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Research
CH 1-4
| Question | Answer |
|---|---|
| scientific process that validates and refines existing knowledge and generates new knowledge that directly and indirectly influences nursing practice | nursing research |
| integration of the best research evidence with clinical expertise and patient needs and values | evidence-based practice |
| empirical knowledge generated from the synthesis of quality study findings to address a practice problem | best research evidence |
| the knowledge and skills of the healthcare professional providing care | clinical expertise |
| identifying and understanding the nature of nursing phenomena and relationships among them | description |
| Examples of Research focused on description: | ID response to health conditions ID cluster of s/s of dz Determine hlth prmotion & illness prevention determine incidence of dz (H1N1) |
| clarifies the relationships among phenomena and ids the reasons why certain events occur | explanation |
| Research focused on explanation examples | *determine the assessement data *link asssessment data to dx *link causes to illness, morbidity & mortality *determine relationships among hlth risks, hlth behaviors, and hth status |
| estimate the probability of a specific outcome in a given situation | prediction |
| Research on Prediction examples | *prediction of risk of dz in diff population * prediction of behaviors that promote hlth and illness *prediction of hlth care required based on pts need & values |
| ability to write a prescription to produce the desired results | control |
| in-depth analysis and systematic description of one pt or a group of pts to promote understanding of hlthcare interventions | case study |
| important methodology for documenting the effectiveness of healthcare services in the 1980's and 1990's. | outcomes research |
| essential information acquired in many ways, expected to be an accurate reflection of reality, and incorporated and used to direct a person's actions | knowledge |
| include truths or beliefs that are based on customs and trends | traditions |
| a person with expertise and power who is able to influence opinion and behavior | authority |
| appropriation and use of knowledge from other fields to guide nursing practice | borrowing |
| _________ is an approach w/ unknown outcomes that is used in a situation of uncertainty in which other sources of knowledge are unavailable | trial and error |
| gaining knowledge by being personally involved in an event, situation, or circumstance | personal experience |
| _______ is learning by imitating the behaviors of an expert | role modeling |
| expert nurse serves as teacher, sponsor, guide, and counselor for a novice nurse | mentorship |
| an insight into or understanding of a situation or event as a whole that usually cannot be explained logically | intuition |
| processing and organizing of ideas in order to reach conclusions | reasoning |
| moves from the specific to the general; particular instances are observed and then combined into a larger whole or a general statement | inductive reasoning |
| a headache is an altered level of health that is stressfull & terminal illness is an altered level of health that is stressful. Therefore it can be induced that all altered levels of health are stressful. This is an example of.... | inductive reasoning |
| moves from the general to the specific or from a general premise to a particular situation or conclusion | deductive reasoning |
| proposition is a statement of the proposed relationship between two or more concepts. | premise |
| All human beings experience loss. All adolescents are human beings. Therefore it can be deduced that all adolescents experience loss. This is an example of | deductive reasoning |
| These research methods are needed to generate evidence for goals of the nursing profession: | * promote & understand pt experience w/ health/wellness * implement nursing interventions to promote pt hlth * providing high-quality, cost-effective care within the hlth care system |
| is a formal, objective, systematic process in which numerical data are used to obtain information about the world. | Quantitative research |
| a systematic, subjective approach used to describe life experiences and situations and give them meaning. Method of understanding the unique, dynamic, holistic nature of human beings. | Qualitative research |
| focuses on examining the result of care or determine the changing in health status for the patient. | outcomes research |
| 4 areas that require examination through outcomes research are the following: | 1) pt responses to interventions 2) fxn maintenance or improvement of physical fxnin for the pt 3) financial outcomes achieved w/ the provision of healthcare 4) pt satisfaction w/ the health outcomes, care received, & healthcare services |
| best research evidence provides the following 3 things | 1) description of strategies used to synthesize research evidence 2) model of levels of research evidence available 3) link of the best research evidence to evidence based guidelines for practice |
| this is a structured, comprehensive syntehsis of quantitative and outcomes studies in a particular healthcare area to determine the best research evidence available for expert clinicians to use to promote an EBP | systematic review |
| summary of research evidence from highly controlled studies about a particular problem in practice | systematic review |
| What types of research are included in a systematic review? | Quantitative and outcome studies (randomized clinical trials) |
| Is systematic review narrative, statistical or both? | both |
| is meta-analysis narrative, statistical or both? | statistical |
| is Integrative review narrative, statistical or both? | narrative |
| is metasummary narrative, statistical or both? | narrative |
| is metasynthesis narrative, statistical or both? | narrative |
| What type of research uses quantitative and outcomes studies with similar methodology that usually includes randomized clinical trials. It also includes meta-analysis and integrative reviews focused on the practice problem. | systematic review |
| This type of research includes quantitative studies with similar methodology, such as quasiexperimental and experimental studies focused on the effect of an intervention or correlational studies focused on a relationship. It also includes outcome studies. | meta-analysis |
| this type of research includes quantitative, outcomes, and qualitative studies that test theory and qualitative studies that generate theory so the synthesis also includes theoretical literature. | integrative review |
| This type of research summarizes existing qualitative studies and provides the basis for metasynthesis | metasummary |
| this type of research is the use of original qualitative studies and metasummaries to produce synthesis. | metasynthesis |
| What is the strongest or best research evidence (list top 4)? | 1. systematic review of experimental studies (RCT) 2. meta-analysis of experimental quasi-experiemntal and outcomes 3. integrative reviews of experimental (RCT), quasi-experimental, and outcomes 4. single experimental study |
| are rigorous, explicit clinical guidelines developed based on the best research evidence available in that area | evidence-based guidelines |
| What is an extremely important source for evidence-based guidelines in the US is the... | National Guideline Clearinghouse (NGC) |
| involves careful examination of all aspects of a study to judge its strengths, limitations, meaning, and significance | critical appraisal of research |
| this is a study that statistically pools the results from previous studies into a single quantitative analysis that provides on of the highest levels of evidence fore an interventions efficacy. Objective | meta-analysis |
| This can be performed on correlational studies to determine the type or strength of relationships among selected variables | meta-analysis |
| this type of research includes the ID, analysis, and synthesis of research findings from independent quantitative, outcomes, and qualitative studies to determine the current knowledge. | integrative review |
| this is the process and produce of systematically reviewing and formally integrating the findings from qualitative studies | qualitative research synthesis |
| Qualitative research synthesis includes two categories: | qualitative metasummary and qualitative metasynthesis |
| this is the synthesis of summing of the findings across qualitative reports to develop a description of current knowledge in an area | qualitative metasummary |
| This provides a fully integrated, novel description or explanation of a target event or experience versus a summary view of that event or experience. | qualitative metasynthesis |
| randomizing subjects into groups, collecting data, and conducting statistical analyses. | experiment |
| a formal, objective, rigorous, systematic process for generating numerical information about the world. | quantitative research |
| What are types of quantitative research? | descriptive, correlational, quasi-experimental, and experimental |