case study analysis introduction

Sales CRM Terms

What is Case Study Analysis? (Explained With Examples)

Oct 11, 2023

Case Study Analysis is a widely used research method that examines in-depth information about a particular individual, group, organization, or event. It is a comprehensive investigative approach that aims to understand the intricacies and complexities of the subject under study. Through the analysis of real-life scenarios and inquiry into various data sources, Case Study Analysis provides valuable insights and knowledge that can be used to inform decision-making and problem-solving strategies.

1°) What is Case Study Analysis?

Case Study Analysis is a research methodology that involves the systematic investigation of a specific case or cases to gain a deep understanding of the subject matter. This analysis encompasses collecting and analyzing various types of data, including qualitative and quantitative information. By examining multiple aspects of the case, such as its context, background, influences, and outcomes, researchers can draw meaningful conclusions and provide valuable insights for various fields of study.

When conducting a Case Study Analysis, researchers typically begin by selecting a case or multiple cases that are relevant to their research question or area of interest. This can involve choosing a specific organization, individual, event, or phenomenon to study. Once the case is selected, researchers gather relevant data through various methods, such as interviews, observations, document analysis, and artifact examination.

The data collected during a Case Study Analysis is then carefully analyzed and interpreted. Researchers use different analytical frameworks and techniques to make sense of the information and identify patterns, themes, and relationships within the data. This process involves coding and categorizing the data, conducting comparative analysis, and drawing conclusions based on the findings.

One of the key strengths of Case Study Analysis is its ability to provide a rich and detailed understanding of a specific case. This method allows researchers to delve deep into the complexities and nuances of the subject matter, uncovering insights that may not be captured through other research methods. By examining the case in its natural context, researchers can gain a holistic perspective and explore the various factors and variables that contribute to the case.

1.1 - Definition of Case Study Analysis

Case Study Analysis can be defined as an in-depth examination and exploration of a particular case or cases to unravel relevant details and complexities associated with the subject being studied. It involves a comprehensive and detailed analysis of various factors and variables that contribute to the case, aiming to answer research questions and uncover insights that can be applied in real-world scenarios.

When conducting a Case Study Analysis, researchers employ a range of research methods and techniques to collect and analyze data. These methods can include interviews, surveys, observations, document analysis, and experiments, among others. By using multiple sources of data, researchers can triangulate their findings and ensure the validity and reliability of their analysis.

Furthermore, Case Study Analysis often involves the use of theoretical frameworks and models to guide the research process. These frameworks provide a structured approach to analyzing the case and help researchers make sense of the data collected. By applying relevant theories and concepts, researchers can gain a deeper understanding of the underlying factors and dynamics at play in the case.

1.2 - Advantages of Case Study Analysis

Case Study Analysis offers numerous advantages that make it a popular research method across different disciplines. One significant advantage is its ability to provide rich and detailed information about a specific case, allowing researchers to gain a holistic understanding of the subject matter. Additionally, Case Study Analysis enables researchers to explore complex issues and phenomena in their natural context, capturing the intricacies and nuances that may not be captured through other research methods.

Moreover, Case Study Analysis allows researchers to investigate rare or unique cases that may not be easily replicated or studied through experimental methods. This method is particularly useful when studying phenomena that are complex, multifaceted, or involve multiple variables. By examining real-world cases, researchers can gain insights that can be applied to similar situations or inform future research and practice.

Furthermore, this research method allows for the analysis of multiple sources of data, such as interviews, observations, documents, and artifacts, which can contribute to a comprehensive and well-rounded examination of the case. Case Study Analysis also facilitates the exploration and identification of patterns, trends, and relationships within the data, generating valuable insights and knowledge for future reference and application.

1.3 - Disadvantages of Case Study Analysis

While Case Study Analysis offers various advantages, it also comes with certain limitations and challenges. One major limitation is the potential for researcher bias, as the interpretation of data and findings can be influenced by preconceived notions and personal perspectives. Researchers must be aware of their own biases and take steps to minimize their impact on the analysis.

Additionally, Case Study Analysis may suffer from limited generalizability, as it focuses on specific cases and contexts, which might not be applicable or representative of broader populations or situations. The findings of a case study may not be easily generalized to other settings or individuals, and caution should be exercised when applying the results to different contexts.

Moreover, Case Study Analysis can require significant time and resources due to its in-depth nature and the need for meticulous data collection and analysis. This can pose challenges for researchers working with limited budgets or tight deadlines. However, the thoroughness and depth of the analysis often outweigh the resource constraints, as the insights gained from a well-conducted case study can be highly valuable.

Finally, ethical considerations also play a crucial role in Case Study Analysis, as researchers must ensure the protection of participant confidentiality and privacy. Researchers must obtain informed consent from participants and take measures to safeguard their identities and personal information. Ethical guidelines and protocols should be followed to ensure the rights and well-being of the individuals involved in the case study.

2°) Examples of Case Study Analysis

Real-world examples of Case Study Analysis demonstrate the method's practical application and showcase its usefulness across various fields. The following examples provide insights into different scenarios where Case Study Analysis has been employed successfully.

2.1 - Example in a Startup Context

In a startup context, a Case Study Analysis might explore the factors that contributed to the success of a particular startup company. It would involve examining the organization's background, strategies, market conditions, and key decision-making processes. This analysis could reveal valuable lessons and insights for aspiring entrepreneurs and those interested in understanding the intricacies of startup success.

2.2 - Example in a Consulting Context

In the consulting industry, Case Study Analysis is often utilized to understand and develop solutions for complex business problems. For instance, a consulting firm might conduct a Case Study Analysis on a company facing challenges in its supply chain management. This analysis would involve identifying the underlying issues, evaluating different options, and proposing recommendations based on the findings. This approach enables consultants to apply their expertise and provide practical solutions to their clients.

2.3 - Example in a Digital Marketing Agency Context

Within a digital marketing agency, Case Study Analysis can be used to examine successful marketing campaigns. By analyzing various factors such as target audience, message effectiveness, channel selection, and campaign metrics, this analysis can provide valuable insights into the strategies and tactics that contribute to successful marketing initiatives. Digital marketers can then apply these insights to optimize future campaigns and drive better results for their clients.

2.4 - Example with Analogies

Case Study Analysis can also be utilized with analogies to investigate specific scenarios and draw parallels to similar situations. For instance, a Case Study Analysis could explore the response of different countries to natural disasters and draw analogies to inform disaster management strategies in other regions. These analogies can help policymakers and researchers develop more effective approaches to mitigate the impact of disasters and protect vulnerable populations.

In conclusion, Case Study Analysis is a powerful research method that provides a comprehensive understanding of a particular individual, group, organization, or event. By analyzing real-life cases and exploring various data sources, researchers can unravel complexities, generate valuable insights, and inform decision-making processes. With its advantages and limitations, Case Study Analysis offers a unique approach to gaining in-depth knowledge and practical application across numerous fields.

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Arnaud Belinga

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Main Tips On How To Write Case Study Analysis

Table of contents

• 1 What is a Case Study Analysis?
• 2 Difference Between Research Paper and Case Study
• 3 Types of Case Studies
• 4 Writing a Case Study Draft
• 5 How to Write a Case Study Outline
• 6 How to Write a Case Study
• 7 How to Analyze a Case Study
• 8.1 Tips for a Successful Case Analysis
• 9 How to Format a Case Study
• 10 How to Create a Title Page and Cite a Case Study

Many students struggle with how to do a case study analysis. Writing such an assignment is always daunting, as it requires you to analyze something and form conclusions based on your research.

It usually focuses on phenomena you can’t study in a typical way. Therefore, when writing such a text, you have to prepare thoughtfully. In the  PapersOwl article, you will find out what this academic writing is and how to write a case analysis.

What is a Case Study Analysis?

A case study analysis is a form of writing that analyzes a specific situation, event, object, person, or even place. The said analysis should be written and structured to lead to a conclusion. Typically, you cannot analyze the subject of this essay via quantitative methods.

Note that such studies can be used in various fields and require the use of many theories that can give you a unique approach to the matter. For example, you can write a paper like this about social sciences, business, medicine, and many other fields. Each of these will require a particular approach.

Difference Between Research Paper and Case Study

Both research papers and case studies share common features, yet they also differ in several key aspects. Hence, knowing these parallels and distinctions, you will be able to learn how to write a case study assignment correctly.

A case study introduction can present the topic but does not require a citation of other similar works or the writer’s opinion. In contrast, a research paper requires citations right from the introduction, as it builds on the research of others.

Furthermore, authors of case studies should share their insights and perspectives on the case they study. A major difference is that  research papers  concentrate on a specific issue and use solid evidence. In contrast, case studies examine a subject in depth, offer detailed information, and help develop critical thinking skills.

Types of Case Studies

When it comes to writing case study analysis, there are five types you must learn to differentiate. That is important because whether you get such an assignment, you will have to understand the task first and then start with the writing.

Here are the types of case studies which you will encounter most often:

• Problem-oriented – this type focuses on real-life situations or theoretical issues and aims to solve them. For example, “World Hunger.”
• The second type is critical , also known as innate . The goal is to investigate a specific case, particularly its effects and what causes them – “Why Toys Remain Gender Stereotyped.”

Historical case studies focus on events from our past. The text should contain information about a specific historical period of this type. Your goal will be to provide different perspectives of an event and parallel them to current-day issues. An example of such a topic is “Racism During Ancient Times – Roman Empire.”

• The illustrative or Instrumental type focuses on describing a particular event. Here you have to explain the event’s outcome and what you have learned from it. A sample of such a topic is “The Effects of Dance Therapy in Depressed Adolescents.”
• Collective case studies are the fifth type. They include a collection of data about a specific case you will use to compare. E.g., “The Management Leadership at Work.”
• Exploratory Case Studies . This type often applies in new fields of study or in cases where little data exists. An example of this type is “Initial Insights into Behavioral Trends in Cryptocurrency Trading.”

Writing a Case Study Draft

Creating a rough draft is the foremost step to take while writing such a paper. It is an essential step you must take, no matter how experienced you are. By doing it, you will be able to get more creative. In addition, you can explore options and decide on what to focus on more precisely, which will eventually result in a higher grade for your work.

So, sit down in a quiet place, bring an old-fashioned pen and paper, and start drafting ideas. Read them briefly while sipping on your tea and edit. After you have decided where your focus will lay, you have to develop these ideas and thoughts a bit more, then pick the best one.

How to Write a Case Study Outline

Creating a case study outline is an essential step in the writing process using the case study research method. Here’s how you can structure this preparation effectively:

• Conduct Research: Begin by using academic search engines like Google Scholar, or refer to books and published materials to gather relevant data. This research will help clarify the structure of your case study and determine the main points that need addressing.
• Formulate Your Thesis Statement: Develop a clear thesis statement that will guide the narrative of your case study. This statement should be based on the specific topic you have chosen.
• Outline Preparation
• Review Case Details: Thoroughly review the case you are analyzing to ensure a deep understanding of the subject.
• Note-taking and Question Formulation: Write down important notes and questions that arise during your review. Highlight relevant facts and critical data points that will support your analysis.
• Identify Problems and Causes: Identify the main problems and consider what their causes might be. This includes figuring out who is responsible and how these problems impact the company.
• Preliminary Research: Perform initial research to discover if similar problems have occurred previously and how they were resolved. This can offer insights into possible solutions and strategies for your case study.

The outline for your case study paper is essential to your writing process. It lets your professor assess your understanding of the topic, the correctness of your format, and the structure of your paper. They can spot any potential problems with your work. Having an outline serves as a guide for both you and your professor, making it easier to plan and write your paper . With the help of a well-crafted outline, your professor can navigate your paper more easily and spot any issues before they arise. Writing a case study can be challenging, but having a strong outline makes the process simpler.

A case study outline will most likely consist of the following sections and information:

• Case study title;
• Student’s name;
• Educational instructor’s name;
• Course name.

Introduction/Summary

• It briefly overviews your case study, thesis statement, and essential findings.

Main Body Paragraphs – usually three to five

• Literature Review/Background Information;
• Method/Findings;
• Discussion/Solutions/Recommendations.
• Repeat a paraphrased version of your thesis;
• Summarize your case study key points;
• Finish with a statement that can recommend the audience to read further by giving them thoughts to contemplate and develop new ideas.

Reference List or Bibliography

• List all the sources of evidence used to create your case study in your educational organization’s required citation style (APA, MLA, Chicago, Harvard, Turabian, etc.).

How to Write a Case Study

The way to write a case study is by strictly following the main idea of your thesis. You already know that a study’s main body consists of an introduction, literature review, method, discussion, and conclusion sections. Thus, all that is left is to focus on these parts and understand how to make them perfect.

• The Introduction/Summary: The introduction of a case study should start with a solid first sentence that will hook the reader. Afterward, you must explain the question you will be answering and why you are doing it. You should include some of the topic’s relevant history and details here. Also, you should explain how your case study will enrich the available information. Also, briefly summarize your literature review, which your findings will use as a base. Try to finish positively and make the reader see the benefits of reading your work.

• Background Information/Literature Review: ‍Structure and present the data from your academic sources . This section will show the reader how vital your work is and the basis for it.
• Method/Findings: This part aims to explain the case you selected, how it connects to the issue, and why you chose them. You can also add what methods you use. Here you must note that the data collection methods are qualitative, not quantitative, for case studies. That means the data is not random but well-structured and chronically taken from interviews, focus groups, and other sources.
• Discussion/Solutions: Restate your thesis but rephrase it, then draw your conclusions from what you have discovered via your research and link to your statement. Inform the audience of your main findings and define why the results are relevant to the field. Think about the following questions:

Were the results unexpected? Why/Why not?

How do your findings compare to previous similar case studies in your literature review?

Do your findings correlate to previous results, or do they contradict them?

Are your findings helpful in deepening the current understanding of the topic?

Next, explore possible alternative explanations or interpretations of your findings. Be subjective and explain your paper’s limitations. End with some suggestions for further exploration based on the limits of your work. ‍

• Conclusion: Inform the reader precisely why your case study and findings are relevant, and restate your thesis and main results. Give a summary of previous studies you reviewed and how you contributed to expanding current knowledge. The final should explain how your work can be helpful and implemented in future research.

Your instructor should have an excellent example they can show you, so feel free to ask. They will surely want to help you learn how to write a case study!

How to Analyze a Case Study

Analyzing a case study involves a structured approach that simulates real-life scenarios and is key to developing actionable insights. Here is a step-by-step guide adapted from Ellet, W. (2007) to help you effectively analyze a case study:

• Identify the Type of Case Study

Begin by determining the type of case study you are examining. This could be:

• Problems: Where something significant has occurred, and the cause is unknown.
• Decisions : Where a clear decision needs making, requiring options, criteria, and relevant evidence.
• Evaluations : Where you assess the effectiveness of a performance or outcome.
• Rules : These involve using quantitative methods to analyze a business area.
• Develop a Hypothesis

From the perspective of the protagonist, formulate a hypothesis to address the dilemma. Consider what you need to know about the situation:

• For problems: Understand the aspects, significance, and responsible parties.
• For decisions: Identify the options available, the stakes involved, and the decision-making criteria.
• For evaluations: Determine who or what is evaluated, the stakes, and the key evaluation criteria.
• Evidence and Alternatives

Evaluate your hypothesis by considering:

• The evidence supporting your hypothesis and any additional evidence needed.
• The weaknesses of your hypothesis and possible alternatives.

Writing a Case Analysis

Writing a case analysis involves a structured approach that enables you to communicate your understanding and analytical skills effectively. Here’s how you can craft your analysis to be insightful and comprehensive:

• Start with a Clear Definition or Position Statement

Begin your case analysis by stating your main conclusion, which serves as the answer to “What?” This initial statement should clearly outline what you have concluded from your analysis of the case.

• Build a Strong Argument with Evidence

Support your position statement with solid evidence, which answers “Why?” This evidence can be quantitative (numerical data) or qualitative (observations and interviews). The purpose here is to provide a foundation for your conclusions, showing how you arrived at them through logical reasoning.

• Outline a Chronological Action Plan

Detail the steps necessary to solve the problem, implement a decision, or enhance performance. This section answers “How?” and should include specific, realistic steps that address any major risks associated with your plan.

Tips for a Successful Case Analysis

• Aim to deliver concise and clear results of your analytical process rather than a simple summary or a complete transcript of your thoughts.
• Ensure your reader understands and is persuaded by your analysis by linking your conclusions directly to credible evidence.
• Discuss the advantages and also acknowledge any disadvantages of your conclusions to provide a balanced view.

How to Format a Case Study

Knowing how a case study analysis format should look is crucial. Therefore, you must know what the text structure should look like. The standard one contains about eight sections:

• Introduction/The Executive Summary: As the first part here, you have to hook the reader’s attention, so the introduction of the case study is the most important part of the writing.  Then present them with a brief overview of your case study analyses and their findings. Make sure to form a good thesis statement , as this is the pivotal point of your work.
• Literary Review/Background information: Similarly to other papers, in this part, you have to write your most important facts or findings while identifying the case issue.
• Method/Findings/Discussion: This section can be written separately based on how your text flows. Here you will have to explore more about the case and its findings. Allow yourself to go into more detail instead of just briefly covering them.
• Solutions/Recommendations/Implementation Part: You have to discuss the answers you came up with. Basically, you say why they are fit to solve the case and how you think they can be used in practice. Note that you must write only realistic and practical solutions for the problem. It’s possible to write testable evidence that can support your recommendations.
• Conclusion: Here, you are supposed to cover your whole paper briefly and even repeat the thesis (rephrased). Make sure to highlight the critical points of your case study.
• References or Bibliography: This section must include the sources from which you collected data or whom you consulted. Usually, this part is on a separate page, and the listing should be according to your academic institution’s requirements.
• Appendices (include only if applicable): It is usual for some parts of your materials to be too lengthy or unfit for the other sections of the case study. Therefore, you have to include them here. That can be pictures, raw data of statistics, graphs, notes, etc. The appendix section is strictly for subsidiary materials, do not put the most relevant ones here.
• Author Note: Remember that all educational institutions have their requirement for a case study format. The abovementioned is an example; thus, you may see a section or another is missing, or there are additional ones.

How to Create a Title Page and Cite a Case Study

A case study in APA format for students can differ from one institution to another. So, knowing your college or school requirements is crucial before you start writing. Nonetheless, the general one should look like this:

• Title – A header no longer than nine words has “Case Study” and reflects the content and the idea behind it yet is engaging to read;
• Write your full name;
• The name of your course/class;
• Next is your professor or instructor name;
• The university/school name;
• The date of submission.

When citing in your paper, you must ensure it is done accurately and in your academic style. If you are unsure how to do it, research the requirements and google “How to do a case study analysis in Harvard”, for example. Note that short citations can be in your text, but longer ones should be in the bibliography section.

Hruby, A. (2018). Hruby, A., & Hu, F. B. (2015). The epidemiology of obesity: a big picture. Pharmacoeconomics, 33(7), 673-689. www.sciepub.com. http://www.sciepub.com/reference/254744

Case studies strive to analyze an event, location, case, or person. They can be similar to research papers, so you must pay close attention to the structure and what your professor has requested from you.

Finally, the process of writing can be overwhelming due to the many sections. However, if you take the process step by step and do your preparations properly, you will have an easy time writing the paper. You can also look for assistance online – many services offer to order case study online help . With the right kind of assistance, you can be sure that your paper is of high quality and is due on time!

