Original ArticlesPractical Issues of Conducting a Q Methodology Study Lessons Learned From a Cross-cultural StudyStone, Teresa Elizabeth PhD; Maguire, Jane PhD; Kang, Sook Jung PhD, FNP-C; Cha, Chiyoung PhD, RNAuthor Information Graduate School of Medicine, Yamaguchi University, Ube, Yamaguchi Prefecture, Japan (Dr Stone); University of Newcastle, Callaghan, New South Wales, Australia (Dr Maguire); and Ewha Womans University, Seoul, South Korea (Drs Kang and Cha). Correspondence: Chiyoung Cha, PhD, RN, #202 Helen Hall, College of Nursing, Ewha Womans University, 52, Ewhayeodae-gil, Seodaemun-gu, Seoul, 120-750, South Korea (email@example.com). This work was supported by JSPS KAKENHI grant number 26463210.Authors of this manuscript do not have any financial, consultant, institutional, and other relationships that might lead to bias or a conflict of interest. Advances in Nursing Science: July/September 2017 - Volume 40 - Issue 3 - p 291-299 doi: 10.1097/ANS.0000000000000164 Buy Metrics Abstract This article advances nursing research by presenting the methodological challenges experienced in conducting a multination Q-methodology study. This article critically analyzes the relevance of the methodology for cross-cultural and nursing research and the challenges that led to specific responses by the investigators. The use of focus groups with key stakeholders supplemented the Q-analysis results. The authors discuss practical issues and shared innovative approaches and provide best-practice suggestions on the use of this flexible methodology. Q methodology has the versatility to explore complexities of contemporary nursing practice and cross-cultural health research. © 2017 Wolters Kluwer Health, Inc. All rights reserved.