these wards.

The study used a mixed-methods design comparing quantitative measures including ward activity and routinely collected incident data at three time-points before during and after the pilot implementation of BWCs on one acute ward and one psychiatric intensive care unit, alongside pre and post pilot qualitative interviews with patients and staff, analysed using a framework based on the Consolidated Framework for Implementation Research.

Results showed no clear relationship between the use of BWCs and rates or severity of incidents on either ward, with limited impact of using BWCs on levels of incidents. Qualitative findings noted mixed perceptions about the use of BWCs and highlighted the complexity of implementing such technology as a violence reduction method within a busy healthcare setting Furthermore, the qualitative data collected during this pilot period highlighted the potential systemic and contextual factors such as low staffing that may impact on the incident data presented.

This study sheds light on the complexities of using such BWCs as a tool for ‘maximising safety’ on mental health settings. The findings suggest that BWCs have a limited impact on levels of incidents on wards, something that is likely to be largely influenced by the process of implementation as well as a range of contextual factors. As a result, it is likely that while BWCs may see successes in one hospital site this is not guaranteed for another site as such factors will have a considerable impact on efficacy, acceptability, and feasibility.

Peer Review reports

Body worn cameras (BWC) are mobile audio and video capture devices that can be secured to clothing allowing the wearer to record some of what they see and hear. In England, these have been introduced in the National Health Service (NHS) as part of a violence reduction strategy [ 1 ] which emphasises the reduction of aggression and violence against staff. The NHS Staff Survey 2022 found that 14.7% of NHS staff had experienced at least one incident of physical violence from patients, relatives or other members of the public in the previous 12 months. Violent attacks on staff were found to contribute to almost half of staff illness [ 2 ]. Levels of violence against staff working in mental health trusts remain much higher than other types of healthcare providers [ 3 ]. Numerous reports internationally highlight the increased risks faced by staff working in psychiatric care [ 4 ], though studies have reported that both ward staff and mental health patients experience violence and feeling unsafe on inpatient wards [ 5 , 6 ].

Body worn cameras have been in use for over a decade within law enforcement, where they hoped to provide transparency and accountability within use-of-force incidents and in the event of citizen complaints against police [ 7 ]. It was believed that video surveillance would help identify integral problems within the organisation, improve documentation of evidence, reduce use-of-force incidents, improve police-community relations, and provide training opportunities for officers [ 8 ]. However, a recent extensive international systematic review by Lum et al. [ 9 ], found that despite the successes noted in early evaluations, the way BWCs are currently used by police may not substantially affect most officer or citizen behaviours. Irrespective of these findings, other public services such as train operators have been implementing BWCs for security purposes, with reductions reported in the number of assaults on railway staff [ 10 ].

A recent systematic review of BWC use in public sector services established that there is a poor evidence base supporting the use of BWCs in the reduction of violence and aggression [ 11 ]. Yet, we are seeing a swift increase in the use of BWCs in mental health settings with that aim, with few studies conducted on the use of BWC technology in inpatient mental health wards, and even fewer studies exploring staff or patients’ views. Two evaluations conducted in England reported mixed results with both increases and decreases in violence and aggression found, and variation between types of wards. There is some suggestion of a reduction in more serious incidents and the use of restraint, but quality of evidence is low [ 12 , 13 ].

The use of BWCs in mental healthcare settings for safety and security remains a contentious topic due to the lack of evidence regarding the influence that such technology has on preventing violence and aggression and the complex philosophical and ethical issues raised, particularly where many patients may lack capacity and/or are detained under mental health legislation [ 14 ]. Additionally, there are concerns that BWCs may be used as a ‘quick fix’ for staff shortages rather than addressing the wider systemic and resourcing issues facing services [ 15 ]. With little independent evaluation of body-worn cameras in mental health settings, many of these concerns remain unanswered. There is also limited understanding of this technology from an implementation perspective. Therefore, in this study we aimed to conduct an independent evaluation of the introduction of BWCs as a violence reduction intervention on two inpatient mental health wards during a six-month pilot period to explore the impact of using the technology, alongside an exploration of the facilitators and barriers to implementation.

Research aim(s)

To evaluate the implementation of BWCs on two inpatient mental health wards, including the impact on incidents, the acceptability to staff and patients, the sustainability of the resource use and ability to manage the use of BWCs on these wards.

Patient and public involvement

The research team included a researcher and independent consultant, each with lived experience of mental health inpatient care. In addition, we recruited and facilitated a six member Lived Experience Advisory Panel (LEAP). This group was made up of patients and carers, some of whom had experienced the use of BWCs. Members were of diverse ethnic backgrounds and included four women and two men. The LEAP provided guidance and support for the research team in developing an understanding of the various potential impacts of the use of BWCs on inpatient mental health wards. Members contributed to the design of the study, development of the interview schedule, practice interviews prior to data collection on the wards, and supported the analysis and interpretation of the data, taking part in coding sessions to identify themes in the interview transcripts. The LEAP met once a month for two hours and was chaired by the Lived Experience Research Assistant and Lived Experience Consultant. Participants in the LEAP were provided with training and paid for their time.

The pilot introduction of the body worn cameras was conducted within a London mental health Trust consisting of four hospital sites with 17 acute wards. The research team were made aware of extensive preparatory work and planning that was conducted at a directorate and senior management level prior to camera implementation, including lived experience involvement and consultation, and the development of relevant policies and protocols inclusive of a human rights assessment and legal consultation.

The pilot period ran from 25th April to 25th October 2022. Reveal (a company who supply BWCs nationally across the UK) provided the Trust with 12 Calla BWCs for a flat fee that covered use of the cameras, cloud-based storage of footage, management software, and any support/maintenance required during the pilot period. Cameras were introduced to two wards based on two hospital sites, with six cameras provided to each of the wards on the same date. Training on using the BWCs was provided by the BWC company to staff working on both wards prior to starting the pilot period. Ward one was a 20-bed male acute inpatient ward, representing the most common ward setting where cameras have been introduced. Ward two was a ten-bed male Psychiatric Intensive Care Unit (PICU), representing smaller and more secure wards in which patients are likely to present as more unwell and where there are higher staff to patient ratios.

To answer our research questions, we used a mixed-methods design [ 16 ]. Using this design allowed us to investigate the impact of implementing BWCs in mental health settings on a range of quantitative and qualitative outcomes. This mixed methods design allows the study to statistically evaluate the effectiveness of using BWCs in these settings on key dependent variables (i.e., rates of violence and aggression, and incidents of conflict and containment) alongside qualitatively exploring the impact that the implementation of such technology has on patients and staff.

To ensure that the study was able to capture the impact and effect of implementation of the cameras, a repeated measures design was utilised to capture data at three phases on these wards:

Pre-pilot data: data prior of the implementation of the BWCs (quantitative and qualitative data).

Pilot period data: data collected during the six-month pilot period when BWCs were implemented on the wards (quantitative and qualitative data).

Post-pilot: data collected after the pilot period ended and cameras had been removed from the wards (quantitative data only).

Quantitative methods

Quantitative data was collected at all three data collection periods:

Pre-period: Data spanning six months prior to the implementation of BWCs (Nov 21 to May 22).

Pilot period: Data spanning the six months of the Trusts pilot period of using BWCs on the wards (June 22 to Nov 22).

Post-pilot: Data spanning the six months following the pilot period, when BWCs had been removed (Dec 22 to May 23).

Quantitative measures

To analyse the impact of BWC implementation, we collected two types of incident data related to violence and aggression and use of containment measures, including BWCs. Combined, these data provide a view of a wide range of incidents and events happening across the wards prior to, during, and after the implementation and removal of the BWCs.

