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EBP Chapter 1;
Intro to nursing reseach in EBP environment
| Question | Answer |
|---|---|
| Research | systematic inquiry that uses disciplined methods to answer questions and solve problems |
| Nursing research | systematic inquiry designed to develop trustworthy evidence about issues of importance to nursing practice |
| Clinical nursing research | research designed to guide nursing practice and to improve the health and quality of life and nurse's clients |
| Research vs. EBP | research is the systematic finding of answers, while EBP is application |
| Nurses using EBP | proof that actions are clinically appropriate, cost-effective, and result in positive outcomes for pts |
| What are the ends of EBP research roles? | Consumers and producers |
| Notes on Nursing (1859) | Florence Nightingale emphasized the effect of environment in the well-being of pts |
| 1950s | more advanced degrees of nursing cause research to become more widely important |
| 1960s | journals come out as the idea of practice-oriented research is higher in demand |
| 1970s | The final change of needing research for nursing care and teaching was made--it was imperative from this point on |
| 1980s | Nursing research foundations such as the National Center for Nursing Research are founded |
| 1989 | US government offically creates the Agency for Health Care Policy and Research, the first organization to support research directly affecting healthcare |
| 1993 | National Institute of Nursing Research is established. |
| The priority for nursing research is | promotion of excellence in nursing science |
| Nursing research priorities: | health promotion/dz. prevention, health promotion of vulnerable communities, pt safety, development of EBP, health promotion of elders, |
| Nursing Research priorities | pt centered care and collaboration, EOL care, care implications of tests, capacity development of researchers, and nurse work environments |
| Nursing practice should rely on | evidence from research |
| Sources of evidence | tradition, authority, clinical experience, trial and error, intuition, logical reasoning, assembled information, disciplined resarch |
| Inductive vs. Deductive | Inductive: general from specific Deductive: general to specific |
| Paradigm | World view |
| Positivism | Emphasizes rational and scientific, the idea that reality can be studied, that it is not random but has causes, looking for underlying causes |
| Naturalistic | Countermovement to positivism, reality exists within context, there isn't a process to find absolute truth, there is not absolute truth |
| Paradigm methods | quantitative and qualitative |
| Quantitative | Positivist, works in data such as numbers and measurements, uses scientific method and empirical(sensual) evidence, seek to generalize findings |
| Qualitative | Naturalistic, narrative and subjective, deal with emotions and phenomena that cannot be described ro measured with numbers, used when not much research of phenomena is available, observational, generalizability is challenging |
| Cause probing | designed to illuminate the underlying causes of phenomena |
| Types of research | Identification, description, exploration, prediction/control, explanation |
| EBP research purposes | Treatment/Therapy/Intervention, Diagnosis and Assessment, prognosis, harm and etiology, meaning and processes |