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Meta-analysis
A quantitative technique that combines the results of several independent studies using statistical methods
Meta-synthesis
A qualitative or mixed -methods technique that synthesizes the findings of multiple studies using thematic or narrative methods
Internal validity
The extent to which a study can support that a casual relationship exists between the independent and dependent variables, and that the observed effect on the dependent variable is not caused by other variables
-Asks whether the IV really made the difference or change in the DV
Bias
A systematic influence that moves a study’s findings away from the truth
-Any tendency which prevents unprejudiced consideration of a question (many types)
Threats to internal validity
History, maturation, testing, instrumentation, mortality, selection bias
External validity
Generalizability of one study to additional populations or other environmental conditions
-Ex: COVID caused recruitment barriers
Reactive effects
Subject’s response to being studied (Hawthorne Effect)
-Effects are from the realization of the subjects they are being studied, not from the intervention
Measurement effects
Pre testing can affect the post-test responses within a study and affects the generalizability
Quantitative Research Process
Nursing intervention effectiveness is tested by using experimental and quasi-experimental designs
-Researcher actively intervenes by manipulating study variables to bring about a desired effect
-By manipulating an IV, the researcher can measure a change in behaviors or actions which is the DV
Experimental and quasi-experimental studies provide the two highest levels of evidence
Level II and III for a single study
-A framework for measuring the effectiveness of nursing interventions through controlled conditions, allowing the researcher to draw causal inferences
Randomized controlled trial (RCT)
Study using an experimental design
-Gold standard for providing information about the cause-and-effect relationships
-Generates level II evidence
Experimental design types
-Randomization (mentioned previously)
-Control and comparison: Conditions are held constant to limit bias that could influence the dependent variables , comparison = treatment as usual, placebo, EB intervention
-Manipulation: Changing the independent variables (such as txt) for at least some of the involved subjects
Strengths and weaknesses of the experimental design
-Strengths: Most powerful fo testing cause-and-effect relationships to the use of control, manipulation, and randomization
-Weaknesses: Complicated to design and can be costly to implement
No experimental designs
Used when the researcher wishes to explore events, people, or situations as they naturally occur
-Test relationships and differences among variables
Inferential statistics
Allow the testing of hypotheses using data obtained from probability and nonprobability samples to make inferences about a population
Null hypothesis (H0)
There’s no effect in the population
-States no relationship exists between the two variables being studied (one variable doesn’t affect the other)
Alternative hypothesis (Ha or H1)
There’s an effect in the population
-Independent variable affected the dependent variable, and the results are significant in supporting the theory being investigated
Type I vs II errors
Type I error occurs when the null hypothesis is rejected when it is actually true, while Type II error occurs when the null hypothesis is not rejected when it is false
P value of > 0.05 in nursing statistics
This means that the result is NOT significant
P value of < 0.05
The result IS statistically significant
Clinically vs Statistically significant
A p value only measures statistical probability, not practical value, meaning that something cannot be clinically probable if math is involved
Quantitative
research that involves the systematic empirical investigation of observable phenomena through statistical, mathematical, or computational techniques
Qualitative
research that explores subjective experiences and interpretations, often utilizing interviews or focus groups
Mixed methods
A research approach that combines both quantitative and qualitative methods to provide a more comprehensive understanding of a research question
Experimental
research methodology that tests hypotheses through controlled experimentation, allowing for the establishment of cause-and-effect relationships