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EBP Chapter 1;

Intro to nursing reseach in EBP environment

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
Created by: kalensnyder