It is generally accepted in many areas of research, including nursing research, that decisions about research methods should be informed by the nature of the research question; that the research question will indicate what approach and methods should be used. However, it is arguable that this over-simplifies the process of decision-making. It is suggested that the axiom that question determines approach and method overlooks the influence of the researcher's personal worldview in such decisions. This paper seeks to examine some of the elements of the process of moving from underlying philosophy to research design and strategies, by exploring the concept of paradigm, features of this researcher's worldview, and the principles and processes which influence decisions about the research. The process is illustrated by reference to features of a study into the work of community psychiatric nurses in relation to the quality of life and social networks of their clients with enduring mental health problems.