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-Assuming active role in process
-Incorporating results into practice as consumer
what are nurses responsible for?
true
true or false:
nursing research is a process that allows nurses to ask questions to gain new knowledge and improve patient care
this is when research is the primary basis for clinical decision making
what is established reality?
Nurses participate in research activities to:
1. develop knowledge
2. refine/change practice
3. extend nursing science... unique body of knowledge
what are three reasons why nurses participate in research activities?
true
-clinical research (primary emphasis)
-educational
-administrative
true or false:
nursing is both a professional and an academic discipline
this is the emphasis on research findings guiding practice and clinical decisions
what is EBP?
Nursing research is a process of systematic inquiry
-Study phenomena of interest to discipline
-There are various approaches:
Quantitative (QN) & Qualitative (QL) methods
The purpose of nursing research is to:
-Answer questions, solve problems
EVEN BETTER:
-Discover new knowledge
-ESSENTIAL to guiding clinical practice
what is nursing research?
Tradition
Authority
Personal Experience
Intuition
Trial & error
Logical Reasoning
Scientific Method (preferred)
how is knowledge acquired?
scientific method
what is the preferred way to acquire knowledge?
Process in which observable, verifiable data are systematically collected from surroundings through the senses to describe, explain, or predict events
what is scientific inquiry?
Selecting/ defining a problem, formulating research questions or hypotheses, collecting & analyzing data, and reporting results.
what is the scientific method?
true
true or false:
the scientific method should be done with rigor
1. OBJECTIVITY
-Ability to distance process from scientist's personal beliefs, values, attitudes
2. EMPIRICAL DATA
-Documenting objective data obtained thru direct observation (numeric form)
-Grounded in REALITY, not personal beliefs
-Free of BIAS
what two things does the scientific method require?
false
scientific research differs from nursing research in the nature of the material studied
true or false:
scientific research does not differ from nursing research
Nursing research ~ studying PEOPLE
-Unpredictable
-More variability
CHALLENGING...
-More difficult to control external conditions
-Ethical considerations ~ IRB
why is nursing research more challenging compared to scientific research?
1. Quantitative Research (QN)
-Involves more rigorous scientific methods
-Used more extensively
-Emphasis on objectivity
-Traditional approaches
--->Experiments, questionnaires, surveys
-Statistical analysis of numerical data
-Larger samples
-Emphasis on generalizing findings to similar populations
what is quantitative research? list some characteristics of QN
2. Qualitative Research (QL)
-Methods emphasize verbal descriptions
-Less common, can complement QN
-Emphasis on subjectivity, understanding the meaning of "experience" for individual
-Newer, less traditional approaches
-Interviews, observations, case studies
-Analyze words (vs. numbers) for meaning, common themes
-Small samples
-NOT concerned with generalizing findings
what is qualitative research? list some characteristics of qualitative research
RIGOR ~ Striving for excellence in research
-Knowledge of the research process
-Discipline
-Scrupulous adherence to detail
-Strict accuracy
what is rigor?
TRIANGULATION (also called Mixed Methodology)
-Use of both QN & QL methods to collect data about a particular phenomenon
-Complementary
-More accurate representation of reality
what is mixed methodology/triangulation?
true
true or false:
Usually need several studies/stream of steady robust evidence to change practice
-Repeating a study using same variables/methods or slight variations
-Provides additional evidence of validity of findings
what is replication?
Analyzing data already collected by someone else for distinctly different purpose, explore other questions
-Saves time & $, but data "as is"
-EXAMPLES: Census data, Medicare/govt databases
what is a secondary analysis?
Research CONSUMER
-Readers of research whose objective is to APPLY findings to nursing practice or USE findings to conduct further research
what is a researcher consumer?
Nurse RESEARCHER
-Actively conducts, participates in design & implementation of a study (Masters level)
-Part of research team ~ group that collaborates to conduct research, from determining initial research question through disseminating results
-Assist/conduct/lead investigations as principal investigator "PI" (Doctoral level)
what is a nurse researcher?
true
true or false:
Every nurse scientist has responsibility of promoting integrity of nursing science
As part of a RESEARCH TEAM:
-Collaborate on development of idea
-Participate in design of study
-Assist with data collection
what is a nurse's role as part of a research team?