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Methodology

• What Is a Case Study? | Definition, Examples & Methods

What Is a Case Study? | Definition, Examples & Methods

Published on May 8, 2019 by Shona McCombes . Revised on November 20, 2023.

A case study is a detailed study of a specific subject, such as a person, group, place, event, organization, or phenomenon. Case studies are commonly used in social, educational, clinical, and business research.

A case study research design usually involves qualitative methods , but quantitative methods are sometimes also used. Case studies are good for describing , comparing, evaluating and understanding different aspects of a research problem .

Table of contents

When to do a case study, step 1: select a case, step 2: build a theoretical framework, step 3: collect your data, step 4: describe and analyze the case, other interesting articles.

A case study is an appropriate research design when you want to gain concrete, contextual, in-depth knowledge about a specific real-world subject. It allows you to explore the key characteristics, meanings, and implications of the case.

Case studies are often a good choice in a thesis or dissertation . They keep your project focused and manageable when you don’t have the time or resources to do large-scale research.

You might use just one complex case study where you explore a single subject in depth, or conduct multiple case studies to compare and illuminate different aspects of your research problem.

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Once you have developed your problem statement and research questions , you should be ready to choose the specific case that you want to focus on. A good case study should have the potential to:

• Provide new or unexpected insights into the subject
• Challenge or complicate existing assumptions and theories
• Propose practical courses of action to resolve a problem
• Open up new directions for future research

TipIf your research is more practical in nature and aims to simultaneously investigate an issue as you solve it, consider conducting action research instead.

Unlike quantitative or experimental research , a strong case study does not require a random or representative sample. In fact, case studies often deliberately focus on unusual, neglected, or outlying cases which may shed new light on the research problem.

Example of an outlying case studyIn the 1960s the town of Roseto, Pennsylvania was discovered to have extremely low rates of heart disease compared to the US average. It became an important case study for understanding previously neglected causes of heart disease.

However, you can also choose a more common or representative case to exemplify a particular category, experience or phenomenon.

Example of a representative case studyIn the 1920s, two sociologists used Muncie, Indiana as a case study of a typical American city that supposedly exemplified the changing culture of the US at the time.

While case studies focus more on concrete details than general theories, they should usually have some connection with theory in the field. This way the case study is not just an isolated description, but is integrated into existing knowledge about the topic. It might aim to:

• Exemplify a theory by showing how it explains the case under investigation
• Expand on a theory by uncovering new concepts and ideas that need to be incorporated
• Challenge a theory by exploring an outlier case that doesn’t fit with established assumptions

To ensure that your analysis of the case has a solid academic grounding, you should conduct a literature review of sources related to the topic and develop a theoretical framework . This means identifying key concepts and theories to guide your analysis and interpretation.

There are many different research methods you can use to collect data on your subject. Case studies tend to focus on qualitative data using methods such as interviews , observations , and analysis of primary and secondary sources (e.g., newspaper articles, photographs, official records). Sometimes a case study will also collect quantitative data.

Example of a mixed methods case studyFor a case study of a wind farm development in a rural area, you could collect quantitative data on employment rates and business revenue, collect qualitative data on local people’s perceptions and experiences, and analyze local and national media coverage of the development.

The aim is to gain as thorough an understanding as possible of the case and its context.

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In writing up the case study, you need to bring together all the relevant aspects to give as complete a picture as possible of the subject.

How you report your findings depends on the type of research you are doing. Some case studies are structured like a standard scientific paper or thesis , with separate sections or chapters for the methods , results and discussion .

Others are written in a more narrative style, aiming to explore the case from various angles and analyze its meanings and implications (for example, by using textual analysis or discourse analysis ).

In all cases, though, make sure to give contextual details about the case, connect it back to the literature and theory, and discuss how it fits into wider patterns or debates.

If you want to know more about statistics , methodology , or research bias , make sure to check out some of our other articles with explanations and examples.

• Normal distribution
• Degrees of freedom
• Null hypothesis
• Discourse analysis
• Control groups
• Mixed methods research
• Non-probability sampling
• Quantitative research
• Ecological validity

Research bias

• Rosenthal effect
• Implicit bias
• Cognitive bias
• Selection bias
• Negativity bias
• Status quo bias

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Organizing Your Social Sciences Research Assignments

• Annotated Bibliography
• Analyzing a Scholarly Journal Article
• Group Presentations
• Dealing with Nervousness
• Using Visual Aids
• Grading Someone Else's Paper
• Types of Structured Group Activities
• Group Project Survival Skills
• Leading a Class Discussion
• Multiple Book Review Essay
• Reviewing Collected Works
• Writing a Case Analysis Paper
• Writing a Case Study
• About Informed Consent
• Writing Field Notes
• Writing a Policy Memo
• Writing a Reflective Paper
• Writing a Research Proposal
• Generative AI and Writing
• Acknowledgments

A case study research paper examines a person, place, event, condition, phenomenon, or other type of subject of analysis in order to extrapolate  key themes and results that help predict future trends, illuminate previously hidden issues that can be applied to practice, and/or provide a means for understanding an important research problem with greater clarity. A case study research paper usually examines a single subject of analysis, but case study papers can also be designed as a comparative investigation that shows relationships between two or more subjects. The methods used to study a case can rest within a quantitative, qualitative, or mixed-method investigative paradigm.

Case Studies. Writing@CSU. Colorado State University; Mills, Albert J. , Gabrielle Durepos, and Eiden Wiebe, editors. Encyclopedia of Case Study Research . Thousand Oaks, CA: SAGE Publications, 2010 ; “What is a Case Study?” In Swanborn, Peter G. Case Study Research: What, Why and How? London: SAGE, 2010.

How to Approach Writing a Case Study Research Paper

General information about how to choose a topic to investigate can be found under the " Choosing a Research Problem " tab in the Organizing Your Social Sciences Research Paper writing guide. Review this page because it may help you identify a subject of analysis that can be investigated using a case study design.

However, identifying a case to investigate involves more than choosing the research problem . A case study encompasses a problem contextualized around the application of in-depth analysis, interpretation, and discussion, often resulting in specific recommendations for action or for improving existing conditions. As Seawright and Gerring note, practical considerations such as time and access to information can influence case selection, but these issues should not be the sole factors used in describing the methodological justification for identifying a particular case to study. Given this, selecting a case includes considering the following:

• The case represents an unusual or atypical example of a research problem that requires more in-depth analysis? Cases often represent a topic that rests on the fringes of prior investigations because the case may provide new ways of understanding the research problem. For example, if the research problem is to identify strategies to improve policies that support girl's access to secondary education in predominantly Muslim nations, you could consider using Azerbaijan as a case study rather than selecting a more obvious nation in the Middle East. Doing so may reveal important new insights into recommending how governments in other predominantly Muslim nations can formulate policies that support improved access to education for girls.
• The case provides important insight or illuminate a previously hidden problem? In-depth analysis of a case can be based on the hypothesis that the case study will reveal trends or issues that have not been exposed in prior research or will reveal new and important implications for practice. For example, anecdotal evidence may suggest drug use among homeless veterans is related to their patterns of travel throughout the day. Assuming prior studies have not looked at individual travel choices as a way to study access to illicit drug use, a case study that observes a homeless veteran could reveal how issues of personal mobility choices facilitate regular access to illicit drugs. Note that it is important to conduct a thorough literature review to ensure that your assumption about the need to reveal new insights or previously hidden problems is valid and evidence-based.
• The case challenges and offers a counter-point to prevailing assumptions? Over time, research on any given topic can fall into a trap of developing assumptions based on outdated studies that are still applied to new or changing conditions or the idea that something should simply be accepted as "common sense," even though the issue has not been thoroughly tested in current practice. A case study analysis may offer an opportunity to gather evidence that challenges prevailing assumptions about a research problem and provide a new set of recommendations applied to practice that have not been tested previously. For example, perhaps there has been a long practice among scholars to apply a particular theory in explaining the relationship between two subjects of analysis. Your case could challenge this assumption by applying an innovative theoretical framework [perhaps borrowed from another discipline] to explore whether this approach offers new ways of understanding the research problem. Taking a contrarian stance is one of the most important ways that new knowledge and understanding develops from existing literature.
• The case provides an opportunity to pursue action leading to the resolution of a problem? Another way to think about choosing a case to study is to consider how the results from investigating a particular case may result in findings that reveal ways in which to resolve an existing or emerging problem. For example, studying the case of an unforeseen incident, such as a fatal accident at a railroad crossing, can reveal hidden issues that could be applied to preventative measures that contribute to reducing the chance of accidents in the future. In this example, a case study investigating the accident could lead to a better understanding of where to strategically locate additional signals at other railroad crossings so as to better warn drivers of an approaching train, particularly when visibility is hindered by heavy rain, fog, or at night.
• The case offers a new direction in future research? A case study can be used as a tool for an exploratory investigation that highlights the need for further research about the problem. A case can be used when there are few studies that help predict an outcome or that establish a clear understanding about how best to proceed in addressing a problem. For example, after conducting a thorough literature review [very important!], you discover that little research exists showing the ways in which women contribute to promoting water conservation in rural communities of east central Africa. A case study of how women contribute to saving water in a rural village of Uganda can lay the foundation for understanding the need for more thorough research that documents how women in their roles as cooks and family caregivers think about water as a valuable resource within their community. This example of a case study could also point to the need for scholars to build new theoretical frameworks around the topic [e.g., applying feminist theories of work and family to the issue of water conservation].

Eisenhardt, Kathleen M. “Building Theories from Case Study Research.” Academy of Management Review 14 (October 1989): 532-550; Emmel, Nick. Sampling and Choosing Cases in Qualitative Research: A Realist Approach . Thousand Oaks, CA: SAGE Publications, 2013; Gerring, John. “What Is a Case Study and What Is It Good for?” American Political Science Review 98 (May 2004): 341-354; Mills, Albert J. , Gabrielle Durepos, and Eiden Wiebe, editors. Encyclopedia of Case Study Research . Thousand Oaks, CA: SAGE Publications, 2010; Seawright, Jason and John Gerring. "Case Selection Techniques in Case Study Research." Political Research Quarterly 61 (June 2008): 294-308.

Structure and Writing Style

The purpose of a paper in the social sciences designed around a case study is to thoroughly investigate a subject of analysis in order to reveal a new understanding about the research problem and, in so doing, contributing new knowledge to what is already known from previous studies. In applied social sciences disciplines [e.g., education, social work, public administration, etc.], case studies may also be used to reveal best practices, highlight key programs, or investigate interesting aspects of professional work.

In general, the structure of a case study research paper is not all that different from a standard college-level research paper. However, there are subtle differences you should be aware of. Here are the key elements to organizing and writing a case study research paper.

I.  Introduction

As with any research paper, your introduction should serve as a roadmap for your readers to ascertain the scope and purpose of your study . The introduction to a case study research paper, however, should not only describe the research problem and its significance, but you should also succinctly describe why the case is being used and how it relates to addressing the problem. The two elements should be linked. With this in mind, a good introduction answers these four questions:

• What is being studied? Describe the research problem and describe the subject of analysis [the case] you have chosen to address the problem. Explain how they are linked and what elements of the case will help to expand knowledge and understanding about the problem.
• Why is this topic important to investigate? Describe the significance of the research problem and state why a case study design and the subject of analysis that the paper is designed around is appropriate in addressing the problem.
• What did we know about this topic before I did this study? Provide background that helps lead the reader into the more in-depth literature review to follow. If applicable, summarize prior case study research applied to the research problem and why it fails to adequately address the problem. Describe why your case will be useful. If no prior case studies have been used to address the research problem, explain why you have selected this subject of analysis.
• How will this study advance new knowledge or new ways of understanding? Explain why your case study will be suitable in helping to expand knowledge and understanding about the research problem.

Each of these questions should be addressed in no more than a few paragraphs. Exceptions to this can be when you are addressing a complex research problem or subject of analysis that requires more in-depth background information.

II.  Literature Review

The literature review for a case study research paper is generally structured the same as it is for any college-level research paper. The difference, however, is that the literature review is focused on providing background information and  enabling historical interpretation of the subject of analysis in relation to the research problem the case is intended to address . This includes synthesizing studies that help to:

• Place relevant works in the context of their contribution to understanding the case study being investigated . This would involve summarizing studies that have used a similar subject of analysis to investigate the research problem. If there is literature using the same or a very similar case to study, you need to explain why duplicating past research is important [e.g., conditions have changed; prior studies were conducted long ago, etc.].
• Describe the relationship each work has to the others under consideration that informs the reader why this case is applicable . Your literature review should include a description of any works that support using the case to investigate the research problem and the underlying research questions.
• Identify new ways to interpret prior research using the case study . If applicable, review any research that has examined the research problem using a different research design. Explain how your use of a case study design may reveal new knowledge or a new perspective or that can redirect research in an important new direction.
• Resolve conflicts amongst seemingly contradictory previous studies . This refers to synthesizing any literature that points to unresolved issues of concern about the research problem and describing how the subject of analysis that forms the case study can help resolve these existing contradictions.
• Point the way in fulfilling a need for additional research . Your review should examine any literature that lays a foundation for understanding why your case study design and the subject of analysis around which you have designed your study may reveal a new way of approaching the research problem or offer a perspective that points to the need for additional research.
• Expose any gaps that exist in the literature that the case study could help to fill . Summarize any literature that not only shows how your subject of analysis contributes to understanding the research problem, but how your case contributes to a new way of understanding the problem that prior research has failed to do.
• Locate your own research within the context of existing literature [very important!] . Collectively, your literature review should always place your case study within the larger domain of prior research about the problem. The overarching purpose of reviewing pertinent literature in a case study paper is to demonstrate that you have thoroughly identified and synthesized prior studies in relation to explaining the relevance of the case in addressing the research problem.

III.  Method

In this section, you explain why you selected a particular case [i.e., subject of analysis] and the strategy you used to identify and ultimately decide that your case was appropriate in addressing the research problem. The way you describe the methods used varies depending on the type of subject of analysis that constitutes your case study.

If your subject of analysis is an incident or event . In the social and behavioral sciences, the event or incident that represents the case to be studied is usually bounded by time and place, with a clear beginning and end and with an identifiable location or position relative to its surroundings. The subject of analysis can be a rare or critical event or it can focus on a typical or regular event. The purpose of studying a rare event is to illuminate new ways of thinking about the broader research problem or to test a hypothesis. Critical incident case studies must describe the method by which you identified the event and explain the process by which you determined the validity of this case to inform broader perspectives about the research problem or to reveal new findings. However, the event does not have to be a rare or uniquely significant to support new thinking about the research problem or to challenge an existing hypothesis. For example, Walo, Bull, and Breen conducted a case study to identify and evaluate the direct and indirect economic benefits and costs of a local sports event in the City of Lismore, New South Wales, Australia. The purpose of their study was to provide new insights from measuring the impact of a typical local sports event that prior studies could not measure well because they focused on large "mega-events." Whether the event is rare or not, the methods section should include an explanation of the following characteristics of the event: a) when did it take place; b) what were the underlying circumstances leading to the event; and, c) what were the consequences of the event in relation to the research problem.

If your subject of analysis is a person. Explain why you selected this particular individual to be studied and describe what experiences they have had that provide an opportunity to advance new understandings about the research problem. Mention any background about this person which might help the reader understand the significance of their experiences that make them worthy of study. This includes describing the relationships this person has had with other people, institutions, and/or events that support using them as the subject for a case study research paper. It is particularly important to differentiate the person as the subject of analysis from others and to succinctly explain how the person relates to examining the research problem [e.g., why is one politician in a particular local election used to show an increase in voter turnout from any other candidate running in the election]. Note that these issues apply to a specific group of people used as a case study unit of analysis [e.g., a classroom of students].

If your subject of analysis is a place. In general, a case study that investigates a place suggests a subject of analysis that is unique or special in some way and that this uniqueness can be used to build new understanding or knowledge about the research problem. A case study of a place must not only describe its various attributes relevant to the research problem [e.g., physical, social, historical, cultural, economic, political], but you must state the method by which you determined that this place will illuminate new understandings about the research problem. It is also important to articulate why a particular place as the case for study is being used if similar places also exist [i.e., if you are studying patterns of homeless encampments of veterans in open spaces, explain why you are studying Echo Park in Los Angeles rather than Griffith Park?]. If applicable, describe what type of human activity involving this place makes it a good choice to study [e.g., prior research suggests Echo Park has more homeless veterans].

If your subject of analysis is a phenomenon. A phenomenon refers to a fact, occurrence, or circumstance that can be studied or observed but with the cause or explanation to be in question. In this sense, a phenomenon that forms your subject of analysis can encompass anything that can be observed or presumed to exist but is not fully understood. In the social and behavioral sciences, the case usually focuses on human interaction within a complex physical, social, economic, cultural, or political system. For example, the phenomenon could be the observation that many vehicles used by ISIS fighters are small trucks with English language advertisements on them. The research problem could be that ISIS fighters are difficult to combat because they are highly mobile. The research questions could be how and by what means are these vehicles used by ISIS being supplied to the militants and how might supply lines to these vehicles be cut off? How might knowing the suppliers of these trucks reveal larger networks of collaborators and financial support? A case study of a phenomenon most often encompasses an in-depth analysis of a cause and effect that is grounded in an interactive relationship between people and their environment in some way.

NOTE:   The choice of the case or set of cases to study cannot appear random. Evidence that supports the method by which you identified and chose your subject of analysis should clearly support investigation of the research problem and linked to key findings from your literature review. Be sure to cite any studies that helped you determine that the case you chose was appropriate for examining the problem.

IV.  Discussion

The main elements of your discussion section are generally the same as any research paper, but centered around interpreting and drawing conclusions about the key findings from your analysis of the case study. Note that a general social sciences research paper may contain a separate section to report findings. However, in a paper designed around a case study, it is common to combine a description of the results with the discussion about their implications. The objectives of your discussion section should include the following:

Reiterate the Research Problem/State the Major Findings Briefly reiterate the research problem you are investigating and explain why the subject of analysis around which you designed the case study were used. You should then describe the findings revealed from your study of the case using direct, declarative, and succinct proclamation of the study results. Highlight any findings that were unexpected or especially profound.

Explain the Meaning of the Findings and Why They are Important Systematically explain the meaning of your case study findings and why you believe they are important. Begin this part of the section by repeating what you consider to be your most important or surprising finding first, then systematically review each finding. Be sure to thoroughly extrapolate what your analysis of the case can tell the reader about situations or conditions beyond the actual case that was studied while, at the same time, being careful not to misconstrue or conflate a finding that undermines the external validity of your conclusions.

Relate the Findings to Similar Studies No study in the social sciences is so novel or possesses such a restricted focus that it has absolutely no relation to previously published research. The discussion section should relate your case study results to those found in other studies, particularly if questions raised from prior studies served as the motivation for choosing your subject of analysis. This is important because comparing and contrasting the findings of other studies helps support the overall importance of your results and it highlights how and in what ways your case study design and the subject of analysis differs from prior research about the topic.

Consider Alternative Explanations of the Findings Remember that the purpose of social science research is to discover and not to prove. When writing the discussion section, you should carefully consider all possible explanations revealed by the case study results, rather than just those that fit your hypothesis or prior assumptions and biases. Be alert to what the in-depth analysis of the case may reveal about the research problem, including offering a contrarian perspective to what scholars have stated in prior research if that is how the findings can be interpreted from your case.