The patient-staff conflict checklist

The Patient-staff Conflict Checklist (PCC-SR) [ 17 ] is an end of shift report that is completed by nurses to collate the frequency of conflict and containment events. This measure has been used successfully in several studies on inpatient wards [ 18 , 19 , 20 ].The checklist consists of 21 conflict behaviour items, including physical and verbal aggression, general rule breaking (e.g., smoking, refusing to attend to personal hygiene), eight containment measures (e.g., special observation, seclusion, physical restraint, time out), and staffing levels. In tests based on use with case note material, the PCC-SR has demonstrated an interrater reliability of 0.69 [ 21 ] and has shown a significant association with rates of officially reported incidents [ 22 ].

The checklist was revised for this study to include questions related to the use of BWCs ( e.g., how many uses of BWCs happened during the shift when a warning was given and the BWC was not used; when a warning was given and the BWC was used; when the BWC was switched on with no warning given ) in order to provide insight into how the cameras were being used on each ward (see appendix 1). Ward staff were asked to complete the checklist online at the end of each shift.

Routinely collected incident data (via datix system)

To supplement the PCC-SR-R, we also used routinely collected incident data from both wards for all three data collection phases. This data is gathered as part of routine practice by ward staff members via the Datix system Datix [ 23 ] is a risk management system used widely across mental health wards and Trusts in the UK to gather information on processes and errors. Previous studies have utilised routinely collect data via this system [ 24 , 25 ]. Incidents recorded in various Datix categories were included in this study (see Table  1 ). Incidents were anonymised before being provided to the research team to ensure confidentiality.

Routinely collected data included:

Recorded incidents of violence and aggression.

Recorded use of restrictive practices including seclusion, restraint, and intra-muscular medication/rapid tranquilisations.

Patient numbers.

Staffing levels.

Numbers of staff attending BWC training.

Quantitative data analysis

Incident reports.

Incident reports retrieved from Datix were binary coded into aggregate variables to examine violence and aggression, self-harm, and other conflict as outlined in Table  1 . Multivariate analyses of variance (MANOVA) were used to identify differences in type of incident (violence against person, violence against object, verbal aggression, self-harm, conflict) for each ward. MANOVA was also used to examine differences in incident outcomes (severity, use of restrictive practice, police involvement) across pre-trial, trial, and post-trial periods for each ward. Incident severity was scored by ward staff on a four-point scale (1 = No adverse outcome, 2 = Low severity, 3 = Moderate severity, 4 = Severe). Use of restrictive practice and police involvement were binary coded for presence or absence. Analyses were conducted using SPSS [ 26 ].

Patient-staff conflict checklist shift-report – revised (PCC-SR-R; )

Data were condensed into weeks for analysis rather than shifts to account for variability in PCC-SR-R submission by shift. Linear regressions assessed the relationship between BWC use and incident outcome (severity, use of restrictive practice, police involvement).

Qualitative methods

We used semi-structured qualitative interviews to explore participants’ experiences of BWCs on the ward to understand the impact of their use as well as to identify any salient issues for patients, staff and visitors that align with the measures utilised within the quantitative aspect of this study. These interviews were conducted at two time points: pre-pilot and at the end of the six-month pilot period.

Sample selection, eligibility, and recruitment

Convenience sampling was used to recruit staff and patients on wards. Researchers approached ward managers to distribute information sheets to staff, who shared that information with patients. Staff self-selected to participate in the study by liaising directly with the research team. Patients that were identified as close to discharge and having capacity to consent were approached by a clinical member of the team who was briefed on the study inclusion criteria (see Table  2 ). The staff member spoke with the patient about the study and provided them with a copy of the information sheet to consider. If patients consented, a member of the research team approached the participant to provide more information on the study and answer questions. After initial contact with the research team, participants were given a 24-hour period to consider whether they wanted to participate before being invited for an interview.

Participants were invited to take part in an interview within a private space on the ward. Interviews were scheduled for one hour with an additional 15 min before and after to obtain informed consent and answer any questions. Participation was voluntary and participants were free to withdraw at any time. To thank patients for their time, we offered a £10 voucher following the interview. Interviews were audio-recorded and saved to an encrypted server. Interview recordings were transcribed by an external company, and the research team checked the transcripts for accuracy and pseudonymised all participants. All transcripts were allocated a unique ID number and imported to MicroSoft Excel [ 27 ] for analysis.

Qualitative data analysis

Qualitative data were analysed using a framework analysis [ 28 ] informed by implementation science frameworks. Our coding framework used the Consolidated Framework for Implementation Research (CFIR) [ 29 ], which is comprised of five major domains including: Intervention Characteristics, Implementation Processes, Outer Setting, Inner Setting, and Characteristics of the Individual. Each domain consists of several constructs that reflect the evidence base of the types of factors that are most likely to influence implementation of interventions. The CFIR is frequently used to design and conduct implementation evaluations and is commonly used for complex health care delivery interventions to understand barriers and facilitators to implementation. Based on its description, the CFIR is an effective model to address our research question, particularly given the complexity of the implementation of surveillance technology such as BWCs in this acute care setting.

The initial analytic stage was undertaken by eight members of the study team with each researcher charting data summaries onto the framework for each of the interviews they had conducted on MicroSoft Excel [ 27 ]. Sub-themes within each broad deductive theme from our initial framework were then derived inductively through further coding and collaborative discussion within the research team, inclusive of Lived Experience Researcher colleagues. Pseudonyms were assigned to each participant during the anonymisation of transcripts along with key identifiers to provide context for illustrative quotes (e.g., P = patient, S = staff, A = acute ward, I = Intensive Care, Pre = pre-BWC implementation interview, Post = Post BWC implementation interview).

All participants gave their informed consent for inclusion before they participated in the study. The study was conducted in accordance with the Declaration of Helsinki, and the protocol was approved by the Health Research Authority: London - Camden & Kings Cross Research Ethics Committee (IRAS Project ID 322,268, REC Reference 23/LO/0337).

Quantitative results

Exploring how body worn cameras were used during the pilot period.

Analysis of the PCC-SR-R provides information about how the BWCs were used on a day-to-day basis during the pilot period. Out of 543 total shift reports completed, BWC use was reported 50 times, indicating that BWCs were used on less than 10% of shifts overall; 78% of those deployments were on the Acute ward (see Figure 1 ). Overall, the majority of deployments happened as activations without a warning being given ( n  = 30, 60% of activations), 19 times the BWC was deployed with a warning but the camera was not activated (38%), and only one was the camera activated without a warning being given (2%).

BWC use by ward per week of pilot (no data available before week 6 on Ward 1)

According to the PCC-SR-R, a total of 227 incidents of aggression occurred during the pilot period across both wards (see Table  3 ). Overall, there were small statistically significant correlations between BWC usage and certain types of conflict, aggression, and restrictive practice. Results found that BWC use was positively correlated with verbal aggression and use of physical restraint. BWC use was moderately positively correlated with verbal aggression ( r  = .37, p  < .001). This indicates that BWCs were more likely to be used in incidents involving verbal aggression, which do not tend to be documented in Datix. Similarly, BWC use was moderately positively correlated with physical restraint ( r  = .31, p  < .001) indicating that they were also more likely to be used alongside physical restraint.

Exploring the impact of BWCs utilising routinely collected ward data

Acute ward results.

Routine data collected via Datix records were used to examine differences in frequency of conflict and aggression, incident severity, and use of containment measures before, during, and after introduction of BWCs on each trial ward (see Table  4 ).

There was no effect of trial period on incident type ( F (10, 592) = 1.703, p  = .077, Wilk’s Λ = 0.945), meaning there was no discernible difference in the type of incidents that occurred (E.g., verbal aggression, physical aggression) before, during, and after the pilot phase.