Guiding principles for nurse scientists:
-Respect for integrity of knowledge
-Collegiality
-Honesty & trust
-Objectivity
-Openness
what are the guiding principles for nurse scientist?
true
true or false:
Nursing research is of little value unless it is communicated to other professionals
true
true or false:
dissemination of knowledge is key
Five General Steps/Guidelines:
1. Selecting/defining problem
2. Selecting research design
3. Collecting data
4. Analyzing data
5. Using research findings
what are the five general steps and guidelines to the research process?
1. problem identification
-Selecting & defining a problem
-Involves:
Review of literature (ROL) to determine rationale for study, justify need to investigate phenomenon
Identifying theoretical framework for interpreting results, IF appropriate
Stating research question(s) OR hypotheses
what is the first step of the research process?
2. Designing the study
Selecting a research design
Involves planning methods of:
-Sample
-Setting
-Measurement
-Also selection of methods for analyzing data
what is the second step in the research process?
3. Implementation
Collecting data
-Most difficult, time consuming phase
Involves
-Collecting data
-Organizing data for analysis
what is the third step in the research process?
4. Data Analysis
Involves:
-Analyzing/interpreting data, making valid conclusions
-Summarizing data in meaningful way to answer question(s) or determine if hypotheses are supported or not
-May lead to new questions that stimulate further study
what is the fourth step in the research process?
5. Dissemination of findings
Involves using the findings
-Those NOT shared are of little value
-Must communicate to others
-Can take many forms
1. Journal articles
2. Podium presentations
3. Poster presentations
what is the fifth step in the research process?
true
true or false:
Without a well-developed dissemination plan, research cannot be used for the greater good.
Strategy depends on
-What is being disseminated
-End users
-Outlets available to convey research outcomes
1. practice
2. education
3. policy
what are the three things research drives?
Purpose:
-Obtain empirical data used to develop, refine or test a theory WITHOUT immediate concern for direct application to clinical practice
AKA "fundamental" or "bench" research
what is the purpose of basic research?
Applied Research:
Purpose ~ Gain knowledge that is used
in practical/clinical setting, modify practice
Most nursing research is in this category
what is applied research?
1. Refers to a study where researcher manipulates/controls 1 or more variables to observe effect on another
-Involves administering a treatment (intervention) to one group & withholding or giving alternative treatment to another (control) group
2. Often to explain or predict phenomena
3. Experimental & quasi-experimental designs
what is experimental research?
Refers to a study where there is little to no control over variables
-Descriptive or exploratory
-TWO Common Types
1. Descriptive Research: A particular situation or event that already exists is described
-NO attempt to explain or predict
2. Correlational Research: Examines the relationship between existing variables and how they correspond (correlation coefficient)
-"Descriptive correlational"
what is non-experimental research?
Retrospective Research
-Examines data collected in the past
-Medical record review
-AKA "ex post facto" (after the fact)
what is retrospective research?
Prospective Research
-Examines data collected in the present
-More reliable because of potential for greater control of data/how collected
what is prospective research?
Cross-Sectional Research
-Collects data at one point in time
-Draw conclusions about population characteristics by comparisons
-Measures what exists today
-NO attempt to document changes or treatment effects over time
-Often noted as limitation
what is cross-sectional research?
Longitudinal Research
-Follows a single cohort or groups of subjects, but collects data over time, performing measurements at prescribed intervals
-Enables comparisons over time
-More difficult:
Loss of subjects (mortality) over extended course of study
More resources (time & $) needed
Repeated "testing" effects on same subjects
what is longitudinal research?
Sequential approach for research leading to improved HC & clinical/patient outcomes
1. Cultivate a spirit of inquiry
2. Ask clinical questions
3. Search for best evidence (ROL)
4. Critically appraise evidence
5. Integrate evidence
6. Evaluate outcomes of EBP
7. Disseminate EBP results
what are the seven steps for EBP?