Acknowledge the Study's Limitations You can state the study's limitations in the conclusion section of your paper but describing the limitations of your subject of analysis in the discussion section provides an opportunity to identify the limitations and explain why they are not significant. This part of the discussion section should also note any unanswered questions or issues your case study could not address. More detailed information about how to document any limitations to your research can be found here .

Suggest Areas for Further Research Although your case study may offer important insights about the research problem, there are likely additional questions related to the problem that remain unanswered or findings that unexpectedly revealed themselves as a result of your in-depth analysis of the case. Be sure that the recommendations for further research are linked to the research problem and that you explain why your recommendations are valid in other contexts and based on the original assumptions of your study.

V.  Conclusion

As with any research paper, you should summarize your conclusion in clear, simple language; emphasize how the findings from your case study differs from or supports prior research and why. Do not simply reiterate the discussion section. Provide a synthesis of key findings presented in the paper to show how these converge to address the research problem. If you haven't already done so in the discussion section, be sure to document the limitations of your case study and any need for further research.

The function of your paper's conclusion is to: 1) reiterate the main argument supported by the findings from your case study; 2) state clearly the context, background, and necessity of pursuing the research problem using a case study design in relation to an issue, controversy, or a gap found from reviewing the literature; and, 3) provide a place to persuasively and succinctly restate the significance of your research problem, given that the reader has now been presented with in-depth information about the topic.

Consider the following points to help ensure your conclusion is appropriate:

• If the argument or purpose of your paper is complex, you may need to summarize these points for your reader.
• If prior to your conclusion, you have not yet explained the significance of your findings or if you are proceeding inductively, use the conclusion of your paper to describe your main points and explain their significance.
• Move from a detailed to a general level of consideration of the case study's findings that returns the topic to the context provided by the introduction or within a new context that emerges from your case study findings.

Note that, depending on the discipline you are writing in or the preferences of your professor, the concluding paragraph may contain your final reflections on the evidence presented as it applies to practice or on the essay's central research problem. However, the nature of being introspective about the subject of analysis you have investigated will depend on whether you are explicitly asked to express your observations in this way.

Problems to Avoid

Overgeneralization One of the goals of a case study is to lay a foundation for understanding broader trends and issues applied to similar circumstances. However, be careful when drawing conclusions from your case study. They must be evidence-based and grounded in the results of the study; otherwise, it is merely speculation. Looking at a prior example, it would be incorrect to state that a factor in improving girls access to education in Azerbaijan and the policy implications this may have for improving access in other Muslim nations is due to girls access to social media if there is no documentary evidence from your case study to indicate this. There may be anecdotal evidence that retention rates were better for girls who were engaged with social media, but this observation would only point to the need for further research and would not be a definitive finding if this was not a part of your original research agenda.

Failure to Document Limitations No case is going to reveal all that needs to be understood about a research problem. Therefore, just as you have to clearly state the limitations of a general research study , you must describe the specific limitations inherent in the subject of analysis. For example, the case of studying how women conceptualize the need for water conservation in a village in Uganda could have limited application in other cultural contexts or in areas where fresh water from rivers or lakes is plentiful and, therefore, conservation is understood more in terms of managing access rather than preserving access to a scarce resource.

Failure to Extrapolate All Possible Implications Just as you don't want to over-generalize from your case study findings, you also have to be thorough in the consideration of all possible outcomes or recommendations derived from your findings. If you do not, your reader may question the validity of your analysis, particularly if you failed to document an obvious outcome from your case study research. For example, in the case of studying the accident at the railroad crossing to evaluate where and what types of warning signals should be located, you failed to take into consideration speed limit signage as well as warning signals. When designing your case study, be sure you have thoroughly addressed all aspects of the problem and do not leave gaps in your analysis that leave the reader questioning the results.

Case Studies. Writing@CSU. Colorado State University; Gerring, John. Case Study Research: Principles and Practices . New York: Cambridge University Press, 2007; Merriam, Sharan B. Qualitative Research and Case Study Applications in Education . Rev. ed. San Francisco, CA: Jossey-Bass, 1998; Miller, Lisa L. “The Use of Case Studies in Law and Social Science Research.” Annual Review of Law and Social Science 14 (2018): TBD; Mills, Albert J., Gabrielle Durepos, and Eiden Wiebe, editors. Encyclopedia of Case Study Research . Thousand Oaks, CA: SAGE Publications, 2010; Putney, LeAnn Grogan. "Case Study." In Encyclopedia of Research Design , Neil J. Salkind, editor. (Thousand Oaks, CA: SAGE Publications, 2010), pp. 116-120; Simons, Helen. Case Study Research in Practice . London: SAGE Publications, 2009;  Kratochwill,  Thomas R. and Joel R. Levin, editors. Single-Case Research Design and Analysis: New Development for Psychology and Education .  Hilldsale, NJ: Lawrence Erlbaum Associates, 1992; Swanborn, Peter G. Case Study Research: What, Why and How? London : SAGE, 2010; Yin, Robert K. Case Study Research: Design and Methods . 6th edition. Los Angeles, CA, SAGE Publications, 2014; Walo, Maree, Adrian Bull, and Helen Breen. “Achieving Economic Benefits at Local Events: A Case Study of a Local Sports Event.” Festival Management and Event Tourism 4 (1996): 95-106.

Writing Tip

At Least Five Misconceptions about Case Study Research

Social science case studies are often perceived as limited in their ability to create new knowledge because they are not randomly selected and findings cannot be generalized to larger populations. Flyvbjerg examines five misunderstandings about case study research and systematically "corrects" each one. To quote, these are:

Misunderstanding 1 :  General, theoretical [context-independent] knowledge is more valuable than concrete, practical [context-dependent] knowledge. Misunderstanding 2 :  One cannot generalize on the basis of an individual case; therefore, the case study cannot contribute to scientific development. Misunderstanding 3 :  The case study is most useful for generating hypotheses; that is, in the first stage of a total research process, whereas other methods are more suitable for hypotheses testing and theory building. Misunderstanding 4 :  The case study contains a bias toward verification, that is, a tendency to confirm the researcher’s preconceived notions. Misunderstanding 5 :  It is often difficult to summarize and develop general propositions and theories on the basis of specific case studies [p. 221].

While writing your paper, think introspectively about how you addressed these misconceptions because to do so can help you strengthen the validity and reliability of your research by clarifying issues of case selection, the testing and challenging of existing assumptions, the interpretation of key findings, and the summation of case outcomes. Think of a case study research paper as a complete, in-depth narrative about the specific properties and key characteristics of your subject of analysis applied to the research problem.

Flyvbjerg, Bent. “Five Misunderstandings About Case-Study Research.” Qualitative Inquiry 12 (April 2006): 219-245.

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Writing a Case Study

What is a case study?

A Case study is: 

• An in-depth research design that primarily uses a qualitative methodology but sometimes​​ includes quantitative methodology.
• Used to examine an identifiable problem confirmed through research.
• Used to investigate an individual, group of people, organization, or event.
• Used to mostly answer "how" and "why" questions.

What are the different types of case studies?

Note: These are the primary case studies. As you continue to research and learn

about case studies you will begin to find a robust list of different types. 

Who are your case study participants?

What is triangulation ? 

Validity and credibility are an essential part of the case study. Therefore, the researcher should include triangulation to ensure trustworthiness while accurately reflecting what the researcher seeks to investigate.

How to write a Case Study?

When developing a case study, there are different ways you could present the information, but remember to include the five parts for your case study.

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Blog about Writing Case Study and Coursework

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How to Write an Introduction for a Case Study Report

If you’re looking for examples of how to write an introduction for a case-study report, you’ve come to the right place. Here you’ll find a sample, guidelines for writing a case-study introduction, and tips on how to make it clear. In five minutes or less, recruiters will read your case study and decide whether you’re a good fit for the job.

Example of a case study introduction

An example of a case study introduction should be written to provide a roadmap for the reader. It should briefly summarize the topic, identify the problem, and discuss its significance. It should include previous case studies and summarize the literature review. In addition, it should include the purpose of the study, and the issues that it addresses. Using this example as a guideline, writers can make their case study introductions. Here are some tips:

The first paragraph of the introduction should summarize the entire article, and should include the following sections: the case presentation, the examinations performed, and the working diagnosis, the management of the case, and the outcome. The final section, the discussion, should summarize the previous subsections, explain any apparent inconsistencies, and describe the lessons learned. The body of the paper should also summarize the introduction and include any notes for the instructor.

The last section of a case study introduction should summarize the findings and limitations of the study, as well as suggestions for further research. The conclusion section should restate the thesis and main findings of the case study. The conclusion should summarize previous case studies, summarize the findings, and highlight the possibilities for future study. It is important to note that not all educational institutions require the case study analysis format, so it is important to check ahead of time.

The introductory paragraph should outline the overall strategy for the study. It should also describe the short-term and long-term goals of the case study. Using this method will ensure clarity and reduce misunderstandings. However, it is important to consider the end goal. After all, the objective is to communicate the benefits of the product. And, the solution should be measurable. This can be done by highlighting the benefits and minimizing the negatives.

Structure of a case study introduction

The structure of a case study introduction is different from the general introduction of a research paper. The main purpose of the introduction is to set the stage for the rest of the case study. The problem statement must be short and precise to convey the main point of the study. Then, the introduction should summarize the literature review and present the previous case studies that have dealt with the topic. The introduction should end with a thesis statement.

The thesis statement should contain facts and evidence related to the topic. Include the method used, the findings, and discussion. The solution section should describe specific strategies for solving the problem. It should conclude with a call to action for the reader. When using quotations, be sure to cite them properly. The thesis statement must include the problem statement, the methods used, and the expected outcome of the study. The conclusion section should state the case study’s importance.

In the discussion section, state the limitations of the study and explain why they are not significant. In addition, mention any questions unanswered and issues that the study was unable to address. For more information, check out the APA, Harvard, Chicago, and MLA citation styles. Once you know how to structure a case study introduction, you’ll be ready to write it! And remember, there’s always a right and wrong way to write a case study introduction.

During the writing process, you’ll need to make notes on the problems and issues of the case. Write down any ideas and directions that come to mind. Avoid writing neatly. It may impede your creative process, so write down a rough draft first, and then draw it up for your educational instructor. The introduction is an overview of the case study. Include the thesis statement. If you’re writing a case study for an assignment, you’ll also need to provide an overview of the assignment.

Guidelines for writing a case study introduction

A case study is not a formal scientific research report, but it is written for a lay audience. It should be readable and follow the general narrative that was determined in the first step. The introduction should provide background information about the case and its main topic. It should be short, but should introduce the topic and explain its context in just one or two paragraphs. An ideal case study introduction is between three and five sentences.

The case study must be well-designed and logical. It cannot contain opinions or assumptions. The research question must be a logical conclusion based on the findings. This can be done through a spreadsheet program or by consulting a linguistics expert. Once you have identified the major issues, you need to revise the paper. Once you have revised it twice, it should be well-written, concise, and logical.

The conclusion should state the findings, explain their significance, and summarize the main points. The conclusion should move from the detailed to the general level of consideration. The conclusion should also briefly state the limitations of the case study and point out the need for further research in order to fully address the problem. This should be done in a manner that will keep the reader interested in reading the paper. It should be clear about what the case study found and what it means for the research community.

The case study begins with a cover page and an executive summary, depending on your professor’s instructions. It’s important to remember that this is not a mandatory element of the case study. Instead, the executive summary should be brief and include the key points of the study’s analysis. It should be written as if an executive would read it on the run. Ultimately, the executive summary should include all the key points of the case study.

Clarity in a case study introduction

Clarity in a case study introduction should be at the heart of the paper. This section should explain why the case was chosen and how you decided to use it. The case study introduction varies according to the type of subject you are studying and the goals of the study. Here are some examples of clear and effective case study introductions. Read on to find out how to write a successful one. Clarity in a case study introduction begins with a strong thesis statement and ends with a compelling conclusion.

The conclusion of the case study should restate the research question and emphasize its importance. Identify and restate the key findings and describe how they address the research question. If the case study has limitations, discuss the potential for further research. In addition, document the limitations of the case study. Include any limitations of the case study in the conclusion. This will allow readers to make informed decisions about whether or not the findings are relevant to their own practices.

A case study introduction should include a brief discussion of the topic and selected case. It should explain how the study fits into current knowledge. A reader may question the validity of the analysis if it fails to consider all possible outcomes. For example, a case study on railroad crossings may fail to document the obvious outcome of improving the signage at these intersections. Another example would be a study that failed to document the impact of warning signs and speed limits on railroad crossings.

As a conclusion, the case study should also contain a discussion of how the research was conducted. While it may be a case study, the results are not necessarily applicable to other situations. In addition to describing how a solution has solved the problem, a case study should also discuss the causes of the problem. A case study should be based on real data and information. If the case study is not valid, it will not be a good fit for the audience.

Sample of a case study introduction

A good case study introduction serves as a map for the reader to follow. It should identify the research problem and discuss its significance. It should be based on extensive research and should incorporate relevant issues and facts. For example, it may include a short but precise problem statement. The next section of the introduction should include a description of the solution. The final part of the introduction should conclude with the recommended action. Once the reader has a sense of the direction the study will take, they will feel confident in pursuing the study further.

In the case of social sciences, case studies cannot be purely empirical. The results of a case study can be compared with those of other studies, so that the case study’s findings can be assessed against previous research. A case study’s results can help support general conclusions and build theories, while their practical value lies in generating hypotheses. Despite their utility, case studies often contain a bias toward verification and tend to confirm the researcher’s preconceived notions.

In the case of case studies, the conclusions section should state the significance of the findings, stating how the findings of the study differ from other previous studies. Likewise, the conclusion section should summarize the key findings, and make the reader understand how they address the research problem. In the case of a case study, it is crucial to document any limitations that have been identified. After all, a case study is not complete without further research.

After the introduction, the main body of the paper is the case presentation. It should provide information about the case, such as the history, examination results, working diagnosis, management, and outcome. It should conclude with a discussion, explaining the correlations, apparent inconsistencies, and lessons learned. Finally, the conclusion should state whether the case study presented the results in the desired way. The findings should not be overgeneralized, and the conclusions must be derived from this information.

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What Is a Case Study?

Weighing the pros and cons of this method of research

Verywell / Colleen Tighe

• Pros and Cons

What Types of Case Studies Are Out There?

Where do you find data for a case study, how do i write a psychology case study.

A case study is an in-depth study of one person, group, or event. In a case study, nearly every aspect of the subject's life and history is analyzed to seek patterns and causes of behavior. Case studies can be used in many different fields, including psychology, medicine, education, anthropology, political science, and social work.

The point of a case study is to learn as much as possible about an individual or group so that the information can be generalized to many others. Unfortunately, case studies tend to be highly subjective, and it is sometimes difficult to generalize results to a larger population.

While case studies focus on a single individual or group, they follow a format similar to other types of psychology writing. If you are writing a case study, we got you—here are some rules of APA format to reference.  

At a Glance

A case study, or an in-depth study of a person, group, or event, can be a useful research tool when used wisely. In many cases, case studies are best used in situations where it would be difficult or impossible for you to conduct an experiment. They are helpful for looking at unique situations and allow researchers to gather a lot of˜ information about a specific individual or group of people. However, it's important to be cautious of any bias we draw from them as they are highly subjective.

What Are the Benefits and Limitations of Case Studies?

A case study can have its strengths and weaknesses. Researchers must consider these pros and cons before deciding if this type of study is appropriate for their needs.

One of the greatest advantages of a case study is that it allows researchers to investigate things that are often difficult or impossible to replicate in a lab. Some other benefits of a case study:

• Allows researchers to capture information on the 'how,' 'what,' and 'why,' of something that's implemented
• Gives researchers the chance to collect information on why one strategy might be chosen over another
• Permits researchers to develop hypotheses that can be explored in experimental research

On the other hand, a case study can have some drawbacks:

• It cannot necessarily be generalized to the larger population
• Cannot demonstrate cause and effect
• It may not be scientifically rigorous
• It can lead to bias

Researchers may choose to perform a case study if they want to explore a unique or recently discovered phenomenon. Through their insights, researchers develop additional ideas and study questions that might be explored in future studies.

It's important to remember that the insights from case studies cannot be used to determine cause-and-effect relationships between variables. However, case studies may be used to develop hypotheses that can then be addressed in experimental research.

Case Study Examples

There have been a number of notable case studies in the history of psychology. Much of  Freud's work and theories were developed through individual case studies. Some great examples of case studies in psychology include:

• Anna O : Anna O. was a pseudonym of a woman named Bertha Pappenheim, a patient of a physician named Josef Breuer. While she was never a patient of Freud's, Freud and Breuer discussed her case extensively. The woman was experiencing symptoms of a condition that was then known as hysteria and found that talking about her problems helped relieve her symptoms. Her case played an important part in the development of talk therapy as an approach to mental health treatment.
• Phineas Gage : Phineas Gage was a railroad employee who experienced a terrible accident in which an explosion sent a metal rod through his skull, damaging important portions of his brain. Gage recovered from his accident but was left with serious changes in both personality and behavior.
• Genie : Genie was a young girl subjected to horrific abuse and isolation. The case study of Genie allowed researchers to study whether language learning was possible, even after missing critical periods for language development. Her case also served as an example of how scientific research may interfere with treatment and lead to further abuse of vulnerable individuals.

Such cases demonstrate how case research can be used to study things that researchers could not replicate in experimental settings. In Genie's case, her horrific abuse denied her the opportunity to learn a language at critical points in her development.

This is clearly not something researchers could ethically replicate, but conducting a case study on Genie allowed researchers to study phenomena that are otherwise impossible to reproduce.

There are a few different types of case studies that psychologists and other researchers might use:

• Collective case studies : These involve studying a group of individuals. Researchers might study a group of people in a certain setting or look at an entire community. For example, psychologists might explore how access to resources in a community has affected the collective mental well-being of those who live there.
• Descriptive case studies : These involve starting with a descriptive theory. The subjects are then observed, and the information gathered is compared to the pre-existing theory.
• Explanatory case studies : These   are often used to do causal investigations. In other words, researchers are interested in looking at factors that may have caused certain things to occur.
• Exploratory case studies : These are sometimes used as a prelude to further, more in-depth research. This allows researchers to gather more information before developing their research questions and hypotheses .
• Instrumental case studies : These occur when the individual or group allows researchers to understand more than what is initially obvious to observers.
• Intrinsic case studies : This type of case study is when the researcher has a personal interest in the case. Jean Piaget's observations of his own children are good examples of how an intrinsic case study can contribute to the development of a psychological theory.

The three main case study types often used are intrinsic, instrumental, and collective. Intrinsic case studies are useful for learning about unique cases. Instrumental case studies help look at an individual to learn more about a broader issue. A collective case study can be useful for looking at several cases simultaneously.

The type of case study that psychology researchers use depends on the unique characteristics of the situation and the case itself.

There are a number of different sources and methods that researchers can use to gather information about an individual or group. Six major sources that have been identified by researchers are:

• Archival records : Census records, survey records, and name lists are examples of archival records.
• Direct observation : This strategy involves observing the subject, often in a natural setting . While an individual observer is sometimes used, it is more common to utilize a group of observers.
• Documents : Letters, newspaper articles, administrative records, etc., are the types of documents often used as sources.
• Interviews : Interviews are one of the most important methods for gathering information in case studies. An interview can involve structured survey questions or more open-ended questions.
• Participant observation : When the researcher serves as a participant in events and observes the actions and outcomes, it is called participant observation.
• Physical artifacts : Tools, objects, instruments, and other artifacts are often observed during a direct observation of the subject.