Incident outcomes

There was an effect of trial period on incident outcomes ( F (6, 596) = 10.900, p  < .001, Wilk’s Λ = 0.812). Incident severity was statistically significantly higher in the trial and post-trial periods compared to the pre-trial period. Use of restrictive practice was significantly lower in the post-trial period compared to the pre-trial and trial period. Police involvement was also lower in the post-trial period compared to the pre-trial and trial periods (see Table  5 ).

Results for the psychiatric intensive care unit

There was an effect of trial period on incident type ( F (10, 490) = 4.252, p  < .001, Wilk’s Λ = 0.847). Verbal aggression was statistically significantly higher in the post-trial period compared to the pre and trial periods. Self-harm was statistically significantly higher in the trial period compared to the pre-trial and post-trial periods. There were no differences in violence against a person ( p  = .162), violence against an object or conflict behaviour (see Table  4 ).

There was a statistically significant difference in incident outcome across the trial periods ( F (6, 494) = 12.907, p  < .001, Wilk’s Λ = 0.747). There was no difference in incident severity or police involvement. However, use of restrictive practice was statistically significantly higher in the pre-trial period, reducing in the test period, and reducing further in the post-trial period (see Table  5 ).

Qualitative findings

A total of 22 participants took part in interviews: five patients and 16 staff members. During the pre-pilot interviews a total of nine staff took part (five in the acute ward, four in the PICU ward) and two patients (both from the acute ward). After the pilot period, a total of eight staff took part (four from each ward) and three patients (all from the acute ward). Table  6 includes a full description of participants.

Below we have presented the key themes aligning to the five core CFIR categories of Intervention Characteristics, Characteristics of Individuals, The Process of Implementation, the Inner Setting, and The Outer Setting (see Table  7 ).

Intervention characteristics

Design and usability of wearing a bwc on the ward.

When discussing the use of the BWCs, staff noted a range of design issues related to the cameras that they said impacted on their use and acceptance of the cameras. This included the nature of the camera pulling on clothing necklines (a particular issue for female staff working on male wards), and overheating causing discomfort and irritation to skin, challenges with infection control, as well as the issue of cameras in a mental health setting where they can be easily grabbed, thrown and broken during an incident. Staff often cited these design issues as related to the lack of proactive use of the cameras on the wards.

There were issues around the devices getting overheated or about it going on your clothing, it pulls down the top… we had one person who was leading on it, whenever he was around, of course, the camera was being used, but if he wasn’t there, people weren’t as proactive in using the camera. Petra (f), Staff, A, Post.

There were also issues with staff forgetting to wear the cameras, forgetting to switch them on during incidents, and forgetting to charge them at the end of the shift, reducing the potential use of the cameras by other staff. These were perceived as key logistical issues prior to the pilot and were reported as issues at the end of the pilot by several staff on the wards.

The practicalities of will they actually turn it on in those sorts of incidents, I don’t know. Just little stuff as well, like if they don’t put it back on the docking station, so you think you’re charging it for next shift but then it’s not charged and the battery is dead, that’s one less camera to use, so little stuff. Jamal (m), Staff, A, Pre.

In relation to usability, staff noted that the cameras were small and easy to use given their simple single switch interface. It was felt that not having to upload and manage the data themselves made cameras more user friendly and usable by staff members. Protocols put into place such as signing the cameras in and out, and allocation for use during shifts were likened to procedures in place for other security measures therefore the implementation of this for the BWCs was viewed as easy for many staff.

It’s just like the ASCOM alarms that we wear. There’s a system to sign in and sign out, and that’s it. Alice (f), Staff, A, Pre.

While staff were generally positive about the usability of the cameras, some were cautious of with concerns for those less confident with technology.

… you have to be conscious that there’s some people – it’s quite easy to use, but I can say that because I’m alright using devices and all that but there’s some that are older age or not that familiar with using devices that may struggle with using it… they’re feeling a bit anxious and a bit scared, if they’re not familiar with it then they won’t use it. Jamal (m), Staff, A, Pre.

Evidence strength and quality: do BWCs change anything?

There were conflicting reports regarding the potential benefits of using BWCs on the wards, with both staff and patients reporting mixed perceptions as to whether the cameras might reduce violence and aggression. In the pre-pilot interviews, some staff reported feeling that the BWCs may have a positive impact on reducing physical violence.

I think it’s going to reduce violence and aggression on the ward…I don’t think they’ll want to punch you…they might be verbally abusive but in terms of physical that might reduce. Sarah (f), Staff, I, Pre.

Patients however noted that the cameras might hold staff to account of their own behaviours and therefore may improve care, however they felt that this impact would wear off after the first few months after which people might forget about the cameras being there.

Now they’ve got the body cams, it’s going to be a lot of changes. They’ll think, ‘Ooh well he’s on tape’. So, it might do something to their conscience, they actually start to listen to patients… until the novelty wears off and it might go back to square one again. Ian (m), Patient, A, Pre.

One staff member suggested that incident rates had reduced following introduction of the BWCs, but they remained unsure as to whether this was due to the cameras, reflecting that violence and aggression on wards can be related to many factors.

I know our violence and aggression has reduced significantly since the start of the cameras pilot… I don’t know, because obviously wearing the camera’s one thing, but if they weren’t in use, I don’t know maybe just the presence of the camera made a difference. But yeah, it’s hard to tell. Petra (f), Staff, A, Post.

In contrast, several staff reported that they had seen limited evidence for such changes.

I used it yesterday. He was aggressive and I used it, but he even when I was using [it] he doesn’t care about the camera… it didn’t make any difference… It doesn’t stop them to do anything, this camera does not stop them to do anything. Abraham (m), Staff, I, Post.

Some staff suggested that in some circumstances the cameras increased patient agitation and created incidents, so there was a need to consider whether the BWCs were going to instigate aggression in some circumstances.

There has been with a few patients because they will threaten you. They will tell you, ‘if you turn it on, I’m gonna smash your head in’. So incidents like that, I will not turn it on… Yeah, or some of them will just tell you, ‘if you come close by, I’m going to pull that off your chest’. So things like that, I just stay back. Ada (f), Staff, A, Post.

One rationale for a potential lack of effectiveness was noted by both staff and patients and was related to the levels of acute illness being experienced by patients which meant that for many they were too unwell to have insight into their own actions or those of staff switching on the cameras.

We’ve had instances where patients are so unwell that they just don’t care. You switch on the camera, whether you switch it on or not, it doesn’t really change the behaviour. ‘All right, okay, whatever switch it on’. They’re so unwell, they’re not really understanding. Petra (f), Staff, A, Post. It might make [staff] feel safer as a placebo effect, but I don’t think it would necessarily make them safer… I think the people that are likely to attack a member of staff are crazy enough that they’re not gonna even consider the camera as a factor. Harry (m), Patient, A, Pre.

This lack of evidence that the cameras were necessarily effective in reducing incident rates or severity of incidents may have had an impact on staff buy-in and the use of the cameras as a result. One staff member reflected that having feedback from senior management about the impact and evidence would have been useful during the pilot period to inform ward staff whether the cameras were influencing things or not.

Staff want feedback. I don’t think we’ve had any since we’ve had the cameras… it would be nice to get feedback from, I don’t know, whoever is watching it, and stuff like that. Ada (f), Staff, A, Post.

Relative advantage: are BWCs effective and efficient for the ward?

Due to a combination of personal beliefs related to BWCs, the lack of evidence of their impact on violence and aggression, and other elements of care and culture on the wards, a number of staff and patients explored alternative interventions and approaches that may be more beneficial than BWCs. Both staff and patients suggested that Closed Circuit Television (CCTV) as an intervention that provided the transparency of using cameras and video footage but with an independent perspective. This was felt by many to remove the bias that could be introduced in BWC use as the video capture didn’t require staff control of the filming.

