Chapter 1 research nursing

Nursing research

designed to generate evidence about issues of importance delivery and outcomes of client care.

What is research

in relies on a variety of methods to answer questions or resolve problems.

Consumers

nurses who read and evaluate.

research

reports or summaries

producers

nurses who design and undertake in research studies

BSN research roles

-Identify research problems

-Assist with data collection

-Advise clients about participating in research.

-Critique research studies.

-Summarize resarch studies for use in pratice.

-Dicuss the implications of a study in a journal club in practice setting.

Contemporary Emphasis

-Continue to focous on evidence based practice.

-Accelerating emphasis on research synthesis.

-Expanding local research and quality

-Improvement efforts in health care settings.

-Increasing emphasis on patient centeredness.

-Strengthening of interprofessional collaboration.

-Increasing interest in applicability of research.

-Growing interest in defifing and aserting clincal significance ad precision in health care and symptom science.

Current and Future Directions of nursing research

• strengthening of interprofessional collabrations.

• a new emphasis on health care equity (everyone recieves health care)

• continue emphasis of research

• summarize all studies and findings in your research

• expanded local research and quality improvements in health care settings.

• increase emphasis of client centerdness.

• greater interest of application of research.

• greater interest in defining and determing clincal signifcance

• focuses on what nurses will study in the future.

Sources of evidence of nursing pratice

-Tradition

-Authority

-Clincal experience and trial and error.

-Logical reasoning:

-Inductive

-Deductive

Assembled information

-Disciplined research

Inductitive Reasoning

taking very specific stories and making general statements out of it.

Deductitive Reasoning

starts with general knowledge try to drill down to specifics.

Paradigm

a world view; a general perspective on complexities of the real world with certain assumpations about reality.

Positivist Paradigm

logical rooted in 19th centuary thought.

Constructive paradigm

post modern retaking old ideas and making something new.

Quantative Research

-Generalizibility

-Positivism (positive paradigm) and deductive reasoning.

-numbers

-rigid/structured.

-large of respondents.

-general to specific

-empirical evidence- gathering something to messure.

Qualitive Research

• focuses on people’s experiences.

• smaller group of respondents.

• limitations occur due to subjects.

• flexible.

• Constructive paradigm and Inductitive reasoning.

Mutiple paradigms and nursing research common features

ultimate goals- answer questions and solve problems.

exeternal evidence- gather evidence.

reliance on human coperation

faliblity of research- understand research limatations.

ethical constraints

Multiple paradigms mixed methods

Qualititve and Quantitive Data

Purpose of nursing research

answer questions and solve problems relevance to nursing.

Basic research

looking for information for knowledge.

applied research

taking research and applying it to practice problems.

Thearpy/ Intervertion question

Adressed by health care researchers who want learn about the effect of specific action, product, or process.

Diagnosis/ Assement question

use of high quality intrustments to document accuracy.

Prognosis question

understand outcomes that are associated with an illness estimate the probaility that will occur or predict type of people the outcome will effect.

Etiology question

understanding factors that cause health problems.

Description

Quantative foucses on data and stastics things like size, prevelance, intesity, and measurable attributes.

meaning/process

identifiying underlying cause of the issue.