If you have been directed to write a case study for a psychology course, be sure to check with your instructor for any specific guidelines you need to follow. If you are writing your case study for a professional publication, check with the publisher for their specific guidelines for submitting a case study.

Here is a general outline of what should be included in a case study.

Section 1: A Case History

This section will have the following structure and content:

Background information : The first section of your paper will present your client's background. Include factors such as age, gender, work, health status, family mental health history, family and social relationships, drug and alcohol history, life difficulties, goals, and coping skills and weaknesses.

Description of the presenting problem : In the next section of your case study, you will describe the problem or symptoms that the client presented with.

Describe any physical, emotional, or sensory symptoms reported by the client. Thoughts, feelings, and perceptions related to the symptoms should also be noted. Any screening or diagnostic assessments that are used should also be described in detail and all scores reported.

Your diagnosis : Provide your diagnosis and give the appropriate Diagnostic and Statistical Manual code. Explain how you reached your diagnosis, how the client's symptoms fit the diagnostic criteria for the disorder(s), or any possible difficulties in reaching a diagnosis.

Section 2: Treatment Plan

This portion of the paper will address the chosen treatment for the condition. This might also include the theoretical basis for the chosen treatment or any other evidence that might exist to support why this approach was chosen.

• Cognitive behavioral approach : Explain how a cognitive behavioral therapist would approach treatment. Offer background information on cognitive behavioral therapy and describe the treatment sessions, client response, and outcome of this type of treatment. Make note of any difficulties or successes encountered by your client during treatment.
• Humanistic approach : Describe a humanistic approach that could be used to treat your client, such as client-centered therapy . Provide information on the type of treatment you chose, the client's reaction to the treatment, and the end result of this approach. Explain why the treatment was successful or unsuccessful.
• Psychoanalytic approach : Describe how a psychoanalytic therapist would view the client's problem. Provide some background on the psychoanalytic approach and cite relevant references. Explain how psychoanalytic therapy would be used to treat the client, how the client would respond to therapy, and the effectiveness of this treatment approach.
• Pharmacological approach : If treatment primarily involves the use of medications, explain which medications were used and why. Provide background on the effectiveness of these medications and how monotherapy may compare with an approach that combines medications with therapy or other treatments.

This section of a case study should also include information about the treatment goals, process, and outcomes.

When you are writing a case study, you should also include a section where you discuss the case study itself, including the strengths and limitiations of the study. You should note how the findings of your case study might support previous research. 

In your discussion section, you should also describe some of the implications of your case study. What ideas or findings might require further exploration? How might researchers go about exploring some of these questions in additional studies?

Need More Tips?

Here are a few additional pointers to keep in mind when formatting your case study:

• Never refer to the subject of your case study as "the client." Instead, use their name or a pseudonym.
• Read examples of case studies to gain an idea about the style and format.
• Remember to use APA format when citing references .

Crowe S, Cresswell K, Robertson A, Huby G, Avery A, Sheikh A. The case study approach .  BMC Med Res Methodol . 2011;11:100.

Crowe S, Cresswell K, Robertson A, Huby G, Avery A, Sheikh A. The case study approach . BMC Med Res Methodol . 2011 Jun 27;11:100. doi:10.1186/1471-2288-11-100

Gagnon, Yves-Chantal.  The Case Study as Research Method: A Practical Handbook . Canada, Chicago Review Press Incorporated DBA Independent Pub Group, 2010.

Yin, Robert K. Case Study Research and Applications: Design and Methods . United States, SAGE Publications, 2017.

By Kendra Cherry, MSEd Kendra Cherry, MS, is a psychosocial rehabilitation specialist, psychology educator, and author of the "Everything Psychology Book."

How to Write a Case Study - All You Wanted to Know

What do you study in your college? If you are a psychology, sociology, or anthropology student, we bet you might be familiar with what a case study is. This research method is used to study a certain person, group, or situation. In this guide from our dissertation writing service , you will learn how to write a case study professionally, from researching to citing sources properly. Also, we will explore different types of case studies and show you examples — so that you won’t have any other questions left.

What Is a Case Study?

A case study is a subcategory of research design which investigates problems and offers solutions. Case studies can range from academic research studies to corporate promotional tools trying to sell an idea—their scope is quite vast.

What Is the Difference Between a Research Paper and a Case Study?

While research papers turn the reader’s attention to a certain problem, case studies go even further. Case study guidelines require students to pay attention to details, examining issues closely and in-depth using different research methods. For example, case studies may be used to examine court cases if you study Law, or a patient's health history if you study Medicine. Case studies are also used in Marketing, which are thorough, empirically supported analysis of a good or service's performance. Well-designed case studies can be valuable for prospective customers as they can identify and solve the potential customers pain point.

Case studies involve a lot of storytelling – they usually examine particular cases for a person or a group of people. This method of research is very helpful, as it is very practical and can give a lot of hands-on information. Most commonly, the length of the case study is about 500-900 words, which is much less than the length of an average research paper.

The structure of a case study is very similar to storytelling. It has a protagonist or main character, which in your case is actually a problem you are trying to solve. You can use the system of 3 Acts to make it a compelling story. It should have an introduction, rising action, a climax where transformation occurs, falling action, and a solution.

Here is a rough formula for you to use in your case study:

Problem (Act I): > Solution (Act II) > Result (Act III) > Conclusion.

Types of Case Studies

The purpose of a case study is to provide detailed reports on an event, an institution, a place, future customers, or pretty much anything. There are a few common types of case study, but the type depends on the topic. The following are the most common domains where case studies are needed:

• Historical case studies are great to learn from. Historical events have a multitude of source info offering different perspectives. There are always modern parallels where these perspectives can be applied, compared, and thoroughly analyzed.
• Problem-oriented case studies are usually used for solving problems. These are often assigned as theoretical situations where you need to immerse yourself in the situation to examine it. Imagine you’re working for a startup and you’ve just noticed a significant flaw in your product’s design. Before taking it to the senior manager, you want to do a comprehensive study on the issue and provide solutions. On a greater scale, problem-oriented case studies are a vital part of relevant socio-economic discussions.
• Cumulative case studies collect information and offer comparisons. In business, case studies are often used to tell people about the value of a product.
• Critical case studies explore the causes and effects of a certain case.
• Illustrative case studies describe certain events, investigating outcomes and lessons learned.

Need a compelling case study? EssayPro has got you covered. Our experts are ready to provide you with detailed, insightful case studies that capture the essence of real-world scenarios. Elevate your academic work with our professional assistance.

Case Study Format

The case study format is typically made up of eight parts:

• Executive Summary. Explain what you will examine in the case study. Write an overview of the field you’re researching. Make a thesis statement and sum up the results of your observation in a maximum of 2 sentences.
• Background. Provide background information and the most relevant facts. Isolate the issues.
• Case Evaluation. Isolate the sections of the study you want to focus on. In it, explain why something is working or is not working.
• Proposed Solutions. Offer realistic ways to solve what isn’t working or how to improve its current condition. Explain why these solutions work by offering testable evidence.
• Conclusion. Summarize the main points from the case evaluations and proposed solutions. 6. Recommendations. Talk about the strategy that you should choose. Explain why this choice is the most appropriate.
• Implementation. Explain how to put the specific strategies into action.
• References. Provide all the citations.

How to Write a Case Study

Let's discover how to write a case study.

Setting Up the Research

When writing a case study, remember that research should always come first. Reading many different sources and analyzing other points of view will help you come up with more creative solutions. You can also conduct an actual interview to thoroughly investigate the customer story that you'll need for your case study. Including all of the necessary research, writing a case study may take some time. The research process involves doing the following:

• Define your objective. Explain the reason why you’re presenting your subject. Figure out where you will feature your case study; whether it is written, on video, shown as an infographic, streamed as a podcast, etc.
• Determine who will be the right candidate for your case study. Get permission, quotes, and other features that will make your case study effective. Get in touch with your candidate to see if they approve of being part of your work. Study that candidate’s situation and note down what caused it.
• Identify which various consequences could result from the situation. Follow these guidelines on how to start a case study: surf the net to find some general information you might find useful.
• Make a list of credible sources and examine them. Seek out important facts and highlight problems. Always write down your ideas and make sure to brainstorm.
• Focus on several key issues – why they exist, and how they impact your research subject. Think of several unique solutions. Draw from class discussions, readings, and personal experience. When writing a case study, focus on the best solution and explore it in depth. After having all your research in place, writing a case study will be easy. You may first want to check the rubric and criteria of your assignment for the correct case study structure.

Read Also: ' WHAT IS A CREDIBLE SOURCES ?'

Although your instructor might be looking at slightly different criteria, every case study rubric essentially has the same standards. Your professor will want you to exhibit 8 different outcomes:

• Correctly identify the concepts, theories, and practices in the discipline.
• Identify the relevant theories and principles associated with the particular study.
• Evaluate legal and ethical principles and apply them to your decision-making.
• Recognize the global importance and contribution of your case.
• Construct a coherent summary and explanation of the study.
• Demonstrate analytical and critical-thinking skills.
• Explain the interrelationships between the environment and nature.
• Integrate theory and practice of the discipline within the analysis.

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Case Study Outline

Let's look at the structure of an outline based on the issue of the alcoholic addiction of 30 people.

Introduction

• Statement of the issue: Alcoholism is a disease rather than a weakness of character.
• Presentation of the problem: Alcoholism is affecting more than 14 million people in the USA, which makes it the third most common mental illness there.
• Explanation of the terms: In the past, alcoholism was commonly referred to as alcohol dependence or alcohol addiction. Alcoholism is now the more severe stage of this addiction in the disorder spectrum.
• Hypotheses: Drinking in excess can lead to the use of other drugs.
• Importance of your story: How the information you present can help people with their addictions.
• Background of the story: Include an explanation of why you chose this topic.
• Presentation of analysis and data: Describe the criteria for choosing 30 candidates, the structure of the interview, and the outcomes.
• Strong argument 1: ex. X% of candidates dealing with anxiety and depression...
• Strong argument 2: ex. X amount of people started drinking by their mid-teens.
• Strong argument 3: ex. X% of respondents’ parents had issues with alcohol.
• Concluding statement: I have researched if alcoholism is a disease and found out that…
• Recommendations: Ways and actions for preventing alcohol use.

Writing a Case Study Draft

After you’ve done your case study research and written the outline, it’s time to focus on the draft. In a draft, you have to develop and write your case study by using: the data which you collected throughout the research, interviews, and the analysis processes that were undertaken. Follow these rules for the draft:

Use Data to Illustrate Key Points in Your Case Study

Even though your case study is a story, it should be based on evidence. Use as much data as possible to illustrate your point. Without the right data, your case study may appear weak and the readers may not be able to relate to your issue as much as they should. Let's see the examples from essay writing service :

‍ With data: Alcoholism is affecting more than 14 million people in the USA, which makes it the third most common mental illness there. Without data: A lot of people suffer from alcoholism in the United States.

Try to include as many credible sources as possible. You may have terms or sources that could be hard for other cultures to understand. If this is the case, you should include them in the appendix or Notes for the Instructor or Professor.

Finalizing the Draft: Checklist

After you finish drafting your case study, polish it up by answering these ‘ask yourself’ questions and think about how to end your case study:

• Check that you follow the correct case study format, also in regards to text formatting.
• Check that your work is consistent with its referencing and citation style.
• Micro-editing — check for grammar and spelling issues.
• Macro-editing — does ‘the big picture’ come across to the reader? Is there enough raw data, such as real-life examples or personal experiences? Have you made your data collection process completely transparent? Does your analysis provide a clear conclusion, allowing for further research and practice?

Problems to avoid:

• Overgeneralization – Do not go into further research that deviates from the main problem.
• Failure to Document Limitations – Just as you have to clearly state the limitations of a general research study, you must describe the specific limitations inherent in the subject of analysis.
• Failure to Extrapolate All Possible Implications – Just as you don't want to over-generalize from your case study findings, you also have to be thorough in the consideration of all possible outcomes or recommendations derived from your findings.

How to Create a Title Page and Cite a Case Study

Let's see how to create an awesome title page.

Your title page depends on the prescribed citation format. The title page should include:

• A title that attracts some attention and describes your study
• The title should have the words “case study” in it
• The title should range between 5-9 words in length
• Your name and contact information
• Your finished paper should be only 500 to 1,500 words in length.With this type of assignment, write effectively and avoid fluff

Here is a template for the APA and MLA format title page:

There are some cases when you need to cite someone else's study in your own one – therefore, you need to master how to cite a case study. A case study is like a research paper when it comes to citations. You can cite it like you cite a book, depending on what style you need.

Citation Example in MLA ‍ Hill, Linda, Tarun Khanna, and Emily A. Stecker. HCL Technologies. Boston: Harvard Business Publishing, 2008. Print.

Citation Example in APA ‍ Hill, L., Khanna, T., & Stecker, E. A. (2008). HCL Technologies. Boston: Harvard Business Publishing.

Citation Example in Chicago Hill, Linda, Tarun Khanna, and Emily A. Stecker. HCL Technologies.

Case Study Examples

To give you an idea of a professional case study example, we gathered and linked some below.

Eastman Kodak Case Study

Case Study Example: Audi Trains Mexican Autoworkers in Germany

To conclude, a case study is one of the best methods of getting an overview of what happened to a person, a group, or a situation in practice. It allows you to have an in-depth glance at the real-life problems that businesses, healthcare industry, criminal justice, etc. may face. This insight helps us look at such situations in a different light. This is because we see scenarios that we otherwise would not, without necessarily being there. If you need custom essays , try our research paper writing services .

Get Help Form Qualified Writers

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What Is A Case Study?

How to cite a case study in apa, how to write a case study.

Daniel Parker

is a seasoned educational writer focusing on scholarship guidance, research papers, and various forms of academic essays including reflective and narrative essays. His expertise also extends to detailed case studies. A scholar with a background in English Literature and Education, Daniel’s work on EssayPro blog aims to support students in achieving academic excellence and securing scholarships. His hobbies include reading classic literature and participating in academic forums.

is an expert in nursing and healthcare, with a strong background in history, law, and literature. Holding advanced degrees in nursing and public health, his analytical approach and comprehensive knowledge help students navigate complex topics. On EssayPro blog, Adam provides insightful articles on everything from historical analysis to the intricacies of healthcare policies. In his downtime, he enjoys historical documentaries and volunteering at local clinics.

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Your Step-By-Step Guide To Writing a Case Study

Creating a case study is both an art and a science. It requires making an in-depth exploration of your chosen subject in order to extract meaningful insights and understand the dynamics that more general surveys or statistical research might not uncover. At the same time, your case study also needs to be a compelling read to ensure those insights get attention from other people!

Unsurprisingly, the prospect of crafting an effective case study can be daunting. It calls for strategic planning, careful organization, and clear communication, all of which can be challenging even for experienced researchers. That's why we've created this step-by-step guide, which breaks the process down into manageable steps, demystifying the journey from defining your research question to sharing your findings. Whether you're a seasoned researcher or a first-timer, this guide aims to equip you with the necessary tools and tips to create a case study that's not just informative, but also engaging and impactful.

Are you ready to unlock the potential of case studies? Let's dive in!

What is a case study?

First, it's important to understand what a case study is – and what it isn't.

A case study is a thorough exploration of a specific subject or event over a certain time frame. Case studies are utilized in numerous fields, including sociology, psychology, education, anthropology, business, and the health sciences, and employ various research techniques to shed light on complex issues.

A case study does not provide absolute proof or conclusions that can be universally applied. Because it concentrates on one particular case or just a few cases, the findings might not apply to different contexts or subjects. Case studies also aren't ideal for determining cause-and-effect relationships as they do not use controlled conditions to separate and measure the impacts of different factors. Lastly, it must be said that a case study isn't just a random assortment of facts or observations; it necessitates a clear research question, a methodical approach to data collection and analysis, and a thoughtful interpretation of the results.

Getting started

Now that we've established the definition and purpose of a case study, let's explore the process by which one is created. You can produce a case study by following these nine steps:

1. Define the purpose of your case study

Before you start writing a case study, you need to define its purpose clearly. Ask yourself: What is the research question or problem you aim to solve? What insights are you looking to uncover? Your goals will guide your research design and influence your choice of case. This initial stage of introspection and clarification is crucial as it acts as a roadmap for your study.

2. Select the case to study

Once you've defined your research objective, the next step is to choose a suitable case that can help answer your research question. This might be a unique, critical, or representative instance. Unique cases offer the opportunity to observe and analyze a situation that is unusual or not well-understood. In contrast, a representative or typical case is often chosen because it represents other cases or a broader phenomenon.

In any case, be sure to justify your choice. Explain why the case is of interest and how it can contribute to the knowledge or understanding of the issue at hand. For instance, if you're studying the effects of corporate restructuring on employee morale, you might choose to focus on a company that recently underwent a significant restructure.

3. Conduct a thorough literature review

Performing a literature review involves a careful examination of relevant scholarly articles, books, and other sources related to your research question or problem. In the process, you identify gaps in the current knowledge and determine how your case study can address them. By critically examining existing research, you will not only gain a comprehensive understanding of your chosen topic but also be able to refine your research question or hypothesis, if necessary.

4. Choose a methodological approach

The methodological approach used in your case study will depend on your research objectives and the nature of the case. Methodologies that can be employed in case studies include qualitative, quantitative, and mixed methods .

Qualitative methods are often used when the goal is to explore, understand, or interpret certain phenomena. These involve approaches like interviews, focus groups, or ethnography. Quantitative methods, on the other hand, are used when the goal is to test hypotheses or examine relationships between variables. Quantitative approaches often include experiments. Also, surveys may be either qualitative or quantitative depending on the question design.

You may choose to use a combination of qualitative and quantitative methods (mixed methods) if it suits your research objectives.

5. Collect and organize your data

Data collection should be systematic and organized to maintain the integrity and reliability of your research. You need to plan how you will record and store your data to ensure that it's accessible and usable.

If you're conducting interviews or observations, consider using recording devices (with participant consent) to capture the data accurately. In addition, you may want to transcribe the recorded material for easier analysis. If you're using documents or archival records, develop a system for coding and categorizing the data.

6. Analyze the data

Analysis involves interpreting your data to draw out meaningful insights; it is in this stage that your findings start to take shape. Depending on the nature of your data and your research question, you might use any of a variety of analysis methods. For qualitative data, you might employ thematic analysis to identify key themes or grounded theory to generate a new theoretical framework. For quantitative data, you might use statistical analysis to identify patterns or correlations.

Always be open to unexpected findings. Your initial hypotheses might not be supported, or you might uncover new insights that you hadn't initially considered. Remember that all data, whether they fit neatly into your analysis or not, provide valuable insights and contribute to the holistic understanding of your case.

7. Write the case study report

After analyzing the data, it's finally time to compose your case study. In terms of structure, a typical case study might consist of an introduction, background information, the collected data (results), analysis of that data, and the conclusion. Here's a brief breakdown of each section:

• Introduction: The introduction should be brief but engaging, providing a clear statement of the research question or problem, explaining why the case was chosen, and outlining what the case study will cover.
• Background: The background provides the context for your case. Describe the case, its history, and any relevant information that will help readers understand the situation.
• Results: This section should provide a comprehensive account of what you found, without interpretation or opinion. Present your findings in a clear, organized manner. Use visuals such as charts or graphs if they aid comprehension.
• Analysis: This section should provide your interpretations and arguments. Discuss the patterns, themes, or relationships you've identified in your data. Explain what these findings mean in relation to your research question.
• Conclusion: Finally, summarize the key insights from your case study along with their implications. Discuss the limitations of your study and propose avenues for future research.