I feel like [BWCs] puts all the power and trust into the hands of the staff and I feel that it would be better to have CCTV on the ward because CCTV is neutral. Harry (m), Patient, A, Pre. I have control over that [BWC recording] … It kind of gives that split as well between staff and patients. You can tell me or I can tell you when to switch it on. Whereas I feel like a CCTV camera is there all the time. Nobody’s asking to switch it on. It’s there. If you wanted to review the footage you can request it, anyone can request to view the footage for a legitimate reason. Whereas the camera can come across as if you’re threatening. Petra (f), Staff, A, Post.

In addition, some participants reflected that the nature and design of BWCs meant that unless staff were present for an incident it wouldn’t be captured, whereas CCTV has the advantage of being always present.

If there’s CCTV, then it’s the same thing, you get me. Like, if its body worn cameras that people can always do things away from staff. They can always go down to that corridor to have their fight or go to the side where staff ain’t gonna see them to have their fight, but with CCTV you can’t do that. Elijah (m), Patient, A, Post.

In addition to exploring technological and video-based interventions, many staff noted that the key tool to violence reduction had to be the use of de-escalation skills, noting that the use of communication and positive relationships had to be the primary tool before other interventions such as BWCs or CCTV.

We do a lot of verbal de-escalation. So we got our destress room now still open. That has a punch bag, and it’s got sensory tiles, and the aim and hope is that when people do get frustrated, because we’re all human. We all get annoyed at anything or many little things in life. There is the aim that they go into that room and start punching the bag instead of property and damaging furniture. But we also are working really hard on verbal de-escalation and actually trying to listen to patients and talk to them before anything else. And that’s helped a lot. And between this kind of shared, or role modelling, where while we’re showing staff, actually even spending an extra 20 min is okay. If it means you’re not going to end up having to restrain a patient. Petra (f), Staff, A, Post.

By using communication skills and de-escalation techniques skilfully, some staff felt there was no need to utilise the BWCs. One concern with the introduction of the BWCs for staff was that the use of this technology may negatively impact on trust and relationships and the use of de-escalation.

Some situations I feel like it can make a situation worse sometimes… I think a lot of situations can be avoided if you just talk with people…. Trying to find out why they’re angry, trying to just kind of see it from their point of view, understand them… I think maybe additional training for verbal de-escalation is needed first. Patrick (m), Staff, A, Post.

Characteristics of individuals

Staff and patients’ knowledge and beliefs about the intervention.

Overall, there were mixed views among both staff and patients as to whether cameras would reduce incidents, prior to and after the pilot period. When considering the possible impact on violence and aggressive incidents there was a view among staff that there was the need for a nuanced and person-centred view.

All the patients that come in, they’re different you know. They have different perceptions; they like different things… everyone is different. So, it just depends. We might go live, and then we have good feedback because the patients they are open and the understand why we have it, and then as they get discharged and new patients come in it might not go as well. It just depends. Serene (f), Staff, A, Pre.

As a result of the desire to be person-centred in the use of such interventions, one staff member noted that they weighed-up such consequences for the patient before using the BWC and would make decisions not to use the camera where they thought it may have a negative impact.

Actually, with this body worn camera, as I did mention, if a patient is unwell, that doesn’t, the patient will not have the capacity to I mean, say yes, you cannot just put it on like that. Yeah, I know it’s for evidence, but when something happens, you first have to attend to the patient. You first have to attend to the patient before this camera is, for me. Ruby (f), Staff, I, Post.

Some staff questioned the existing evidence and theories as to why BWCs work to reduce incidents, and instead noted that for some people it will instigate an incident, while others may be triggered by a camera.

I’m on the fence of how that is going to work because I know the evidence is that by telling a patient ‘look if you keep escalating I’m gonna have to turn this on’, but I know several of our patients would kind of take that as a dare and escalate just to spite so that you would turn it on. Diana (f), Staff, A, Pre.

In contrast, some staff felt the cameras helped them feel safer on wards due to transparency of footage as evidence for both staff and patients.

They [staff] need to use it for protection, for recording evidence, that type of thing… They can record instances for later evidence. Yeah, for them as well. Safer for them and for patients because you can also have the right to get them to record, because a patient might be in the wrong but sometimes it may be the staff is in the wrong position. And that’s achieving safety for patients as well. Yeah, I think it works both ways. Dylan (m), Patient, A, Post.

Positive buy-in was also related to the potential use of the intervention as a training, learning or reflective tool for staff to improve practice and care and promote positive staff behaviour.

If you know that your actions might be filmed one way or the other, that would make me to step up your behaviour to patients… if you know that your actions can be viewed, if the authority wants to, then you behave properly with patients so I think that will improve the quality of the care to patient. Davide (m), Staff, I, Pre.

While there were some positive attitudes towards the cameras, there remained considerable concerns among participants regarding the transparency of camera use to collate evidence in relation to incidents as it was widely noted that the cameras remain in staff control therefore there is an issue in relation to bias and power.

I do think my gut would say that it wouldn’t necessarily be well received. Because also I think people feel like prisoners in here, that’s how some of the patients have described their experience, so in terms of the power dynamic and also just – I think that can make one feel a bit, even worse, basically, you know? Leslie (m), Staff, A, Pre.

These issues lead to staff reporting they didn’t want to wear the camera.

I’d feel quite uncomfortable wearing one to be honest. Leslie (m), Staff, A, Pre.

The staff control of the cameras had a particular impact on patient acceptability of the intervention as it led to some patients viewing BWCs as being an intervention for staff advantage and staff safety, thus increasing a ‘them and us’ culture and leading to patient resistance to the cameras. This was particularly salient for those with prior negative experiences of police use of cameras or mistrust in staff.

I feel like the fact that the body worn cameras is gonna be similar to how the police use them, if a staff member has negative intent toward a patient, they would be able to instigate an incident and then turn the camera on and use the consequences of what they’ve instigated to expect restraint or injection or whatever else might happen. So, I feel like it would be putting all the power and trust into the hands of the staff and I feel that it would be better to have CCTV on the ward because CCTV is neutral. Whereas, the body worn camera, especially with some of the personality conflicts/bad attitudes, impressions I’ve had from certain members of staff since I’ve been here, I feel like body worn cameras might be abused in that way possible. Harry (m), Patient, A, Pre.

Perceived unintended consequences and impact on care

Prior to the implementation there were concerns from staff that the introduction of BWCs could have consequences beyond the intended use of reducing violence and aggression, unintentionally affecting a range of factors that may impact on the overall delivery of care. There was a key concern regarding the potential negative impact that cameras may have for patients who have paranoia or psychosis as well as for those who may have prior traumatic experiences of being filmed.

It might have negative impacts on these patients because I’m thinking about kind of patients with schizophrenia and things like that who already have paranoid delusions, thinking that people are after them, thinking that people are spying on them, people are watching them, and then seeing kind of cameras around. It might have negative impacts on them. Tayla (f), Staff, I, Pre. When I was admitted I was going through psychosis… I don’t want to be filmed and things like that. So you just see a camera, a guy with a camera on, you are like, are you filming me? Elijah (m), Patient, A, Post.

There was also a considerable concern among both staff and patients that the use of cameras would have a negative impact on the therapeutic relationship between staff and patients. This was felt to be related to the implication that the cameras enhanced a ‘them and us’ dynamic due to the power differential that staff controlling the cameras can create, likened to policing and criminalisation of patients. With the potential of a negative impact on relationships between staff and patients, staff suggested they may be disinclined to use BWCs if it would stop patients speaking to them or approaching them if they needed support.