8. Review and revise

The process of writing a case study doesn't actually end when the report is written; you also need to review your writing for coherence, clarity, and correctness. Don't underestimate the importance of this step! Make sure the information flows logically and that your arguments are well-supported. Check for any grammar or spelling errors. Having a peer or mentor review your work can be incredibly helpful as they provide a fresh perspective and can catch mistakes you might have missed.

9. Get approval if required

If your case study involves human subjects, you may need to obtain approval from an ethical review board. You'll also need to obtain informed consent from your subjects and ensure you respect their privacy and confidentiality throughout the research process. Always follow your institution's ethical guidelines and any other relevant legislation .

Practical tips for writing a compelling case study

Getting through all those steps can feel like a formidable challenge, but here are some practical tips to make the process more manageable:

Be systematic and organized

Given the importance of detail in case studies, it's vital to be systematic and organized from the get-go. This means keeping meticulous records of your data, your sources, and any changes to your research design. A good practice is to maintain a research journal or log where you can record your process, thoughts, and reflections.

In addition, use technology to your advantage. Digital tools like citation managers can help you keep track of your sources and make formatting references a breeze, while spreadsheet or database software can assist in managing and organizing your data. Developing a consistent system for labeling and storing information at the outset will save you time and effort later when you need to retrieve data for analysis.

Stay focused

One common pitfall in research and writing is loss of focus: getting sidetracked by interesting but ultimately irrelevant digressions, which can be very easy, especially when you're dealing with a rich and complex case. Always remember your research question and objectives, and let these guide your study at every step. It's perfectly acceptable – and in fact advisable – to delineate what your study will not cover. Setting clear boundaries can help you stay focused and manage the scope of your study effectively.

Use visual aids

Visual aids such as charts, diagrams, or photographs can greatly enhance your case study. They provide readers with a break from the monotony of text and can communicate complex data or relationships more easily. For instance, if you're presenting a lot of numerical data, consider using a chart or graph. If you're describing a process or sequence of events, portraying it in a flowchart or timeline might be useful. Remember, the goal is to aid comprehension, so make sure your visual aids are clear, well-labeled, and integrated into the text.

Include direct quotes

If your case study involves interviews, including direct quotes can add depth and a sense of the personal to your findings. They provide readers with a firsthand perspective and make your case study more engaging.

When using quotes, be sure to integrate them smoothly into your text. Provide enough context so readers understand the quote's relevance. Also, remember to adhere to ethical guidelines– always respect confidentiality and anonymity agreements.

Maintain ethical standards

Ethics is a fundamental consideration in all research, including case studies. Ensure you have proper consent from participants, respect their privacy, and accurately present your findings without manipulation.

Misrepresenting data or failing to respect participants' rights can lead to serious ethical violations. Always follow your institution's ethical guidelines and any other relevant legislation. If in doubt, seek advice from a supervisor or your institution's ethics committee.

Acknowledge limitations

Every research study has limitations, which could relate to the research design, data collection methods, or other aspects of the study. Being transparent about the limitations of your study can enhance its credibility; moreover, not only does identifying limitations demonstrate your critical thinking and honesty, but it also helps readers accurately interpret your findings.

Finally, acknowledging the limitations of your work helps to set the stage for further research. By identifying aspects that your study couldn't address, you provide other researchers with avenues for building on your findings.

Learn from examples

Before you start writing your case study, it can be helpful to review some published case studies in your field. Different fields may have different conventions, and familiarizing yourself with case studies in your own field can help guide your writing. Look at the structure, tone, and style. Pay attention to how the authors present and analyze data, and how they link their findings back to the research question. You can also learn a lot from the strengths and weaknesses of previously published works. However, remember to develop your own unique voice and perspective – don't just mimic what others have done.

Design for triangulation

Triangulation involves using multiple data sources or methods to gain a more comprehensive and balanced understanding of your research topic. By coming at your research question from multiple directions, such as by examining different datasets or using different methods, you can increase the validity of your results and gain more nuanced insights.

For example, if you're studying the impact of a new teaching method in a school, you might observe classes, interview teachers, and also survey students. Each method will provide a slightly different perspective, and together, they allow you to develop a more complete picture of the teaching method's impact.

Practice reflexivity

Reflexivity involves reflecting on how your assumptions, values, or experiences might influence your research process and interpretations. As a researcher, it's essential to be aware of your potential biases and how they might shape your study.

Consider keeping a reflexivity journal where you can note your thoughts, feelings, and reflections throughout the research process. This practice can help you stay aware of your biases and ensure your research is as objective and balanced as possible.

Write for your audience

Always make sure that your writing is on target for your intended audience. If you're writing for an academic audience, for example, you'll likely use a more formal tone and include more detailed methodological information. If you're writing for practitioners or a general audience, you might use a more accessible language and focus more on practical implications.

Remember to define any technical terms or jargon, and provide sufficient context so your readers can understand your research. The goal is to communicate your findings effectively, regardless of who your readers are.

Seek feedback

Feedback is valuable for improving your case study. Consider sharing drafts with your peers, mentors, or supervisors and asking for their input. Fresh eyes can provide different perspectives, catch errors, or suggest ways to strengthen your arguments.

Remember, feedback is not personal; it's about improving your work. Be open to critique and willing to revise your work based on the feedback you receive.

Writing a case study is a meticulous process that requires clear purpose, careful planning, systematic data collection, and thoughtful analysis. Although it can be time-consuming, the rich, detailed insights a well-executed case study can provide make this study design an invaluable tool in research.

By following this guide and adopting its practical tips, you will be well on your way to crafting a compelling case study that contributes meaningful insights to your chosen field. Good luck with your research journey!

Header image by Kateryna Hliznitsova .

The Ultimate Guide on Writing an A+ Case Study Analysis + 15 Examples

Struggle with writing a case study analysis? You are in the right place! Below, we will show you nuts and bolts of this type of paper, how to write it, and share 15 distinct essay examples. Plus, you will find the case study checklist to keep your writing on track.

What is a Case Study Analysis?

Case study analysis topics.

• Important Aspects

You might ask, what is a case study analysis ? With this type of work, you take an actual situation from a specific discipline, such as business or education. The goal is to find a solution, analyze the outcomes of the situation, or evaluate it.

Case study analysis does not target one specific theory or piece of knowledge. It requires a universal application of several theories and methods for research and review. Hence, it can be helpful for many disciplines at once. If you need to look at some examples, head over to our essay database .

There are several steps you need to take for a successful analysis depending on the type of your case study. Here are the most critical universal points:

• Analyze the problem from different perspectives. Use the theories and methods you have learned about in the classroom.
• Devise a series of solutions or outcomes. You need to analyze their advantages and weaknesses.
• Provide the best solution according to your analysis. You must present solid arguments for why you have suggested it.
• Demonstrate well-grounded research in your case study analysis You should not make claims without proof.
• Provide credible references for any theory that you mention in your analysis. You do not want your work to be discarded because of plagiarism.

If you want to start the business in the future, case study analysis is essential for your education. It can give you a taste of what your career is might include.

Are you panicking because you have never written anything like this before? Don’t worry! After going through the guidelines in this article, you will get a better sense of what is required from you. It will not seem as scary anymore. 😊

• Business ethics: the case study
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• McKinsey opioid scandal: the case study
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• Long-term value for the organization as a result of high-quality customer service
• The missions of community-based clinics
• Operations management: Apple case study
• Emergency management of Fournier’s gangrene
• The outcome of the Hamdi v. Rumsfeld case
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• Strength and conditioning training: the case study
• History of Nike corporation
• Positive and negative symptoms of schizophrenia
• Anxiety-related habits during post-traumatic stress disorder
• The issue of Starbucks employees wearing union pins
• How does Delta Airlines increase its competitive advantage?
• Why was Anne Hutchinson a threat to authorities?

15 Case Study Analysis Examples

We have prepared 15 examples of case study analysis, so you can get an idea of how they should look. The disciplines are broad and there is something here for everyone. Check out the table below!

Let’s concentrate on the format for case study analysis!

Case Study Analysis: Format

In this section, we will get you acquainted with different types of case studies. We will focus on the difference between multiple and single case study analysis. Additionally, we will show you how to organize all of your ideas into an outline. Hence, your work will be understandable and complete.

• Types of Case Studies

There are several distinct types of case studies , each with its nuances. The choice will depend on the needs of your investigation. We will focus on Illustrative, Exploratory, Cumulative, and Critical Instance studies. Let’s explore each of them one by one.

• Illustrative Case Studies Illustrative case studies are the most common type. They are very descriptive, and the main goal is to help you understand the situation. You are typically given one or two instances of an event. Illustrative case studies answer two questions: What is happening? Why is it happening? The case study is explained in great detail, including location, key players, roles, influence, and involvement. The focus of illustrative case studies is to maintain the reader’s interest. Hence, the language should be understandable, but it should not be oversimplified. It is not preferred to quote more than two instances as the case study might become too complicated.
• Exploratory Case Studies Exploratory case studies are mainly used in Social Sciences. They tend to focus on real-life contexts for situations. They are implemented before a large-scale investigation to help develop the case for more advanced research processes. Exploratory case studies aim to research a specific topic in detail to help you reach a complete understanding of it. You need to identify questions that can later be answered as part of a more extensive examination. Your initial research might reveal very persuasive details. However, it is crucial to remember that concluding before the large-scale investigation is counterproductive.
• Cumulative Case Studies The idea of a cumulative case study is to gather information and details from many data sources to claim a general phenomenon. Cumulative case studies eliminate the need for additional and expensive new studies, which are simply repetitions of the old ones. If you properly analyze all of the case study data that exists, you will realize that everything you are looking for is already there. However, it is essential to look at the existing research from a new perspective to ensure it fits the current challenges and needs.
• Critical Instance Case Studies Critical instance case studies are similar to cumulative but work oppositely. Instead of defining a general phenomenon based on little research, it tries to understand a specific case based on generalized findings. Critical instance case studies help answer cause and effect questions. The adequate specification of your evaluation question is the most crucial part of your analysis.
• Single vs. Multiple Case Study

Your case study can either include a single case or multiple cases . In this section, we will discuss the benefits of both:

• Single Case Study Single case studies are less expensive and do not take as much time. When examining one case, it is easier to put all of your energy into it and get a deeper understanding of the subject. Since the study is more careful, you can look at one thing from many different perspectives. Usually, in a single case study, the case is more critical and unique , and it is possible to focus on a more longitudinal research.
• Multiple Case Study When studying several cases, you can understand the critical similarities and differences among them. If you base your research on many cases, it will be more robust and reliable. Such analysis allows you to form broader research questions. Hence, you can end up with a more convincing theory.

Now, let’s talk about the backbone of every study: the outline!

Case Study Outline

Before writing any paper, you should first prepare an outline. It not only makes your job easier but also enhances the organization of your paper. You should put all of your ideas down and try to understand which order and format will best suit your analysis.

We have tried to simplify the process by preparing a sample outline for your case study analysis. It will help you understand what your paper should include.

• Introduction Firstly, you should introduce your reader to the case, assuming they have no prior knowledge. Describe all the challenges and mention the most important details.
• Answers to the Questions There will probably be some questions about your case. It would be best if you answered all of them in an organized manner. Make sure not to make it too obvious. Answer them in such a way that it seems like a part of your analysis.
• Challenges Though you talk about the challenges in your introduction a little bit, it is essential to go into more detail within the main paragraphs to make sure your readers understand them. It will improve the comprehension of solutions later.
• Solutions Introduce each solution you have devised. Evaluate those based on different theories and mechanisms. All of your propositions need to be solid and well-designed. Your case study evaluation should be informative and engaging.
• Final Statement In this part of your paper, you should state which solution best fits the case according to your broader analysis. You should compare it with the others and explain why you have chosen it.
• Conclusion The conclusion is the last thing you need to write. There is nothing specific that should be included. Make sure that your paper comes to a logical end.
• References Of course, you need to reference all of the theories and practices mentioned in your paper for your analysis to be solid and well-grounded. The style of your references will depend on the format assigned by your instructor.

This is how a typical case study analysis should look like. We mentioned this format for you to imagine the standard thought process that goes into making outlines. First, organize your research and divide it into parts to achieve an exciting and compelling paper. The type of case study analysis with which you are dealing also matters.

Now, here’s how you start writing!

How to Write Case Study Analysis: Important Aspects

In this section, you will find everything you need to kickstart writing your paper. Firstly, we will go through the things you need to have ready before you start. Then, we will show you how to do adequate research. Finally, we will give you a case study checklist to make it easier to complete the tasks throughout your analysis.

Before You Start

It is vital to choose an appropriate case study topic first. It should be exciting and relevant to your area of study. Once you select your topic, you need to choose an applicable case study . There are several criteria that you need to keep in mind in your search of a case study:

• The case study should complement your topic of research For example, if the topic you have chosen is related to marketing, it would be weird if your case study was about banking. However, a case study about how a famous company handles its marketing would be very acceptable.
• The case study should apply to the phenomena that you have chosen to research Make sure that the way the company handles its marketing can be generalized to benefit other companies. It needs to be universally reusable.
• The case study cannot be outdated You need to know that you can apply the outcome of your research to the modern world. Everything needs to be analyzed from the perspective of today.
• Decide whether you need a single or multiple case study You can go through the comparison above once again. Try to understand which one suits your topic best.

Do you already have the topic? Let’s get your researching skills up to date!

Case Study Research

When doing case study research, simply googling something rains down tons of sources full of information. However, most of those sources cannot be trusted, especially when writing an academic paper. The references are the most crucial part of such papers. If they are poor, then your essay has no reliable basis. Hence, you need to look for official sources, such as university websites or scholarly articles. Remember that Wikipedia is not a valid source !

Throughout the process, have your research question in mind. It is easy to get carried away and read every exciting article on the topic. Nonetheless, it would be best to have a specific goal to ensure your research is practical and not wasting your time.

Finally, keep your research up to date! Remember that you are looking for information that applies to the current world and its challenges. You need to look for modern solutions to the given problem.

We are almost there! Let’s make sure you can tick off every item in this checklist !

Checklist for Case Study Analysis

Go through this checklist. It will help you keep your case study research and writing on track.

• Choose the topic.
• Decide whether you are going to do single or multiple case study.
• Identify the type of your case study.
• They are relevant to the topic.
• Their outcome can be generalized to fit other cases within the same area of research.
• They are not outdated.
• Define a clear case study research question.
• Make sure that the sources of your research are credible and up to date.
• Identify the theories and methodologies you are going to use to analyze the case.
• Use more than one point of view to examine the case, and look at it from different perspectives.
• Have a clear outline of what you are going to include in your paper.
• Write and proofread your paper.

Have you completed every item on this list? Congratulations! You are done with your case study analysis!

❓ What is the difference between case study and case analysis?

Case study and case analysis both provide you with a topic and require extensive research. However, a case study must be taken from real life. For example, a student might analyze Coca-Cola’s financial results and come up with brilliant results that can significantly impact the company. If you send this kind of case study analysis to the company, you might even get a reward. Case analysis focuses more on problems and solutions, whereas case studies can include general research and evaluation.

❓ What are the stages of a case study?

There are four main stages of a case study:

• analyzing the case,
• identifying its challenges,
• devising a set of possible solutions or outcomes,
• evaluating those outcomes.

To ensure the success of your analysis, you should go over all of these stages with equal diligence.

❓ What is the purpose of a case study?

The purpose of a case study analysis is to describe a case in detail and identify the main issues with it. Afterwards, these issues need to be analyzed based on appropriate theories from the discipline that you have learned about in class. Finally, you need to recommend a list of actions that should be performed for that case.

❓ What are the qualities of a good case study?

Here are some qualities of a good case study:

• It is written in a formal, academic language with good grammar and coherent structure.
• All of the claims made in the case study have a reasonable basis and can be proven.
• The case study does not overload the readers with unnecessary information. It is clear and to the point.
• The information is passed to the reader in an organized manner. It has flow, and it is easy to keep up with the extensive academic research.
• What is a Case Study Analysis
• Illustrative Case Studies
• Exploratory Case Study Example
• Definition of Cumulative Case Studies
• Definition of Critical Instance Case Studies
• A Comparative Study of Single and Multiple Case Studies
• How to Choose an Applicable Study
• Case Study Checklist
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Case Study Analysis: Examples + How-to Guide & Writing Tips

A case study analysis is a typical assignment in business management courses. The task aims to show high school and college students how to analyze a current situation, determine what problems exist, and develop the best possible strategy to achieve the desired outcome.

Many students feel anxious about writing case analyses because being told to analyze a case study and provide a solution can seem like a big task. That is especially so when working with real-life scenarios. However, you can rest assured writing a case analysis paper is easier than you think. Just keep reading this article and you will find case study examples for students and the advice provided by Custom-writing experts!

• 👣 Main Steps
• 🕵 Preparing the Case

🔬 Analyzing the Case

• 📑 Format & Structure
• 🙅 Things to Avoid
• 🏁 Conclusion

🔗 References

👣 writing a case study analysis: main steps.

Business management is built on case analysis. Every single economic result shows that the methods and instruments employed were either well-timed and expedient, in the event of success, or not, in case of failure. These two options indicate whether the strategy is efficient (and should be followed) or requires corrections (or complete change). Such an approach to the case study will make your writing piece more proficient and valuable for the reader. The following steps will direct your plan for writing a case study analysis.

Step 1: Preliminary work

• Make notes and highlight the numbers and ideas that could be quoted.
• Single out as many problems as you can, and briefly mark their underlying issues. Then make a note of those responsible. In the report, you will use two to five of the problems, so you will have a selection to choose from.
• Outline a possible solution to each of the problems you found. Course readings and outside research shall be used here. Highlight your best and worst solution for further reference.

Step 2: Drafting the Case

• Provide a general description of the situation and its history.
• Name all the problems you are going to discuss.
• Specify the theory used for the analysis.
• Present the assumptions that emerged during the analysis, if any.
• Describe the detected problems in more detail.
• Indicate their link to, and effect on, the general situation.
• Explain why the problems emerged and persist.
• List realistic and feasible solutions to the problems you outlined, in the order of importance.
• Specify your predicted results of such changes.
• Support your choice with reliable evidence (i.e., textbook readings, the experience of famous companies, and other external research).
• Define the strategies required to fulfill your proposed solution.
• Indicate the responsible people and the realistic terms for its implementation.
• Recommend the issues for further analysis and supervision.

Step 3: Finalizing the Case

Like any other piece of writing, a case analysis requires post-editing. Carefully read it through, looking for inconsistencies and gaps in meaning. Your purpose is to make it look complete, precise, and convincing.

🕵 Preparing a Case for Analysis

Your professor might give you various case study examples from which to choose, or they may just assign you a particular case study. To conduct a thorough data analysis, you must first read the case study. This might appear to be obvious. However, you’d be surprised at how many students don’t take adequate time to complete this part.

Read the case study very thoroughly, preferably several times. Highlight, underline, flag key information, and make notes to refer to later when you are writing your analysis report.