Yeah, I think it would probably damage [the therapeutic relationship] because I think what’s probably quite helpful is things that maybe create less of a power difference. I think to some extent, [the BWC] might hinder that ability. Like for example imagine going to a therapist and them just like ‘I’ve got this camera in the corner of the room and it’s gonna be filming our session and just in case – or like, just in case I feel that you might get aggressive with me’. Um, I don’t think that’s going to help the therapeutic relationship! Jamal (m), Staff, A, Pre. When you get body worn cameras on there, the relationship as well between staff and patients, is just gonna instantly change because you’re looking like police! Elijah (m), Patient, A, Post.

In contrast, a minority of staff felt that the presence of cameras may improve relationships as they provide transparency of staff behaviour and would encourage staff to behave well and provide high quality care for patients.

It will also help how, improve the way we look at the patients… because if you know that your actions might be filmed one way or the other, that would make me to step up your behaviour you know… you behave properly with patients so I think that will improve the quality of the care to patient. More efficiently, more caring to patient. Davide (m), Staff, I, Pre.

The process of implementation

Planning: top-down implementation.

Staff perceived that BWC implementation directives had been given by senior management or policy stakeholders whom they felt viewed the process from a position of limited understanding due to a lack of ‘frontline’ mental health service experience. This led to a lack of faith amongst staff, and a perception that funds were being misspent.

They sit up there, they just roll it out and see how it works, how it goes. They waste a whole lot of money, millions or whatever, thousands of pounds in it, and then they see that ‘Oh, it’s not gonna work’. They take it back and all of that. Before coming out with it, you need to come speak to us… they just sit up there drinking tea and coffee, and then they’re just like, Oh, yeah, well, let’s do it this way…come stay with these people, work with them, for just I give you a 12 h shift, stay with them. Richard (m), Staff, I, Post.

This was exacerbated when staff felt there was a lack of consultation or explanation.

we don’t always get the ins and outs of certain things…We know that the cameras are coming in and stuff like that, but you know, and obviously it’s gone through every avenue to make sure that it’s fine. But then sometimes we don’t always know the ins and outs to then explain to people why we have the cameras. Patrick (m), Staff, A, Post.

It was also highlighted that due to multiple initiatives being implemented and directives handed down in parallel, staff felt negative towards interventions more widely, with the BWCs being ‘ just another thing to do’ , adding to workload for staff and reducing enthusiasm to use the cameras.

it’s not just to do with the camera, I just think there’s lots of changes happening at once, and there’s loads of new things being constantly introduced that people are just thinking oh it’s another thing. I think that’s what it is more than the camera itself. Alice (f), Staff, A, Pre.

Execution: training, Use and Ward Visibility

Overall, there was a lack of consistency amongst staff in their understanding of the purpose and processes of using the BWCs on the wards.

What do you do, do you record every single thing or, I don’t know. Do you record like, if a patient said, I want to talk to you, confidential, you go sit in a room, do you record things like those or is it just violence and aggression? Ada (f), Staff, A, Post.

The lack of clarity regarding the purpose of the intervention and the appropriate use of the cameras was felt to impact staffs’ attitudes and acceptance of using them and contributed to a lack of transparency or perhaps trust regarding the use of any subsequent video footage.

I think if the importance of the recording was explained a bit more…and how it would improve things, I think people would use it more… that’s why I don’t think it’s always used sometimes… if you’re not sure why some of it’s important, then you’re not going to see the value…I think if you’re gonna keep with them, it’s about updating the training, teaching staff when to use it, then where does that information go? How does that look in terms of improving? Just a bit of transparency, I think. But when you don’t know certain things it’s a bit hard to get behind something or back it, you know? Patrick (m), Staff, A, Post.

The lack of information about the purpose and processes related to the intervention was also seen among patients, with most patients noting that they hadn’t received information about the cameras during their admissions.

No information at all. I don’t think any of the patients know about it. Toby (m), Patient, A, Post.

While training was provided it was widely felt that it was insufficient to provide understanding about the purpose of the cameras or the more in-depth processes beyond operational aspects such as charging and docking. Several staff interviewed were unaware of the training, while others noted that they had an informal run-through by colleagues rather than anything formal.

What training are you talking about?… I wasn’t here, so I was taught by my colleague. I mean, from what I was taught, to operate the camera, and to give a warning to the patient that you’re going to use the camera. Nevis (f), Staff, A, Post.

Longer training with further details beyond operational use was felt to be needed by staff.

I think the training should have to be longer, even if it’s like an hour or something… Like what situations deem the camera to be… more information on the cameras, when to use it, why it’s used, and I think if the importance of the recording was explained a bit more and what it was doing and how that recording would go and how it would improve things. Patrick (m), Staff, A, Post.

Furthermore, there was a need for training to be on a rolling basis given the use of bank staff who were not trained to use the cameras or to understand the proper processes or purpose of using the BWCs, which could leave them vulnerable to misuse or abuse.

We have bank staff [who aren’t trained] so they say ‘I don’t know how to use that camera you are giving me’. Nevis (f), Staff, A, Post.

The inner setting

Ward context: acceptance of violence and aggression is part of the job.

It was widely believed by staff that the nature of working on a mental health ward included accepting that violence and aggression was part of the job. This was not seen as an acceptance of violence but more that the job was providing care for individuals who are mentally unwell, and confusion, fear, frustration and aggression can be part of that. As a result, there was an ambivalence among some staff that the introduction of cameras would change this.

I think like in this line of work, there’s always that potential for like risky behaviours to happen. I’m not sure if putting the camera on will make much difference. Patrick (m), Staff, A, Post.

Staff noted that because of the nature of the job, staff are used to managing these situations and they understood that it was part of the job; therefore, it was unlikely that they would record everything that on paper might be considered an incident.

There’s also enough things that happen here, so I don’t think they would record [the incidents] because it’s just another day here. You know what I’m saying… [staff] can just say, ‘Stop, go back to your room and leave it at that and that kind of be the end of it’. Dylan (m), Patient, A, Post. We are trained for it. Eveline (f), Staff, I, Pre.

This acceptance that incidents are a hazard of mental healthcare was linked to staff’s acknowledgment that many factors make up the complexity of violence and aggression including the nature of individual patients, acuity levels, ward atmosphere, staffing levels, access to activities, leave and outside space. The interplay of multiple factors creates a context in which frustrations and incidents are likely, thus become part of the everyday and ‘normal’ life on the ward for staff and patients alike.

I feel like, you know, how in GP services you say, zero tolerance to abusive language, or any kind of harassment. I don’t think there is that on a psychiatric ward you are kind of expected to take all the abuse and just get on with it. Petra (f), Staff, A, Post.

With staff reported having a higher threshold for these behaviours it was perceived that this was likely to impact on the efficiency of the intervention as staff would be less likely to consider a situation as violent but more ‘ part of the job’ .

Reactive nature of the ward and incidents

Most participants noted that the ward context is always changing with people being admitted and discharged, with daily staff changes and wider turnover of staff, so things are never static and can change at any point. This reflects the dynamic nature of the ward which creates a complex moving picture that staff need to consider and react to.

[the atmosphere] it’s very good at the moment. If you had asked me this two weeks ago, I would say, ‘Oh, my gosh’. But it changes… The type of patient can make your whole ward change… it depends on the client group we have at the time. Nevis (f), Staff, A, Post.

Staff noted that a key limitation of using the cameras to reduce incidents was the reactive nature of the environment and care being provided. This was felt to impact on the feasibility and use of the cameras as staff noted that they often react to what is happening rather than thinking to ‘ put the camera on first ’. It was felt by staff with experience of reacting to incidents that the failure to use BWCs during these processes were linked to staff’s instincts and training to focus on patients as a priority.