If you don’t have a complete knowledge of the case study your professor has assigned, you won’t conduct a proper analysis of it. Even if you make use of a business case study template or refer to a sample analysis, it won’t help if you aren’t intimately familiar with your case study.

You will also have to conduct research. When it comes to research, you will need to do the following:

• Gather hard, quantitative data (e.g. 67% of the staff participated in the meeting).
• Design research tools , such as questionnaires and surveys (this will aid in gathering data).
• Determine and suggest the best specific, workable solutions.

It would be best if you also learned how to analyze a case study. Once you have read through the case study, you need to determine the focus of your analysis. You can do this by doing the following:

Compare your chosen solutions to the solutions offered by the experts who analyzed the case study you were given or to online assignments for students who were dealing with a similar task. The experts’ solutions will probably be more advanced than yours simply because these people are more experienced. However, don’t let this discourage you; the whole point of doing this analysis is to learn. Use the opportunity to learn from others’ valuable experience, and your results will be better next time.

If you are still in doubt, the University of South Carolina offers a great guide on forming a case study analysis.

📑 Case Analysis Format & Structure

When you are learning how to write a case study analysis, it is important to get the format of your analysis right. Understanding the case study format is vital for both the professor and the student. The person planning and handing out such an assignment should ensure that the student doesn’t have to use any external sources .

In turn, students have to remember that a well-written case analysis provides all the data, making it unnecessary for the reader to go elsewhere for information.

Regardless of whether you use a case study template, you will need to follow a clear and concise format when writing your analysis report. There are some possible case study frameworks available. Still, a case study should contain eight sections laid out in the following format:

• Describe the purpose of the current case study;
• Provide a summary of the company;
• Briefly introduce the problems and issues found in the case study
• Discuss the theory you will be using in the analysis;
• Present the key points of the study and present any assumptions made during the analysis.
• Present each problem you have singled out;
• Justify your inclusion of each problem by providing supporting evidence from the case study and by discussing relevant theory and what you have learned from your course content;
• Divide the section (and following sections) into subsections, one for each of your selected problems.
• Present a summary of each problem you have identified;
• Present plausible solutions for each of the problems, keeping in mind that each problem will likely have more than one possible solution;
• Provide the pros and cons of each solution in a way that is practical.
• Conclusion . This is a summary of your findings and discussion.
• Decide which solution best fits each of the issues you identified;
• Explain why you chose this solution and how it will effectively solve the problem;
• Be persuasive when you write this section so that you can drive your point home;
• Be sure to bring together theory and what you have learned throughout your course to support your recommendations.
• Provide an explanation of what must be done, who should take action, and when the solution should be carried out;
• Where relevant, you should provide an estimate of the cost in implementing the solution, including both the financial investment and the cost in terms of time.
• References. While you generally do not need to refer to many external sources when writing a case study analysis, you might use a few. When you do, you will need to properly reference these sources, which is most often done in one of the main citation styles, including APA, MLA, or Harvard. There is plenty of help when citing references, and you can follow these APA guidelines , these MLA guidelines , or these Harvard guidelines .
• Appendices. This is the section you include after your case study analysis if you used any original data in the report. These data, presented as charts, graphs, and tables, are included here because to present them in the main body of the analysis would be disruptive to the reader. The University of Southern California provides a great description of appendices and when to make use of them.

When you’ve finished your first draft, be sure to proofread it. Look not only for potential grammar and spelling errors but also for discrepancies or holes in your argument.

You should also know what you need to avoid when writing your analysis.

🙅 Things to Avoid in Case Analysis

Whenever you deal with a case study, remember that there are some pitfalls to avoid! Beware of the following mistakes:

• Excessive use of colloquial language . Even though it is a study of an actual case, it should sound formal.
• Lack of statistical data . Give all the important data, both in percentages and in numbers.
• Excessive details. State only the most significant facts, rather than drowning the reader in every fact you find.
• Inconsistency in the methods you have used . In a case study, theory plays a relatively small part, so you must develop a specific case study research methodology.
• Trivial means of research . It is critical that you design your own case study research method in whatever form best suits your analysis, such as questionnaires and surveys.

It is useful to see a few examples of case analysis papers. After all, a sample case study report can provide you with some context so you can see how to approach each aspect of your paper.

👀 Case Study Examples for Students

It might be easier to understand how a case study analysis works if you have an example to look at. Fortunately, examples of case studies are easy to come by. Take a look at this video for a sample case study analysis for the Coca-Cola Company.

If you want another example, then take a look at the one below!

Business Case Analysis: Example

CRM’s primary focus is customers and customer perception of the brand or the company. The focus may shift depending on customers’ needs. The main points that Center Parcs should consider are an increase in customer satisfaction and its market share. Both of these points will enhance customer perception of the product as a product of value. Increased customer satisfaction will indicate that the company provides quality services, and increased market share can reduce the number of switching (or leaving) customers, thus fostering customer loyalty.

Case Study Topics

• Equifax case study: the importance of cybersecurity measures. 
• Study a case illustrating ethical issues of medical research.
• Examine the case describing the complications connected with nursing and residential care.
• Analyze the competitive strategy of Delta Airlines .
• Present a case study of an ethical dilemma showing the conflict between the spirit and the letter of the law.  
• Explore the aspects of Starbucks’ marketing strategyin a case study.  
• Research a case of community-based clinic organization and development.
• Customer service of United Airlines: a case study .
• Analyze a specific schizophrenia case and provide your recommendations.
• Provide a case study of a patient with hyperglycemia.
• Examine the growth strategy of United Healthcare.
• Present a case study demonstrating ethical issues in business.
• Study a case of the 5% shareholding rule application and its impact on the company.
• Case study of post-traumatic stress disorder .
• Analyze a case examining the issues of cross-cultural management .
• Write a case study exploring the ethical issues the finance manager of a long-term care facility can face and the possible reaction to them.
• Write a case study analyzing the aspects of a new president of a firm election.
• Discuss the specifics of supply chain management in the case of Tehindo company.
• Study a case of a life crisis in a family and the ways to cope with it.
• Case study of Tea Leaves and More: supply chain issues.   
• Explore the case of ketogenic diet implementation among sportspeople.  
• Analyze the case of Webster Jewelry shop and suggest some changes.  
• Examine the unique aspects of Tea and More brand management.  
• Adidas case study: an ethical dilemma .
• Research the challenges of Brazos Valley Food Bank and suggest possible solutions.  
• Describe the case of dark web monitoring for business.  
• Study a case of permissive parenting style .
• Case study of Starbucks employees.
• Analyze a case of workplace discrimination and suggest a strategy to avoid it.
• Examine a case of the consumer decision-making process and define the factors that influence it.
• Present a case study of Netflix illustrating the crucial role of management innovation for company development.  
• Discuss a case describing a workplace ethical issue and propose ways to resolve it.
• Case study of the 2008 financial crisis: Graham’s value investing principles in the modern economic climate.
• Write a case study analyzing the harmful consequences of communication issues in a virtual team.
• Analyze a case that highlights the importance of a proper functional currency choice. 
• Examine the case of Hitachi Power Systems management.  
• Present a case study of medication research in a healthcare facility.
• Study the case of Fiji Water and the challenges the brand faces.  
• Research a social problem case and suggest a solution.
• Analyze a case that reveals the connection between alcohol use and borderline personality disorder.
• Transglobal Airline case study: break-even analysis.
• Examine the case of Chiquita Brands International from the moral and business ethics points of view.
• Present a case study of applying for Social Security benefits. 
• Study the case of a mass hacker attack on Microsoft clients and suggest possible ways to prevent future attacks.
• Case study of leadership effectiveness. 
• Analyze a case presenting a clinical moral dilemma and propose ways to resolve it. 
• Describe the case of Cowbell Brewing Company and discuss the strategy that made them successful.
• Write a case study of WeWork company and analyze the strengths and weaknesses of its strategy.
• Case study of medical ethical decision-making.
• Study the case of The Georges hotel and suggest ways to overcome its managerial issues.

🏁 Concluding Remarks

Writing a case study analysis can seem incredibly overwhelming, especially if you have never done it before. Just remember, you can do it provided you follow a plan, keep to the format described here, and study at least one case analysis example.

If you still need help analyzing a case study, your professor is always available to answer your questions and point you in the right direction. You can also get help with any aspect of the project from a custom writing company. Just tackle the research and hand over the writing, write a rough draft and have it checked by a professional, or completely hand the project off to an expert writer.

Regardless of the path you choose, you will turn in something of which you can be proud!

✏️ Case Study Analysis FAQ

Students (especially those who study business) often need to write a case study analysis. It is a kind of report that describes a business case. It includes multiple aspects, for example, the problems that exist, possible solutions, forecasts, etc.

There should be 3 main points covered in a case study analysis:

• The challenge(s) description,
• Possible solutions,
• Outcomes (real and/or foreseen).

Firstly, study some examples available online and in the library. Case study analysis should be a well-structured paper with all the integral components in place. Thus, you might want to use a template and/or an outline to start correctly.

A case study analysis is a popular task for business students. They typically hand it in the format of a paper with several integral components:

• Description of the problem
• Possible ways out
• Results and/or forecasts

Students sometimes tell about the outcome of their research within an oral presentation.

• Case Study: Academia
• Windows of vulnerability: a case study analysis (IEEE)
• A (Very) Brief Refresher on the Case Study Method: SAGE
• The case study approach: Medical Research Methodology
• Strengths and Limitations of Case Studies: Stanford University
• A Sample APA Paper: Radford University
• How to Write a Case Study APA Style: Seattle PI
• The Case Analysis: GVSU
• How to Outline: Purdue OWL
• Incorporating Interview Data: UW-Madison Writing Center
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WCU » WCU Student Resources » Research and Writing » Writing a Case Study Analysis

Guidelines for Writing a Case Study Analysis

A case study analysis requires an investigation to a problem. Then, examine the alternative solutions. Next, propose the most effective solution using supporting evidence.

Preparing the Case

Before you begin writing, follow these guidelines to help you prepare and understand the case study:

• Read and examine the case thoroughly Take notes, highlight relevant facts, and underline key problems.
• Focus your analysis Identify key issues. Who or what are responsible?
• Detect solutions Review: course readings, discussions, outside research, and your experience.
• Select solution[s] Consider all supporting evidence, pros, and cons: is this solution genuine?

Drafting the Case

A draft of your analysis should include these sections:

• Introduction Identify the key problems and issues in the case study. • Formulate and include a thesis statement, summarizing the outcome of your analysis in 1–2 sentences.
• Background Set the scene: background information, relevant facts, and the most important issues. Demonstrate that you have researched the problems in this case study.
• Choices Explain why alternatives were rejected or not possible at this time.
• Solution[s] Provide one specific and realistic solution. Explain why this solution was chosen. Support this solution with solid evidence.
• Recommendations Determine and discuss specific strategies for accomplishing the proposed solution. What should be done and who should do it?

Finalizing the Case

Read through your work to check for any gaps or inconsistencies in content. I suggest reading it out loud. It can bring the inconsistencies or gaps to light much faster than reading it in silence to yourself.

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Organizing Your Social Sciences Research Paper: Writing a Case Study

• Purpose of Guide
• Design Flaws to Avoid
• Independent and Dependent Variables
• Glossary of Research Terms
• Narrowing a Topic Idea
• Broadening a Topic Idea
• Extending the Timeliness of a Topic Idea
• Academic Writing Style
• Choosing a Title
• Making an Outline
• Paragraph Development
• Executive Summary
• The C.A.R.S. Model
• Background Information
• The Research Problem/Question
• Theoretical Framework
• Citation Tracking
• Content Alert Services
• Evaluating Sources
• Reading Research Effectively
• Primary Sources
• Secondary Sources
• Tiertiary Sources
• What Is Scholarly vs. Popular?
• Qualitative Methods
• Quantitative Methods
• Using Non-Textual Elements
• Limitations of the Study
• Common Grammar Mistakes
• Writing Concisely
• Avoiding Plagiarism
• Footnotes or Endnotes?
• Further Readings
• Annotated Bibliography
• Dealing with Nervousness
• Using Visual Aids
• Grading Someone Else's Paper
• Types of Structured Group Activities
• Group Project Survival Skills
• Multiple Book Review Essay
• Reviewing Collected Essays
• Writing a Case Study
• About Informed Consent
• Writing Field Notes
• Writing a Policy Memo
• Writing a Research Proposal
• Bibliography

The term case study refers to both a method of analysis and a specific research design for examining a problem, both of which are used in most circumstances to generalize across populations. This tab focuses on the latter--how to design and organize a research paper in the social sciences that analyzes a specific case.

A case study research paper examines a person, place, event, phenomenon, or other type of subject of analysis in order to extrapolate  key themes and results that help predict future trends, illuminate previously hidden issues that can be applied to practice, and/or provide a means for understanding an important research problem with greater clarity. A case study paper usually examines a single subject of analysis, but case study papers can also be designed as a comparative investigation that shows relationships between two or among more than two subjects. The methods used to study a case can rest within a quantitative, qualitative, or mixed-method investigative paradigm.

Case Studies . Writing@CSU. Colorado State University; Mills, Albert J. , Gabrielle Durepos, and Eiden Wiebe, editors. Encyclopedia of Case Study Research . Thousand Oaks, CA: SAGE Publications, 2010 ; “What is a Case Study?” In Swanborn, Peter G. Case Study Research: What, Why and How? London: SAGE, 2010.

How to Approach Writing a Case Study Research Paper

General information about how to choose a topic to investigate can be found under the " Choosing a Research Problem " tab in this writing guide. Review this page because it may help you identify a subject of analysis that can be investigated using a single case study design.

However, identifying a case to investigate involves more than choosing the research problem . A case study encompasses a problem contextualized around the application of in-depth analysis, interpretation, and discussion, often resulting in specific recommendations for action or for improving existing conditions. As Seawright and Gerring note, practical considerations such as time and access to information can influence case selection, but these issues should not be the sole factors used in describing the methodological justification for identifying a particular case to study. Given this, selecting a case includes considering the following:

• Does the case represent an unusual or atypical example of a research problem that requires more in-depth analysis? Cases often represent a topic that rests on the fringes of prior investigations because the case may provide new ways of understanding the research problem. For example, if the research problem is to identify strategies to improve policies that support girl's access to secondary education in predominantly Muslim nations, you could consider using Azerbaijan as a case study rather than selecting a more obvious nation in the Middle East. Doing so may reveal important new insights into recommending how governments in other predominantly Muslim nations can formulate policies that support improved access to education for girls.
• Does the case provide important insight or illuminate a previously hidden problem? In-depth analysis of a case can be based on the hypothesis that the case study will reveal trends or issues that have not been exposed in prior research or will reveal new and important implications for practice. For example, anecdotal evidence may suggest drug use among homeless veterans is related to their patterns of travel throughout the day. Assuming prior studies have not looked at individual travel choices as a way to study access to illicit drug use, a case study that observes a homeless veteran could reveal how issues of personal mobility choices facilitate regular access to illicit drugs. Note that it is important to conduct a thorough literature review to ensure that your assumption about the need to reveal new insights or previously hidden problems is valid and evidence-based.
• Does the case challenge and offer a counter-point to prevailing assumptions? Over time, research on any given topic can fall into a trap of developing assumptions based on outdated studies that are still applied to new or changing conditions or the idea that something should simply be accepted as "common sense," even though the issue has not been thoroughly tested in practice. A case may offer you an opportunity to gather evidence that challenges prevailing assumptions about a research problem and provide a new set of recommendations applied to practice that have not been tested previously. For example, perhaps there has been a long practice among scholars to apply a particular theory in explaining the relationship between two subjects of analysis. Your case could challenge this assumption by applying an innovative theoretical framework [perhaps borrowed from another discipline] to the study a case in order to explore whether this approach offers new ways of understanding the research problem. Taking a contrarian stance is one of the most important ways that new knowledge and understanding develops from existing literature.
• Does the case provide an opportunity to pursue action leading to the resolution of a problem? Another way to think about choosing a case to study is to consider how the results from investigating a particular case may result in findings that reveal ways in which to resolve an existing or emerging problem. For example, studying the case of an unforeseen incident, such as a fatal accident at a railroad crossing, can reveal hidden issues that could be applied to preventative measures that contribute to reducing the chance of accidents in the future. In this example, a case study investigating the accident could lead to a better understanding of where to strategically locate additional signals at other railroad crossings in order to better warn drivers of an approaching train, particularly when visibility is hindered by heavy rain, fog, or at night.
• Does the case offer a new direction in future research? A case study can be used as a tool for exploratory research that points to a need for further examination of the research problem. A case can be used when there are few studies that help predict an outcome or that establish a clear understanding about how best to proceed in addressing a problem. For example, after conducting a thorough literature review [very important!], you discover that little research exists showing the ways in which women contribute to promoting water conservation in rural communities of Uganda. A case study of how women contribute to saving water in a particular village can lay the foundation for understanding the need for more thorough research that documents how women in their roles as cooks and family caregivers think about water as a valuable resource within their community throughout rural regions of east Africa. The case could also point to the need for scholars to apply feminist theories of work and family to the issue of water conservation.

Eisenhardt, Kathleen M. “Building Theories from Case Study Research.” Academy of Management Review 14 (October 1989): 532-550; Emmel, Nick. Sampling and Choosing Cases in Qualitative Research: A Realist Approach . Thousand Oaks, CA: SAGE Publications, 2013; Gerring, John. “What Is a Case Study and What Is It Good for?” American Political Science Review 98 (May 2004): 341-354; Mills, Albert J. , Gabrielle Durepos, and Eiden Wiebe, editors. Encyclopedia of Case Study Research . Thousand Oaks, CA: SAGE Publications, 2010; Seawright, Jason and John Gerring. "Case Selection Techniques in Case Study Research." Political Research Quarterly 61 (June 2008): 294-308.

Structure and Writing Style

The purpose of a paper in the social sciences designed around a case study is to thoroughly investigate a subject of analysis in order to reveal a new understanding about the research problem and, in so doing, contributing new knowledge to what is already known from previous studies. In applied social sciences disciplines [e.g., education, social work, public administration, etc.], case studies may also be used to reveal best practices, highlight key programs, or investigate interesting aspects of professional work. In general, the structure of a case study research paper is not all that different from a standard college-level research paper. However, there are subtle differences you should be aware of. Here are the key elements to organizing and writing a case study research paper.

I.  Introduction

As with any research paper, your introduction should serve as a roadmap for your readers to ascertain the scope and purpose of your study . The introduction to a case study research paper, however, should not only describe the research problem and its significance, but you should also succinctly describe why the case is being used and how it relates to addressing the problem. The two elements should be linked. With this in mind, a good introduction answers these four questions:

• What was I studying? Describe the research problem and describe the subject of analysis you have chosen to address the problem. Explain how they are linked and what elements of the case will help to expand knowledge and understanding about the problem.
• Why was this topic important to investigate? Describe the significance of the research problem and state why a case study design and the subject of analysis that the paper is designed around is appropriate in addressing the problem.
• What did we know about this topic before I did this study? Provide background that helps lead the reader into the more in-depth literature review to follow. If applicable, summarize prior case study research applied to the research problem and why it fails to adequately address the research problem. Describe why your case will be useful. If no prior case studies have been used to address the research problem, explain why you have selected this subject of analysis.
• How will this study advance new knowledge or new ways of understanding? Explain why your case study will be suitable in helping to expand knowledge and understanding about the research problem.