Say for instance, you’re in the office, and two patients start fighting, or a patient attacks someone and, all you’re thinking about is to go there to stop the person. You’re not thinking about putting on any camera. You understand? So sometimes it’s halfway through it, somebody might say, ‘Has anybody switched the camera on’? And that’s the time you start recording… If something happens immediately, you’re not thinking about the camera at that time, you’re just thinking to just go, so yeah. Nevis (f), Staff, A, Post.

Incidents happen quickly and often surprise staff, therefore staff react instantly so are not thinking about new processes such as recording on the cameras as this would slow things down or is not in the reactive nature needed by staff during such incidents.

When you’re in the middle of an incident and your adrenaline’s high, you’re focusing on the incident itself. It’s very difficult for you to now remember, remind yourself to switch on the camera because you’re thinking, patient safety, staff safety, who’s coming to relieve you? What’s going on? Who’s at the door? Petra (f), Staff, A, Post.

In addition, the need for an immediate response meant that it was felt that by the time staff remember to, or have the chance to, switch the camera on it was often too late.

Sometimes in the heat of moments and stuff like that, or if the situation’s happening, sometimes you don’t always think to, you know, put your camera on. Patrick (m), Staff, A, Post.

Outer setting

Resources: staffing.

Issues related to staffing were highlighted by several participants as a key problem facing mental health wards thus leading to staff having higher workloads, and higher rates of bank and agency staff being used on shift and feeling burnt-out.

Out of all the wards I’ve been on I’d say this is the worst. It’s primarily because the staff are overworked…it seems like they spend more time doing paperwork than they do interacting with the patients. Harry (m), Patient, A, Pre. We’re in a bit of a crisis at the minute, we’re really, really understaffed. We’re struggling to cover shifts, so the staff are generally quite burnt out. We’ve had a number of people that have just left all at once, so that had an impact… Staff do get frustrated if they’re burnt out from lack of staff and what have you. Alice (f), Staff, A, Pre.

It was noted by one participant that the link of a new intervention with extra workload was likely to have a negative impact on its acceptability due to these increasing demands.

People automatically link the camera to then the additional paperwork that goes alongside it. It’s like, ‘Oh god, if we do this, we’ve got to do that’, and that could play a part. Petra (f), Staff, A, Post.

One staff member noted that the staffing issue meant there were more likely to be bank staff on wards so the care of patients may be affected as temporary staff may be less able to build meaningful therapeutic relationships.

So obviously there is the basic impact on safety of not having adequate staffing, but then there’s the impact of having a lot of bank staff. So obviously when you have permanent staff they get to know the patients more, we’re able to give them the more individualised care that we ideally should be giving them, but we can’t do that with bank staff. Diana (f), Staff, A, Pre.

It was also suggested that staffing levels and mix often made it more difficult to provide activities or facilitate escorted leave which can lead to patients feeling frustrated and becoming more aggressive.

So you know there is enough staff to facilitate the actual shift, so you know when there’s less staff like you say you’ve got people knocking at the door, but then you don’t have staff to take people out on leave straight away, that all has a rippling effect! Serene (f), Staff, A, Pre.

Wider systemic issues

Overall, there was a concern that the introduction of BWCs would not impact on wider, underlying factors that may contribute to frustration, aggression and incidents on wards. Providing a more enhanced level of care and better addressing the needs of patients was felt to be central to helping people but also reducing the frustration that patients feel when on the ward.

… for violence and aggression, [focus on] the mental health side of things like therapy and psychology should be compulsory. It shouldn’t be something you apply for and have to wait three or four weeks for. I think every person should, more than three or four weeks even, months even… we need psychology and therapists. That’s what will stop most violence, because psychologists and a therapist can edit the way that they speak to people because they’ve been given that skill depending on the way the person behaves. So that’s what we need regularly… not like all this dancing therapy, yoga therapy. That’s a person, that you come and you actually sit down and talk through your shit with them. That will help! Elijah (m), Patient, A, Post. There’s a lack of routine and I think there’s a lack of positive interaction between the patient and the staff as well. The only time you interact with a member of staff is if you’re hassling them for something, you have to hassle for every little thing, and it becomes a sort of, frustration inducing and like I’m a very calm person, but I found myself getting very fucking angry, to be honest, on this ward just because out of pure frustration… there’s bigger problems than body worn cameras going on. Harry (m), Patient, A, Pre.

Staff agreed that there was a need to invest in staff and training rather than new technologies or innovations as it is staff and their skills behind the camera.

It’s not the camera that will do all of that. It’s not making the difference. It’s a very good, very beautiful device, probably doing its job in its own way. But it’s more about investing in the staff, giving them that training and making them reflect on every day-to-day shift. Richard (m), Staff, I, Post.

There was felt to be a need to support staff more in delivering care within wards that can be challenging and where patients are unwell to ensure that staff feel safe. While in some circumstances the cameras made some staff feel safer, greater support from management would be more beneficial in making staff feel valued.

In this study exploring the implementation and use of body-worn cameras on mental health wards, we employed two methods for collecting and comparing data on incidents and use of containment measures, including BWCs, on one acute ward and one psychiatric intensive care unit. We found no clear relationship between the use of BWCs and rates or severity of incidents on either ward. While BWCs may be used when there are incidents of both physical and verbal aggression, results indicate that they may also provoke verbal aggression, as was suggested during some interviews within this study. This should be a concern, as strong evidence that being repeatedly subject to verbal aggression and abuse can lead to burnout and withdrawal of care by staff [ 30 ]. These mixed findings reflect results that were reported in two earlier studies of BWCs on mental health wards [ 12 , 13 ]. However, the very low use of the cameras, on just 10 per cent of the shifts where data was obtained, makes it even more difficult to draw any conclusions.

While the data shows limited impact of using BWCs on levels of incidents, we did find that during the pilot period BWC use tended to occur alongside physical restraint, but the direction of relationship is unclear as staff were asked to use BWCs when planning an intervention such as restraint. This relationship with restraint reflected the findings on several wards in a previous study [ 13 ], while contrasting with those reported in a second study that found reductions in incidents involving restraint during the evaluation period [ 12 ]. Such a mix of findings highlights the complexity of using BWCs as a violence reduction method within a busy healthcare setting in which several interacting components and contextual factors, and behaviours by staff and patients can affect outcomes [ 31 ]. The qualitative data collected during this pilot period highlighted the potential systemic and contextual factors such as low staffing that may have a confounding impact on the incident data presented in this simple form.

The findings presented within this evaluation provide some insights into the process of implementing BWCs as a safety intervention in mental health services and highlight some of the challenges and barriers faced. The use of implementation science to evaluate the piloting of BWCs on wards helps to demonstrate how multiple elements including a variety of contextual and systemic factors can have a considerable impact and thus change how a technology may vary not only between hospitals, but even across wards in the same hospital. By understanding the elements that may and do occur during the process of implementing such interventions, we can better understand if and how BWCs might be used in the future.

Within this pilot, extensive preparatory work conducted at a directorate and senior management level did not translate during the process of implementation at a ward level, which appeared to impact on the use of BWCs by individuals on the wards. This highlights that there is a need to utilise implementation science approaches in planning the implementation of new technologies or interventions and to investigate elements related to behavioural change and context rather than just the desired and actual effects of the intervention itself.

While ward staff and patients identified the potential for BWCs to enhance safety on the wards, participants distrusted their deployment and expressed concerns about ethical issues and possible harmful consequences of their use on therapeutic relationships, care provided and patient wellbeing. These themes reflect previous findings from a national interview study of patient and staff perspectives and experiences of BWCs in inpatient mental health wards [ 14 ]. Given these issues, alternatives such as increasing de-escalation skills were identified by staff as possible routes that may be more beneficial in these settings. Furthermore, other approaches such as safety huddles have also been highlighted within the literature as potential means to improve patient safety by looking ahead at what can be attended to or averted [ 32 ].