Each of these questions should be addressed in no more than a few paragraphs. Exceptions to this can be when you are addressing a complex research problem or subject of analysis that requires more in-depth background information.

II.  Literature Review

The literature review for a case study research paper is generally structured the same as it is for any college-level research paper. The difference, however, is that the literature review is focused on providing background information and  enabling historical interpretation of the subject of analysis in relation to the research problem the case is intended to address . This includes synthesizing studies that help to:

• Place relevant works in the context of their contribution to understanding the case study being investigated . This would include summarizing studies that have used a similar subject of analysis to investigate the research problem. If there is literature using the same or a very similar case to study, you need to explain why duplicating past research is important [e.g., conditions have changed; prior studies were conducted long ago, etc.].
• Describe the relationship each work has to the others under consideration that informs the reader why this case is applicable . Your literature review should include a description of any works that support using the case to study the research problem and the underlying research questions.
• Identify new ways to interpret prior research using the case study . If applicable, review any research that has examined the research problem using a different research design. Explain how your case study design may reveal new knowledge or a new perspective or that can redirect research in an important new direction.
• Resolve conflicts amongst seemingly contradictory previous studies . This refers to synthesizing any literature that points to unresolved issues of concern about the research problem and describing how the subject of analysis that forms the case study can help resolve these existing contradictions.
• Point the way in fulfilling a need for additional research . Your review should examine any literature that lays a foundation for understanding why your case study design and the subject of analysis around which you have designed your study may reveal a new way of approaching the research problem or offer a perspective that points to the need for additional research.
• Expose any gaps that exist in the literature that the case study could help to fill . Summarize any literature that not only shows how your subject of analysis contributes to understanding the research problem, but how your case contributes to a new way of understanding the problem that prior research has failed to do.
• Locate your own research within the context of existing literature [very important!] . Collectively, your literature review should always place your case study within the larger domain of prior research about the problem. The overarching purpose of reviewing pertinent literature in a case study paper is to demonstrate that you have thoroughly identified and synthesized prior studies in the context of explaining the relevance of the case in addressing the research problem.

III.  Method

In this section, you explain why you selected a particular subject of analysis to study and the strategy you used to identify and ultimately decide that your case was appropriate in addressing the research problem. The way you describe the methods used varies depending on the type of subject of analysis that frames your case study.

If your subject of analysis is an incident or event . In the social and behavioral sciences, the event or incident that represents the case to be studied is usually bounded by time and place, with a clear beginning and end and with an identifiable location or position relative to its surroundings. The subject of analysis can be a rare or critical event or it can focus on a typical or regular event. The purpose of studying a rare event is to illuminate new ways of thinking about the broader research problem or to test a hypothesis. Critical incident case studies must describe the method by which you identified the event and explain the process by which you determined the validity of this case to inform broader perspectives about the research problem or to reveal new findings. However, the event does not have to be a rare or uniquely significant to support new thinking about the research problem or to challenge an existing hypothesis. For example, Walo, Bull, and Breen conducted a case study to identify and evaluate the direct and indirect economic benefits and costs of a local sports event in the City of Lismore, New South Wales, Australia. The purpose of their study was to provide new insights from measuring the impact of a typical local sports event that prior studies could not measure well because they focused on large "mega-events." Whether the event is rare or not, the methods section should include an explanation of the following characteristics of the event: a) when did it take place; b) what were the underlying circumstances leading to the event; c) what were the consequences of the event.

If your subject of analysis is a person. Explain why you selected this particular individual to be studied and describe what experience he or she has had that provides an opportunity to advance new understandings about the research problem. Mention any background about this person which might help the reader understand the significance of his/her experiences that make them worthy of study. This includes describing the relationships this person has had with other people, institutions, and/or events that support using him or her as the subject for a case study research paper. It is particularly important to differentiate the person as the subject of analysis from others and to succinctly explain how the person relates to examining the research problem.

If your subject of analysis is a place. In general, a case study that investigates a place suggests a subject of analysis that is unique or special in some way and that this uniqueness can be used to build new understanding or knowledge about the research problem. A case study of a place must not only describe its various attributes relevant to the research problem [e.g., physical, social, cultural, economic, political, etc.], but you must state the method by which you determined that this place will illuminate new understandings about the research problem. It is also important to articulate why a particular place as the case for study is being used if similar places also exist [i.e., if you are studying patterns of homeless encampments of veterans in open spaces, why study Echo Park in Los Angeles rather than Griffith Park?]. If applicable, describe what type of human activity involving this place makes it a good choice to study [e.g., prior research reveals Echo Park has more homeless veterans].

If your subject of analysis is a phenomenon. A phenomenon refers to a fact, occurrence, or circumstance that can be studied or observed but with the cause or explanation to be in question. In this sense, a phenomenon that forms your subject of analysis can encompass anything that can be observed or presumed to exist but is not fully understood. In the social and behavioral sciences, the case usually focuses on human interaction within a complex physical, social, economic, cultural, or political system. For example, the phenomenon could be the observation that many vehicles used by ISIS fighters are small trucks with English language advertisements on them. The research problem could be that ISIS fighters are difficult to combat because they are highly mobile. The research questions could be how and by what means are these vehicles used by ISIS being supplied to the militants and how might supply lines to these vehicles be cut? How might knowing the suppliers of these trucks from overseas reveal larger networks of collaborators and financial support? A case study of a phenomenon most often encompasses an in-depth analysis of a cause and effect that is grounded in an interactive relationship between people and their environment in some way.

NOTE:   The choice of the case or set of cases to study cannot appear random. Evidence that supports the method by which you identified and chose your subject of analysis should be linked to the findings from the literature review. Be sure to cite any prior studies that helped you determine that the case you chose was appropriate for investigating the research problem.

IV.  Discussion

The main elements of your discussion section are generally the same as any research paper, but centered around interpreting and drawing conclusions about the key findings from your case study. Note that a general social sciences research paper may contain a separate section to report findings. However, in a paper designed around a case study, it is more common to combine a description of the findings with the discussion about their implications. The objectives of your discussion section should include the following:

Reiterate the Research Problem/State the Major Findings Briefly reiterate the research problem you are investigating and explain why the subject of analysis around which you designed the case study were used. You should then describe the findings revealed from your study of the case using direct, declarative, and succinct proclamation of the study results. Highlight any findings that were unexpected or especially profound.

Explain the Meaning of the Findings and Why They are Important Systematically explain the meaning of your case study findings and why you believe they are important. Begin this part of the section by repeating what you consider to be your most important or surprising finding first, then systematically review each finding. Be sure to thoroughly extrapolate what your analysis of the case can tell the reader about situations or conditions beyond the actual case that was studied while, at the same time, being careful not to misconstrue or conflate a finding that undermines the external validity of your conclusions.

Relate the Findings to Similar Studies No study in the social sciences is so novel or possesses such a restricted focus that it has absolutely no relation to previously published research. The discussion section should relate your case study results to those found in other studies, particularly if questions raised from prior studies served as the motivation for choosing your subject of analysis. This is important because comparing and contrasting the findings of other studies helps to support the overall importance of your results and it highlights how and in what ways your case study design and the subject of analysis differs from prior research about the topic.

Consider Alternative Explanations of the Findings It is important to remember that the purpose of social science research is to discover and not to prove. When writing the discussion section, you should carefully consider all possible explanations for the case study results, rather than just those that fit your hypothesis or prior assumptions and biases. Be alert to what the in-depth analysis of the case may reveal about the research problem, including offering a contrarian perspective to what scholars have stated in prior research.

Acknowledge the Study's Limitations You can state the study's limitations in the conclusion section of your paper but describing the limitations of your subject of analysis in the discussion section provides an opportunity to identify the limitations and explain why they are not significant. This part of the discussion section should also note any unanswered questions or issues your case study could not address. More detailed information about how to document any limitations to your research can be found here .

Suggest Areas for Further Research Although your case study may offer important insights about the research problem, there are likely additional questions related to the problem that remain unanswered or findings that unexpectedly revealed themselves as a result of your in-depth analysis of the case. Be sure that the recommendations for further research are linked to the research problem and that you explain why your recommendations are valid in other contexts and based on the original assumptions of your study.

V.  Conclusion

As with any research paper, you should summarize your conclusion in clear, simple language; emphasize how the findings from your case study differs from or supports prior research and why. Do not simply reiterate the discussion section. Provide a synthesis of key findings presented in the paper to show how these converge to address the research problem. If you haven't already done so in the discussion section, be sure to document the limitations of your case study and needs for further research.

The function of your paper's conclusion is to: 1)  restate the main argument supported by the findings from the analysis of your case; 2) clearly state the context, background, and necessity of pursuing the research problem using a case study design in relation to an issue, controversy, or a gap found from reviewing the literature; and, 3) provide a place for you to persuasively and succinctly restate the significance of your research problem, given that the reader has now been presented with in-depth information about the topic.

Consider the following points to help ensure your conclusion is appropriate:

• If the argument or purpose of your paper is complex, you may need to summarize these points for your reader.
• If prior to your conclusion, you have not yet explained the significance of your findings or if you are proceeding inductively, use the conclusion of your paper to describe your main points and explain their significance.
• Move from a detailed to a general level of consideration of the case study's findings that returns the topic to the context provided by the introduction or within a new context that emerges from your case study findings.

Note that, depending on the discipline you are writing in and your professor's preferences, the concluding paragraph may contain your final reflections on the evidence presented applied to practice or on the essay's central research problem. However, the nature of being introspective about the subject of analysis you have investigated will depend on whether you are explicitly asked to express your observations in this way.

Problems to Avoid

Overgeneralization One of the goals of a case study is to lay a foundation for understanding broader trends and issues applied to similar circumstances. However, be careful when drawing conclusions from your case study. They must be evidence-based and grounded in the results of the study; otherwise, it is merely speculation. Looking at a prior example, it would be incorrect to state that a factor in improving girls access to education in Azerbaijan and the policy implications this may have for improving access in other Muslim nations is due to girls access to social media if there is no documentary evidence from your case study to indicate this. There may be anecdotal evidence that retention rates were better for girls who were on social media, but this observation would only point to the need for further research and would not be a definitive finding if this was not a part of your original research agenda.

Failure to Document Limitations No case is going to reveal all that needs to be understood about a research problem. Therefore, just as you have to clearly state the limitations of a general research study , you must describe the specific limitations inherent in the subject of analysis. For example, the case of studying how women conceptualize the need for water conservation in a village in Uganda could have limited application in other cultural contexts or in areas where fresh water from rivers or lakes is plentiful and, therefore, conservation is understood differently than preserving access to a scarce resource.

Failure to Extrapolate All Possible Implications Just as you don't want to over-generalize from your case study findings, you also have to be thorough in the consideration of all possible outcomes or recommendations derived from your findings. If you do not, your reader may question the validity of your analysis, particularly if you failed to document an obvious outcome from your case study research. For example, in the case of studying the accident at the railroad crossing to evaluate where and what types of warning signals should be located, you failed to take into consideration speed limit signage as well as warning signals. When designing your case study, be sure you have thoroughly addressed all aspects of the problem and do not leave gaps in your analysis.

Case Studies . Writing@CSU. Colorado State University; Gerring, John. Case Study Research: Principles and Practices . New York: Cambridge University Press, 2007; Merriam, Sharan B. Qualitative Research and Case Study Applications in Education . Rev. ed. San Francisco, CA: Jossey-Bass, 1998; Miller, Lisa L. “The Use of Case Studies in Law and Social Science Research.” Annual Review of Law and Social Science 14 (2018): TBD; Mills, Albert J., Gabrielle Durepos, and Eiden Wiebe, editors. Encyclopedia of Case Study Research . Thousand Oaks, CA: SAGE Publications, 2010; Putney, LeAnn Grogan. "Case Study." In Encyclopedia of Research Design , Neil J. Salkind, editor. (Thousand Oaks, CA: SAGE Publications, 2010), pp. 116-120; Simons, Helen. Case Study Research in Practice . London: SAGE Publications, 2009;  Kratochwill,  Thomas R. and Joel R. Levin, editors. Single-Case Research Design and Analysis: New Development for Psychology and Education .  Hilldsale, NJ: Lawrence Erlbaum Associates, 1992; Swanborn, Peter G. Case Study Research: What, Why and How? London : SAGE, 2010; Yin, Robert K. Case Study Research: Design and Methods . 6th edition. Los Angeles, CA, SAGE Publications, 2014; Walo, Maree, Adrian Bull, and Helen Breen. “Achieving Economic Benefits at Local Events: A Case Study of a Local Sports Event.” Festival Management and Event Tourism 4 (1996): 95-106.

Writing Tip

At Least Five Misconceptions about Case Study Research

Social science case studies are often perceived as limited in their ability to create new knowledge because they are not randomly selected and findings cannot be generalized to larger populations. Flyvbjerg examines five misunderstandings about case study research and systematically "corrects" each one. To quote, these are:

Misunderstanding 1 :  General, theoretical [context-independent knowledge is more valuable than concrete, practical (context-dependent) knowledge. Misunderstanding 2 :  One cannot generalize on the basis of an individual case; therefore, the case study cannot contribute to scientific development. Misunderstanding 3 :  The case study is most useful for generating hypotheses; that is, in the first stage of a total research process, whereas other methods are more suitable for hypotheses testing and theory building. Misunderstanding 4 :  The case study contains a bias toward verification, that is, a tendency to confirm the researcher’s preconceived notions. Misunderstanding 5 :  It is often difficult to summarize and develop general propositions and theories on the basis of specific case studies [p. 221].

While writing your paper, think introspectively about how you addressed these misconceptions because to do so can help you strengthen the validity and reliability of your research by clarifying issues of case selection, the testing and challenging of existing assumptions, the interpretation of key findings, and the summation of case outcomes. Think of a case study research paper as a complete, in-depth narrative about the specific properties and key characteristics of your subject of analysis applied to the research problem.

Flyvbjerg, Bent. “Five Misunderstandings About Case-Study Research.” Qualitative Inquiry 12 (April 2006): 219-245.

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• Last Updated: Jan 17, 2023 10:50 AM
• URL: https://libguides.pointloma.edu/ResearchPaper

• Open access
• Published: 07 August 2024

Impact of neonatal sepsis on neurocognitive outcomes: a systematic review and meta-analysis

• Wei Jie Ong   ORCID: orcid.org/0000-0001-8244-2977 1   na1 ,
• Jun Jie Benjamin Seng   ORCID: orcid.org/0000-0002-3039-3816 1 , 2 , 3   na1 ,
• Beijun Yap 1 ,
• George He 4 ,
• Nooriyah Aliasgar Moochhala 4 ,
• Chen Lin Ng 1 ,
• Rehena Ganguly   ORCID: orcid.org/0000-0001-9347-5571 5 ,
• Jan Hau Lee   ORCID: orcid.org/0000-0002-8430-4217 6 &
• Shu-Ling Chong   ORCID: orcid.org/0000-0003-4647-0019 7  

BMC Pediatrics volume  24 , Article number:  505 ( 2024 ) Cite this article

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Introduction

Sepsis is associated with neurocognitive impairment among preterm neonates but less is known about term neonates with sepsis. This systematic review and meta-analysis aims to provide an update of neurocognitive outcomes including cognitive delay, visual impairment, auditory impairment, and cerebral palsy, among neonates with sepsis.

We performed a systematic review of PubMed, Embase, CENTRAL and Web of Science for eligible studies published between January 2011 and March 2023. We included case–control, cohort studies and cross-sectional studies. Case reports and articles not in English language were excluded. Using the adjusted estimates, we performed random effects model meta-analysis to evaluate the risk of developing neurocognitive impairment among neonates with sepsis.

Of 7,909 studies, 24 studies ( n  = 121,645) were included. Majority of studies were conducted in the United States ( n  = 7, 29.2%), and all studies were performed among neonates. 17 (70.8%) studies provided follow-up till 30 months. Sepsis was associated with increased risk of cognitive delay [adjusted odds ratio, aOR 1.14 (95% CI: 1.01—1.28)], visual impairment [aOR 2.57 (95%CI: 1.14- 5.82)], hearing impairment [aOR 1.70 (95% CI: 1.02–2.81)] and cerebral palsy [aOR 2.48 (95% CI: 1.03–5.99)].

Neonates surviving sepsis are at a higher risk of poorer neurodevelopment. Current evidence is limited by significant heterogeneity across studies, lack of data related to long-term neurodevelopmental outcomes and term infants.

Peer Review reports

Sepsis is a major cause of mortality and morbidity among neonates [ 1 , 2 , 3 , 4 ]. Young infants especially neonates, defined by age < 28 days old, have a relatively immature immune system and are susceptible to sepsis [ 5 , 6 ]. Annually, there are an estimated 1.3 to 3.9 million cases of infantile sepsis worldwide and up to 700,000 deaths [ 7 ]. Low-income and middle-income countries bear a disproportionate burden of neonatal sepsis cases and deaths [ 7 , 8 ]. While advances in medical care over the past decade have reduced mortality, neonates who survive sepsis are at risk of developing neurocognitive complications, which affect the quality of life for these children and their caregivers [ 9 ].

Previous reviews evaluating neurocognitive outcomes in neonates with infections or sepsis have focused on specific types of pathogens (e.g., Group B streptococcus or nosocomial infections [ 10 ]), or are limited to specific populations such as very low birth weight or very preterm neonates [ 11 ], and there remains paucity of data regarding neurocognitive outcomes among term and post-term neonates. There remains a gap for an updated comprehensive review which is not limited by type of pathogen or gestation. In this systematic review, we aim to provide a comprehensive update to the current literature on the association between sepsis and the following adverse neurocognitive outcomes (1) mental and psychomotor delay (cognitive delay (CD)), (2) visual impairment, (3) auditory impairment and (4) cerebral palsy (CP) among neonates [ 11 ].

We performed a systematic review using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 guidelines [ 12 ]. This study protocol was registered with Open Science Framework ( https://doi.org/10.17605/OSF.IO/B54SE ).

Eligibility criteria

We identified studies which evaluated neurocognitive outcomes in neonates less than 90 days old (regardless of gestational age) with sepsis. While the neonatal period is traditionally defined to be either the first 28 days postnatally for term and post-term infants, or 27 days after the expected date of delivery for preterm infants [ 13 ], serious late onset infections in the young infant population can present beyond the neonatal period [ 14 ], hence we defined the upper age limit as 90 days old to obtain a more complete picture of the burden of young infantile sepsis [ 15 ]. Post-term neonates was defined as a neonate delivered at >  = 42 weeks of gestational age in this study [ 16 ]. We included studies that either follow international sepsis definitions such as Surviving Sepsis Campaign guidelines definitions [ 17 ], or if they fulfilled clinical, microbiological and/or biochemical criteria for sepsis as defined by study authors. The primary outcome of interest was impaired neurocognitive outcome defined by the following domains of neurodevelopmental impairment (NDI) [ 11 ]: (1) CD, (2) visual impairment, (3) auditory impairment and (4) CP. We selected these domains because they were highlighted as key neurocognitive sequelae after intrauterine insults in a landmark review by Mwaniki et al. [ 18 ]. The authors’ definitions of these outcomes and their assessment tools were captured, including the use of common validated instruments (e.g., a common scale used for CD is the Bayley Scales of Infant Development (BSID) [ 19 ] while a common instrument used for CP was the Gross Motor Function Classification System (GMFCS) [ 20 ]. Specifically for BSID, its two summative indices score – Mental Development Index (MDI) and Psychomotor Development Index (PDI) were collected. The MDI assesses both the non-verbal cognitive and language skills, while PDI assess the combination of fine and gross motor skills. The cut-off points for mild, moderate and severe delay for MDI and PDI were < 85 or < 80, < 70 and < 55 respectively [ 21 ]. There were no restrictions on duration of follow-up or time of assessment of neurocognitive outcomes to allow capturing of both short- and long-term neurocognitive outcomes.

Case–control, cohort studies and cross-sectional studies published between January 2011 and March 2023 were included. Because the definition and management of sepsis has evolved over the years [ 22 ], we chose to include studies published from 2011 onwards. Case reports, animal studies, laboratory studies and publications that were not in English language were excluded. Hand-searching of previous systematic reviews were performed to ensure all relevant articles were included. To avoid small study effects, we also excluded studies with a sample size of less than 50 [ 23 ].

Information sources and search strategy

Four databases (PubMed, Cochrane Central, Embase and Web of Science) were used to identify eligible studies. The search strategy was developed in consultation with a research librarian. The first search was conducted on 4 December 2021 and an updated search was conducted on 3 April 2023. The detailed search strategy can be found in Supplementary Tables 1A and B.

Study selection process

Covidence systematic review software (Veritas Health Innovation, Melbourne, Australia) [ 24 ] was utilized during this review. Five reviewers (WJO, BJY, NM, CLN and GH) independently conducted the database search and screened the title and abstracts for relevance. Following training on inclusion and exclusion eligibility, 4 reviewers (WJO, NM, CLN and GH) subsequently assessed the full text of shortlisted articles for eligibility. All full texts were independently assessed by at least 2 reviewers. Any conflict related to study eligibility were resolved in discussion with the senior author (S-LC). We recorded the reason(s) for exclusion of each non-eligible article.

Data collection process and data items

Four reviewers (WJO, NM, CLN and GH) independently carried out the data extraction using a standardized data collection form, and any conflict was resolved by discussion, or with input from the senior author (S-LC). A pilot search was performed for the first 200 citations to evaluate concordance among reviewers and showed good concordance among reviewers of 94%. For studies with missing data required for data collection or meta-analyses, we contacted the corresponding authors of articles to seek related information. If there was no reply from the authors, the data were labelled as missing.

Study risk of bias assessment

Three reviewers (BJY, GH and WJO) independently carried out the assessment of risk of bias using the Newcastle–Ottawa Scale (NOS) for all observational studies [ 25 ]. Studies were graded based on three domains namely, selection, comparability and outcomes. Studies were assigned as low, moderate and high risk of bias if they were rated 0–2 points, 3–5 points and 6–9 points respectively. Any conflict was resolved by discussion or with input from the senior author (S-LC).

Statistical analysis

All outcomes (i.e. CD, visual impairment, auditory impairment and CP) were analysed as categorical data. Analyses were done for each NDI domain separately. To ensure comparability across scales, results from different studies were only pooled if the same measurement tools were used to assess the outcomes and hence sub-group analyses were based on different scales and/or different definitions of neurocognitive outcomes used by authors. Both unadjusted and adjusted odds ratios (aOR) and/or relative risk (RR) for each NDI domain were recorded. Where source data were present, we calculated the unadjusted OR if the authors did not report one, together with the 95% confidence interval (CI). For adjusted odds ratio, these were extracted from individual studies and variables used for adjustment were determined at the individual study level.

Meta-analysis was conducted for all outcomes that were reported by at least 2 independent studies or cohorts. Studies were included in the meta-analysis only if they reported outcomes for individual NDI domains within 30 months from sepsis occurrence. For each domain, all selected studies were pooled using DerSimonian-Laird random effects model due to expected heterogeneity. Studies were pooled based on adjusted and unadjusted analyses. Case–control and cohort studies were pooled separately. The pooled results were expressed as unadjusted odds ratio (OR) or adjusted odds ratio (aOR) with corresponding 95% confidence interval (95% CI). If there was more than 1 study that utilized the same population, we only analysed data from the most recent publication or from the larger sample size, to avoid double counting. Standard error (SE) from studies with multiple arms with same control group were adjusted using SE = √(K/2), where K refers to number of treatment arms including control [ 26 ]. Heterogeneity across studies was evaluated using the I^2 statistic, for which ≥ 50% is indicative of significant heterogeneity. With regards to publication bias, this was performed using Egger’s test and funnel plots only if the number of studies pooled were 10 or more for each outcome.

For neurocognitive related outcomes, subgroup analyses were performed based on the severity of the NDI domain outcomes and distinct, non-overlapping populations of septic infants (such as late onset vs early onset sepsis, culture positive sepsis vs clinically diagnosed sepsis, term and post term patients).

All analyses were done using ‘meta’ library from R software (version 4.2.2) [ 27 ]. The statistical significance threshold was a two tailed P- value < 0.05.

Certainty of evidence

The certainty of evidence for outcomes in this review was performed during the GRADE criteria [ 28 ] which is centred on the study design, risk of bias, inconsistency, indirectness, imprecision, and other considerations.

Study selection

From 7,909 studies identified, a total of 24 articles were included (Fig.  1 ) [ 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 ]. A total of 101,657 and 19,988 preterm and term infants were included in this review.

PRISMA flowchart of the study selection process for search

Study characteristics

There were 2 case–control studies and 22 cohort studies, with a total of 121,645 infants (Table  1 ). Studies were conducted in 16 different countries (Fig.  2 ), with the most studies conducted in the United States of America (USA) (7 studies, n  = 92,358 patients) [ 30 , 33 , 37 , 41 , 42 , 47 , 52 ]. There were no studies that were conducted solely on term infants. 5 studies reported data specifically on ELBW infants (27,078 infants) and 6 studies on VLBW infants (3,322 infants). All studies were performed among neonates.

World map depicting distribution of studies that evaluate neurocognitive outcomes in infantile and neonatal sepsis

Risk of bias 

Overall, all 24 studies were classified as low risk (Supplementary Table 2). 5 papers scored high risk for outcome bias for having greater than 10% of initial population being lost to follow-up [ 29 , 32 , 40 , 41 , 42 ].

Outcome measures reported by domain

As the number of studies pooled for each outcome was less than 10, publication bias was not analysed in the meta-analyses.

Cognitive delay (CD)

Among 24 studies that assessed for CD, 16 studies reported either the incidence of CD among young infants with sepsis compared to those without, and/or the odds ratio (adjusted and/or unadjusted) comparing the two populations [ 29 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 40 , 41 , 42 , 45 , 46 , 48 , 49 ]. The scales used, authors’ definition of CD, incidence of CD among those with sepsis and those without are described in Table  2 . The most common tools used for assessment of CD were the Bayley Scales of Infant Development (BSID) ( n  = 13) and Denver Development Screening Test II ( n  = 2).

Infantile sepsis was associated with increased risk of overall CD delays [aOR 1.14 (95%CI: 1.01, 1.28)], overall PDI delay (aOR 1.73 (95%CI: 1.16, 2.58)) and moderate PDI delay [aOR 1.85 (95%CI: 1.01, 3.36)]. Conversely, infantile sepsis was not associated with increased risk for severe PDI delay nor overall MDI delay [aOR 1.30 (95%CI: 0.99, 1.71)] or its subgroups. There were no significant differences in outcomes between different subgroups of infections as well as culture-proven or clinically defined sepsis for either MDI or PDI (Table  8 , Fig.  3 A and B).

A Forest plot on adjusted odds ratios for neurocognitive outcomes related to MDI, PDI, visual impairment, hearing impairment and cerebral palsy. B Forest plot on unadjusted odds ratios for neurocognitive outcomes related to MDI, PDI, visual impairment, hearing impairment and cerebral palsy. Legend: MDI: Mental Developmental Index; PDI: Psychomotor Developmental Index. Foot note: Mild MDI or PDI: < 85 or < 80; Moderate MDI or PDI < 70; Severe MDI or PDI < 55

Visual impairment

Seven studies reported data on visual impairment (Table  3 ) [ 31 , 33 , 41 , 42 , 47 , 49 ]. The most common definition of visual impairment utilized was “visual acuity of < 20/200” ( n  = 4, 66.7%).

In the meta-analysis, infantile sepsis was associated with significantly increased risk of visual impairment [aOR 2.57 (95%CI: 1.14, 5.82)] but there were no statistically significant differences in visual impairment between subgroups of early or late onset sepsis, and blood culture negative conditions as compared to the non-septic population (Table  8 , Fig.  3 A and B).

Hearing impairment

Seven studies reported data on hearing impairment (Table  4 ) [ 31 , 33 , 41 , 42 , 47 , 49 ]. Two studies defined hearing impairment as permanent hearing loss affecting communication with or without amplification [ 42 , 47 ]. Other definitions included “sensorineural hearing loss requiring amplification” ( n  = 1), “bilateral hearing impairment with no functional hearing (with or without amplification)” ( n  = 1), “clinical hearing loss” ( n  = 1).

In the meta-analysis, sepsis was associated with increased risk of hearing impairment [aOR 1.70 (95% CI: 1.02–2.81)]. However, in the subgroup analyses, there were no differences in risk of hearing impairment between patients with late onset sepsis as compared to the non-septic population (Table  8 , Fig.  3 A and B).

Cerebral palsy

Nine studies [ 29 , 32 , 33 , 41 , 42 , 47 , 48 , 49 , 50 ] reported data on CP (Table  5 ), of which 5 studies [ 41 , 42 , 45 , 49 , 50 ] used the GMFCS scale. In the meta-analysis, infantile sepsis was associated with significantly increased risk of CP [aOR 2.48 (95%CI: 1.03; 5.99)]. There was no difference in rates of CP among patients with proven or suspected sepsis, as compared with infants with no sepsis (Table  8 , Fig.  3 A and B).

Differences in neurocognitive outcomes between neonates with culture-proven or clinically diagnosed sepsis as well as early or late onset sepsis

Tables 6 and 7 showed data related to differences in neurocognitive outcomes between neonates with culture-proven or clinically diagnosed sepsis as well as early or late onset sepsis. Meta-analyses were not be performed due to significant heterogeneity in definitions of sepsis, time of assessment of outcomes.

Differences in neurocognitive outcomes between term and post-term neonates

There were no studies which evaluated neurocognitive outcomes between term and post-term neonates and infants.

We found that the certainty of evidence to be very low to low for the four main neurocognitive outcomes selected. (Supplementary File 3).

In this review involving more than 121,000 infants, we provide an update to the literature regarding young infant sepsis and neurocognitive impairment. Current collective evidence demonstrate that young infant sepsis was associated with increased risk of developing neurocognitive impairment in all domains of CD, visual impairment, auditory impairment and cerebral palsy.

Cognitive delay

In this review, higher rates of cognitive delay were noted among infants with sepsis [ 29 , 31 , 33 , 34 , 35 , 36 , 37 , 38 , 40 , 41 , 42 , 45 , 46 , 48 , 49 , 52 ]. We found that infants with sepsis reported lower PDI scores (Table  8 ), which measures mainly neuromotor development. On the other hand, young infant sepsis was not associated with lower MDI scores (Table  8 ), which assesses cognitive and language development. The pathophysiological mechanism of young infant sepsis and its preferential impact on PDI remains unclear. Postulated mechanisms include development of white matter lesions which may arise from the susceptibility of oligodendrocyte precursors to inflammatory processes such as hypoxia and ischemia [ 53 ]. Future studies should look into evaluating the causes of the above findings. A majority of included studies focused on early CD outcomes while no studies evaluated long-term outcomes into adulthood. CD is known to involve complex genetic and experiential interactions [ 54 ] and may evolve overtime with brain maturation. Delays in speech and language, intellectual delay and borderline intellectual functioning are shown to be associated with poorer academic or employment outcomes in adulthood [ 55 , 56 ], and early assessment of CD may not fully reveal the extent of delays. The only study with follow-up to the adolescent phase showed a progressive increase in NDI rate as the participants aged, which provides evidence of incremental long-term negative outcomes associated with infantile sepsis [ 44 ]. Moving forward, studies with longer follow-up may allow for further examination of the long-term effects of neonatal sepsis on CD.

There were different versions of the BSID instrument (BSID-II and BSID-III) [ 19 , 57 , 58 ]. BSID-II lacked subscales in PDI and MDI scores, leading to the development of BSID-III with the segregation of PDI into fine and gross motor scales and MDI into cognitive, receptive language, and expressive language scales [ 59 ]. Although we pooled results of both BSID-II and BSID-III in our study, we recognize that comparisons between BSID-II and BSID-III are technically challenging due to differences in standardised scores [ 59 , 60 ]. In addition, the BSID-IV was created in 2019 which has fewer items, However, none of our studies utilized this instrument. Future studies should consider this instrument, as well as standardising the timepoints for assessment of CD.

Young infant sepsis was associated with increased risk of developing visual impairment. This was similar to results noted by a previous systematic review published in 2014 [ 61 ] and 2019 [ 62 ] which showed that neonatal sepsis was associated with twofold risk of developing retinopathy of prematurity in preterm infants. Specifically, meningitis was associated with a greater risk of visual impairment compared to just sepsis alone [ 47 ]. The mechanism of visual impairment has not been fully described although various theories have been suggested, including sepsis mediated vascular endothelial damage, increased body oxidative stress response as well as involvement of inflammatory cytokines and mediators [ 63 , 64 ].

Our meta-analysis showed an increased risk of hearing impairment for young infants with young infants with sepsis. This is consistent with a previous report that found an association between neonatal meningitis and sensorineural hearing loss [ 65 ]. One potential confounder which we were unable to account for may have been the use of ototoxic antimicrobial agents such as aminoglycosides. Additional confounders include very low birth weight, patient’s clinical states (e.g. hyperbilirubinemia requiring exchange transfusion) and use of mechanical ventilation or extracorporeal membrane support. To allow for meaningful comparisons of results across different study populations, it is imperative that a standardised definition of hearing impairment post neonatal sepsis be established for future studies.

Our meta-analysis found an association between neonatal sepsis and an increased risk of developing CP. This is also consistent with previous systematic reviews which had found a significant association of sepsis and CP in VLBW and early preterm infants [ 11 ]. One study found that infants born at full term and who experienced neonatal infections were at a higher risk of developing a spastic triplegia or quadriplegia phenotype of CP [ 66 ]. The pathophysiology and mechanism of injury to white matter resulting in increased motor dysfunction remains unclear and more research is required in this area.

Limitations and recommendations for future research

The main limitation of this review lies in the heterogeneity in the definitions of sepsis, exposures and assessment of outcomes across studies. This is likely attributed to the varying definition of sepsis used in different countries as well as lack of gold standard definitions or instruments for assessment of each component of NDI. A recent review of RCTs [ 67 ] also reported similar limitations where 128 different varying definitions of neonatal sepsis were used in literature. Notably, there is a critical need for developing international standardized guidelines for defining neonatal sepsis as well as assessment of NDI such as hearing and visual impairment. Another important limitation relates to the inability to assess quality of neonatal care delivered as well as temporal changes in medical practices which could have affected neurocognitive outcomes for neonates with sepsis. Improving quality of neonatal care has been shown to significantly reduce mortality risk among neonates with sepsis, especially in resource-poor countries [ 68 ]. We performed a comprehensive search strategy (PubMed, Embase, Web of Science and CENTRAL) coupled with hand searching of references within included systematic reviews, but did not evaluate grey literature. Future studies should include additional literature databases and grey literature. Another area of research gap lies in the paucity of data related to differences in neurocognitive outcomes between term and post-term neonates with sepsis and future research is required to bridge this area of research gap. Likewise, there are few studies which evaluated differences in neurocognitive outcomes between early or late onset sepsis and outcomes assessed were significantly heterogenous which limits meaningful meta-analyses. Similarly, there was significant heterogeneity in study outcomes, causative organisms and severity of disease.

We found a lack of long-term outcomes and recommend that future prospective cohorts include a longer follow-up duration as part of the study design. This is important given the implication of NDI on development into adulthood. Most data were reported for preterm infants with low birth weight, and there was a paucity of data for term infants in our literature review. Since prematurity itself is a significant cause of NDI [ 69 ], future studies should consider how gestational age and/or birth weight can be adequately adjusted for in the analysis.

Apart from the domains of NDI we chose to focus on in this review, there are other cognitive domains classified by the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-V) [ 70 ] and/or recommended by the Common Data Elements (CDE) workgroup [ 71 ]. Future studies may wish to look into the implications of sepsis on other neuro-cognitive domains related to executive function, complex attention and societal cognition which are studied for other types of acquired brain injury [ 71 , 72 ].

Our systematic review and meta-analysis found that neonates surviving sepsis are at a higher risk of poorer neurodevelopment. However, the evidence is limited by significant heterogeneity and selection bias due to differing definitions used for NDI and for sepsis. There is also a lack of long-term follow-up data, as well as data specific for term and post-term infants. Future prospective studies should be conducted with long-term follow-up to assess the impact of neurodevelopmental impairment among all populations of neonates with sepsis.

Availability of data and materials

All data generated or analyzed in the study are found in the tables and supplementary materials.

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Acknowledgements

We would like to thank Ms. Wong Suei Nee, senior librarian from the National University of Singapore for helping us with the search strategy. We will also like to thank Dr Ming Ying Gan, Dr Shu Ting Tammie Seethor, Dr Jen Heng Pek, Dr Rachel Greenberg, Dr Christoph Hornik and Dr Bobby Tan, for their inputs in the initial design of this study.

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Wei Jie Ong and Jun Jie Benjamin Seng are co-first authors.

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Wei Jie Ong, Jun Jie Benjamin Seng, Beijun Yap & Chen Lin Ng

SingHealth Regional Health System PULSES Centre, Singapore Health Services, Outram Rd, Singapore, 169608, Singapore

Jun Jie Benjamin Seng

SingHealth Duke-NUS Family Medicine Academic Clinical Programme, Singapore, Singapore

Yong Loo Lin School of Medicine, 10 Medical Dr, Yong Loo Lin School of Medicine, Singapore, Singapore

George He & Nooriyah Aliasgar Moochhala

Centre for Quantitative Medicine, Duke-NUS Medical School, Singapore, Singapore

Rehena Ganguly

Children’s Intensive Care Unit, KK Women’s and Children’s Hospital, SingHealth Paediatrics Academic Clinical Programme, 100 Bukit Timah Rd, Singapore, 229899, Singapore

Jan Hau Lee

Department of Emergency Medicine, KK Women’s and Children’s Hospital, SingHealth Paediatrics Academic Clinical Programme, SingHealth Emergency Medicine Academic Clinical Programme, 100 Bukit Timah Rd, Singapore, 229899, Singapore

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SLC and JHL were the study’s principal investigators and were responsible for the conception and design of the study. WJO, JJBS, BY, GE, NAM and CLN were the co-investigators. WJO, JJBS, BY, GE, NAM and CLN were responsible for the screening and inclusion of articles and data extraction. All authors contributed to the data analyses and interpretation of data. WJO, JJBS, BY, GE, NAM and CLN prepared the initial draft of the manuscript. All authors revised the draft critically for important intellectual content and agreed to the final submission. All authors had access to all study data, revised the draft critically for important intellectual content and agreed to the final submission.

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Ong, W.J., Seng, J.J.B., Yap, B. et al. Impact of neonatal sepsis on neurocognitive outcomes: a systematic review and meta-analysis. BMC Pediatr 24 , 505 (2024). https://doi.org/10.1186/s12887-024-04977-8

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