Furthermore, it is important to consider that the presence of power imbalances and the pre-existing culture on the ward have considerable implications for safety approaches and must be considered, as exemplified by the preferences by both staff and patients in this evaluation for more perceived ‘impartial’ interventions such as CCTV. As identified within previous studies [ 14 ], BWCs can have different implications for psychological safety, particularly for vulnerable patients who already feel criminalised in an environment with asymmetrical power imbalances between staff and patients. This is particularly salient when considering aspects of identity such as race, ethnicity, and gender both in terms of the identities of the patient group but also in terms of the staff/patient relationship.

While preferences in this study note CCTV as more ‘impartial’, work by Desai [ 33 ] draws on the literature about the use of surveillance cameras in other settings (such as public streets) as well as on psychiatric wards and concludes that CCTV monitoring is fraught with difficulties and challenges, and that ‘watching’ patients and staff through the lens of a camera can distort the reality of what is happening within a ward environment. In her recently published book, Desai [ 34 ] develops this theme to explore the impacts of being watched on both patients and staff through her ethnographic research in psychiatric intensive care units. She highlights concerns over the criminalisation of patient behaviour, safeguarding concerns in relation to the way women’s bodies and behaviours are viewed and judged, and the undermining by CCTV of ethical mental health practice by staff who attempt to engage in thoughtful, constructive, therapeutic interactions with patients in face-to-face encounters. Appenzeller et al.’s [ 35 ] review found that whilst the presence of CCTV appeared to increase subjective feelings of safety amongst patients and visitors, there was no objective evidence that video surveillance increases security, and that staff may develop an over-reliance on the technology.

In addition, our findings add to the existing literature which notes that alternative interventions and approaches that address underlying contextual and systemic issues related to improving care on inpatient wards require attention to address the underlying factors related to incidents, e.g., flashpoints [ 36 ]. Evidence suggests that factors leading to incidents can be predicted; therefore, there is a need to enable staff to work in a proactive way to anticipate and prevent incidents rather than view incidents as purely reactive [ 37 , 38 , 39 ]. Such skills-based and relational approaches are likely to impact more on improving safety and reducing incidents by addressing the complex and multi-faceted issue of incidents on inpatient mental health wards [ 40 ].

These findings highlight that interventions such as BWCs are not used within a vacuum, and that hospitals are complex contexts in which there are a range of unique populations, processes, and microsystems that are multi-faceted [ 41 ]. As a result, interventions will encounter both universal, specific, and local barriers that will impact on its functioning in the real world. This is salient because research suggests that camera use inside mental health wards is based on a perception of the violent nature of the mental health patient, a perception that not only influences practice but also impacts how patients experience the ward [ 33 ]. As a result, there needs to be careful consideration of the use of any new and innovative intervention aimed at improving safety within mental health settings that have limited research supporting their efficacy.

Limitations

While the study provides important insights into the efficacy and acceptability of introducing BWCs onto inpatient mental health wards, there were several limitations. Firstly, the analysis of incident data is limited in its nature as it only presents surface level information about incidents without wider contextual information. Results using such data should be cautiously interpreted as they do not account for confounding factors, such as staffing, acuity, ward culture or ward atmosphere, that are likely to contribute to incidents of violence and aggression. For example, while there was a statistically significant decrease in restrictive practice on the PICU across the study period, we know that BWCs were not widely used on that ward, so this is likely due to a confounding variable that was not accounted for in the study design.

Secondly, the study faced limitations in relation to recruitment, particularly with patients. Researchers’ access to wards was challenging due to high staff turnover and high rates of acuity, meaning many patients were not deemed well enough to be able to consent to take part in the study. In addition, the low use of the cameras on wards meant that many patients, and some staff, had not seen the BWCs in use. Similarly, patients had been provided limited information about the pilot, so their ability to engage in the research and describe their own experiences with BWCs was restricted.

Thirdly, analysis captures the active use of the BWC, however it does not fully capture the impact of staff wearing the cameras even where they do not actively use them. While our qualitative analysis provides insight into the limitation of such passive use, it is likely that the presence of the cameras being worn by staff, even when turned off, may have an impact on both staff and patient behaviours. This may explain trends in the data that did not reach significance but warrant further investigation in relation to the presence of BWCs, nonetheless.

Finally, researchers had planned to collect quantitative surveys from staff and patients in relation to their experiences of the ward atmosphere and climate, views related to therapeutic relationships on the ward, levels of burnout among staff, views on care, and attitudes to containment measures. Due to issues related to staff time, patient acuity, and poor engagement from staff leading to challenges accessing the wards, the collection of such survey data was unfeasible, and this element of the study was discontinued. As a result, we have not reported this aspect in our paper. This limitation reflects the busy nature of inpatient mental health wards with pressures on staff and high levels of ill health among patients. As such, traditional methodologies for evaluation are unlikely to elicit data that is comprehensive and meaningful. Alternative approaches may need to be considered.

Future directions

With BWCs being increasingly used across inpatient mental health services [ 14 ], it is important that further research and evaluation is conducted. To date, there is limited data regarding the effectiveness of this technology in relation to violence reduction; however, there may be other beneficial uses in relation to safeguarding and training [ 13 ]. Future research should consider alternative methods that ensure contextual factors are accounted for and that patient voices can be maximised. For example, focus groups with patients currently admitted to a mental health ward or interviews with those who have recently been on a ward that has used the cameras, would bypass problems encountered with capacity to consent in the present study. Furthermore, ethnographic approaches may provide a deeper understanding of the implementation, deployment and impact that BWCs have on wards.

Overall, this research sheds light on the complexities of using BWCs as a tool for ‘maximising safety’ in mental health settings. The findings suggest that BWCs have a limited impact on levels of incidents on wards, something that is likely to be largely influenced by the process of implementation as well as a range of contextual factors, including the staff and patient populations on the wards. As a result, it is likely that while BWCs may see successes in one hospital site this is not guaranteed for another site as such factors will have a considerable impact on efficacy, acceptability, and feasibility. Furthermore, the findings point towards the need for more consideration to be placed on processes of implementation and the complex ethical discussions regarding BWC use from both a patient and a staff perspective.

In conclusion, while there have been advances in digital applications and immersive technologies showing promise of therapeutic benefits for patients and staff more widely, whether BWCs and other surveillance approaches are to be part of that picture remains to be seen and needs to be informed by high-quality, co-produced research that focuses on wider therapeutic aspects of mental healthcare.

Data availability

The data that support the findings of this study are available on request from the corresponding author. The data are not publicly available due to privacy or ethical restrictions.

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Acknowledgements

We would like to thank The Burdett Trust for Nursing for funding this work. We would also like to acknowledge our wider Lived Experience Advisory Panel and Project Advisory Panel for their contributions and support and would like to thank the staff and service users on the wards we attended for their warmth and participation.

Funding was provided by The Burdett Trust of Nursing. Funders were independent of the research and did not impact findings.

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All authors have read and approved the manuscript. Authors AS, UF, KW, GB created the protocol for the study. KW, JJ, UF conducted the recruitment for the study, and conducted the interviews. UF, JJ, JB, LMA, LU, SMK, KB, ET coded data, and contributed to the analysis. All authors supported drafting and development of the manuscript.

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Foye, U., Wilson, K., Jepps, J. et al. Exploring the use of body worn cameras in acute mental health wards: a mixed-method evaluation of a pilot intervention. BMC Health Serv Res 24 , 681 (2024). https://doi.org/10.1186/s12913-024-11085-x

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AI Regulation and Its Impact on Future Innovations

• By Lauren Doan
• May 19, 2024
• CAAI - Public Policy
• Share This Page

On April 23, the Center for Applied AI at Chicago Booth hosted AI and The Law: Regulation and Opportunity, where we dived into the complex and evolving landscape of AI regulation and its legal impact on businesses and individuals. Moderated by Randal C. Picker , James Parker Hall Distinguished Service Professor of Law, the panel included experts from various sectors:

• Rachael Annear : Specializes in data and tech regulation, partner at Global law firm Freshfields Bruckhaus Deringer.
• Dee Choubey : Co-founder and CEO of MoneyLion, a fintech company helping consumers make financial decisions, and a University of Chicago alumnus.
• Arsen Kourinian : Partner at Mayer Brown, focusing on AI governance, data privacy, and cybersecurity law. 
• Andre Uhl : Postdoctoral researcher at the University of Chicago, teaching AI literacy, and has been involved in AI ethics and governance for a decade. 

Key Points and Takeaways:

Jurisdictional and legal frameworks.

Rachael and Arsen opened the discussion by outlining the contrasting regulatory and strategic approaches to AI governance in the EU/UK and the US, highlighting regional complexities.

United Kingdom

The UK has adopted a pro-innovation approach to AI regulation, emphasizing AI as a key part of its domestic growth strategy. This approach has been marked by a principles-based regulatory framework designed for flexibility and rapid adaptation to technological advancements. Key focus areas include safety, transparency, accountability, fairness, and redress. Individual regulators, like the Competition and Markets Authority (CMA) and data regulators, are tasked with setting their strategic priorities in line with these principles. This direction originated from the conservative party but enjoys broad support across different political groups.

European Union

In contrast, the European Union has taken a more structured approach with the EU AI Act, which introduces harmonized rules for safe AI systems across a wide range of applications. The Act features a tiered risk-based framework, categorizing AI systems from minimal to unacceptable risk, with stringent fines of up to 35 million euros for severe infringements. The rapid development of foundational models like GPT during the legislative process led to late additions to the Act, demonstrating the EU's reactive stance to evolving AI technologies.

United States

The US approach, as outlined by Arsen, is principles-based and sector-specific, similar to the UK but with its nuances. The federal government uses existing enforcement authorities like the FTC to regulate AI under broad frameworks like the Unfair and Deceptive Practices Act. At the state level, regulations are more aligned with the EU's approach, focusing on high-risk areas such as employment and housing. However, the lack of a unified federal AI or privacy law leads to a fragmented regulatory landscape across different states.

Business Perspective on AI Regulation

Dee discussed the intricate mesh of data regulations in the US, highlighting the concept of data "passporting," where consumers own their data and can transfer it across platforms. This regime underpins consumer trust and is vital for fintech operations. He advocated for a cautious approach to new AI regulations, emphasizing the need for businesses to adapt to market changes and maintain compliance with existing data and privacy laws. He pointed out the competitive disadvantage for smaller companies like MoneyLion, which are trying to catch up with big tech firms that have vast data resources.

Ethical and Public Perception of AI

Andre highlighted a significant shift in the public perception of the tech industry, from viewing it as a beacon of innovation to being increasingly critical due to negative impacts such as data breaches and monopolistic practices. The emergence of AI ethics as a discipline addresses these concerns by focusing on principles like fairness, accountability, and transparency. Andre emphasized the complexity of attributing liability in AI systems, using the example of self-driving car accidents to illustrate the challenge of untangling accountability among various contributors to AI systems.

How Legal Systems Grapple with AI Concerns

Rachael noted the rationality behind different regulatory approaches in the EU and UK, pointing out that the EU's emphasis on safety might limit innovation, while the UK's focus on fostering innovation could compromise safety. This balance reflects the broader global challenge of regulating AI — ensuring safety and ethical standards without stifling technological progress. Arsen pointed out that there are already laws on the books that protect against some AI concerns, specifically around transparency and explainability. For instance, if a company plans to use someone's data to train an AI model, existing privacy laws mandate that the company must provide a privacy notice before collecting the data and offer opt-out rights. However, the patchwork of privacy laws across different states creates challenges for multi-state or multinational companies, leading to calls for a federal law that would provide a unified approach. Arsen also expressed concerns about overregulation, noting that laws could become outdated as soon as they are enacted, which could harm both consumers and businesses.

The panelists explored multi-jurisdictional issues, highlighting that AI introduces unique challenges beyond traditional data concerns. Arsen and Rachael emphasized the extraterritorial reach of laws in the US and EU, where companies trigger legal obligations by affecting consumers across various jurisdictions, even without a physical presence. This landscape requires navigating overlapping regulations, as seen in the Clearview AI case and the EU's AI Act. Dee advocated for a consumer-centric approach, suggesting that obtaining data use consent is the safest strategy to navigate the U.S.'s varied regulations. Andre pointed out the risk of regulatory fatigue and stressed the importance of AI literacy and public understanding to maximize the benefits of AI technologies, underscoring the dynamic interaction between regulatory frameworks, business strategies, and consumer education.

Evaluating Corporate Governance in AI Development

Dee emphasized the importance of using existing regulatory frameworks to manage data flow and interactions between companies and consumers efficiently. He suggested that the US regulatory system, with its "mesh system" of data regulation, supports AI advancements by ensuring responsible data management. He highlighted that public company boards in the US are generally well-equipped with risk and compliance committees, suggesting that existing frameworks are sufficient for managing AI's broader implications without the need for overly specific new regulations. Andre offered a more skeptical view, questioning the effectiveness of internal governance structures in promoting ethical AI development. He pointed out the risk of superficial compliance, where companies might publicly commit to principles without truly implementing meaningful changes, a practice akin to "greenwashing" in sustainability. The discussion highlighted the potential of corporate governance to positively contribute to AI regulation but also pointed out the complexities and risks of relying solely on corporate mechanisms to address AI's societal impacts. The consensus was that while governance can guide good decision-making, balancing regulation with innovation is crucial to maintain AI's global competitiveness.

Final Thoughts and Perspectives

• Rachael stressed the importance of understanding key principles of AI regulation and the need for pushing AI literacy to empower consumers.
• Arsen highlighted the need for education on both the consumer and business levels, emphasizing the cultural aspects of privacy and AI governance.
• Dee expressed optimism about the application of AI in consumer-facing technologies and the potential societal benefits of AI in various sectors.
• Andre called for a deeper understanding of AI's capacities and limitations, advocating for holistic measurements that consider the social impact of AI technologies.

If you are interested in listening to the full panel you can find the recording here .

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Teen and Young Adult Perspectives on Generative AI: Patterns of Use, Excitements, and Concerns

June 3, 2024

Generative artificial intelligence (AI) has quickly become an integral part of the digital landscape, surfacing new ways for people to learn, create, and innovate. At the same time, it brings both proven and unknown risks to everything from privacy to equity and accuracy.

Young people are extremely important in considering the future of generative AI—they're not only early adopters and influencers, but will also be among the first to grapple with its consequences. Understanding the perspectives of young people when it comes to generative AI is paramount, especially considering the impact of digital technologies on youth well-being.

This study, conducted in partnership with  Hopelab and the  Center for Digital Thriving at Harvard Graduate School of Education, examines how young people perceive and interact with generative AI technologies, with special attention to race and ethnicity, age, gender, and LGBTQ+ identity.

These nuanced views of teens and young adults from diverse demographic groups offer valuable insights into the potential benefits of generative AI, such as broader access to information, streamlining of tasks, and enhanced creativity. However, young people also expressed concerns about potential negative impacts, including job loss, privacy issues, intellectual property theft, misinformation and disinformation, and even AI taking over the world.

It's essential to understand young people's perspectives about generative AI, especially when considering programs, policies, and design features that impact the mental health of marginalized and minority populations like LGBTQ+, Black, and Latinx youth. The data in this report can ensure that the well-being of the earliest adopters is prioritized.

More resources:

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Explore resources from our partners at Hopelab and the Center for Digital Thriving .