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Nursing Research Definitions
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Diers “A systematic study of problems in patient care.”
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Abdellah “A systematic detailed attempt to discover or confirm facts that relate to a specific problem to improve the practice and profession of nursing.”
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Polit and Hungler “A systematic search for knowledge about issues of importance to nursing.”
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Henderson “A study of the problems in practice relating to the effects of nursing.”
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Ways to “use” nursing research:
--journal clubs --critique research for patient care purposes --explaining research to clients --data collection for others --reviewing methodology for IRB --finding research problems --using research results in patient care or education
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Why do research? Professionalism Accountability Social Relevance
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Evolution of Nursing Research
Education/Recruitment Administration/Staffing Practice Methodology/Theory based research
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Current Trends Health Promotion Nursing Decision Making
Effectiveness of Nursing Intervention in Selected Health Problems Prevention Case Studies/Qualitative Research Ethnographic Studies Compliance
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Conferences for Research Priorities
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#1 through 1994 HIV Long term care Low birth weight Symptom management
Nursing informatics Technology Health Promotion
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#2 through 1999 Develop and test community based nursing models
Assess effectiveness of nursing interventions with HIV Develop and test approaches to remediate cognitive impairment Assess coping with chronic illness Methods for promoting immunocompetence
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Epistemology Sources of Human Knowledge or “how we know what we know”
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Sources of Knowledge Tradition or tenacity Authority Experience
Intuition Trial and Error Logical Reasoning Induction Deduction Scientific Method
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Tradition/tenacity Something we know because we have always known it.
Advantages: Efficient, provides a foundation of truths Disadvantages: Most traditions have not been evaluated for their value
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Authority We know a thing because some authoritative source says it is so Authorities are not infallible, so always question authority--what is the evidence that this is true?
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Experience Our own experiences may be too limited to generalize from
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Intuition It just “ seems” right
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Trial and error Haphazard unsystematic inefficient usually unrecorded
must make the same mistakes or discoveries over and over again
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Logical Reasoning Induction--developing generalizations from specific observations Induction Specifics Generalizations Deduction Deduction--developing specific predictions from general principles
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Scientific Method The most advanced method of acquiring knowledge that humans have developed.
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Scientific Method Order Control Empiricism Generalization
Theoretical Formulation
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Order Systematic prescribed order in order to have reproducibility and confidence in the results problem identified defined predictions of oucome information collected according to design analysis conclusion
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Control In trying to isolate relationships among phenomena, scientists must control phenomena and factors not under study.
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Empiricism Evidence rooted in objective reality and gathered directly or indirectly through the human senses. Research is based in REALITY
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Generalization No research is ever done just to benefit the subjects, in order to have value it must be generalizable to a wider population.
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Theoretical formulation
Theories are manner of organizing, integrating and deriving abstract conceptualization about the manner in which phenomena are interrelated.
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LIMITS OF SCIENTIFIC METHOD
1. Values or ethics 2. Human complexity 3. Measurement problems 4. Control 5. Ethical considerations
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PARADIGMS FOR NURSING RESEARCH
ONTOLOGIC-What is the nature of reality? EPISTEMOLOGIC-What is the relationship between the inquirer and that being studied? AXIOLOGIC-What is the role of values in inquiry? METHODOLOGIC-How should the inquirer obtain knowledge?
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POSITIVIST PARADIGM Nature is ordered and regular and can be predicted.
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NATURALISTIC OR PHENOMENOLOGIC PARADIGM
Reality not fixed but exists within a context, many interpretations are possible. Nothing is absolutely true or false, only within a context.
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QUANTITATIVE RESEARCH vs
QUALITATIVE RESEARCH
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PURPOSES OF RESEARCH Identification Description Exploration
Explanation Prediction and Control
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Types of Research by Utility
BASIC RESEARCH APPLIED RESEARCH COMMERCIAL DEVELOPMENT
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RELATIONSHIPS CAUSAL vs ASSOCIATIONAL
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Requirements for causality
concomitant variation temporal sequencing absence of competing explanations
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STEPS IN THE RESEARCH PROCESS (Quantitative Research)
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CONCEPTUAL PHASE 1. Formulating and Delimiting the Problem
2. Reviewing the Literature 3. Developing a Theoretical Framework 4. Identifying the Research Variables 5. Formulating Hypotheses
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DESIGN AND PLANNING PHASE
6. Selecting a Research Design 7. Specifying the Population 8. Operationalizing the Variables 9. Conducting the Pilot Study/Making Revisions
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EMPIRICAL PHASE 10. Selecting the Sample 11. Collecting the Data
12. Organizing Data for Analysis
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ANALYTIC PHASE 13. Analyzing the Data 14. Interpreting the Results
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DISSEMINATION PHASE 15. Communicating Results
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STEPS IN THE RESEARCH PROCESS (Qualitative Research)
Circular and Flexible
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1. Define/Clarify Broad Topic
2. Review of the Literature? 3. Identify Site/Setting 4. Obtain Access 5. Obtain and Test Equipment 6. Begin Data Collection/Analysis 7. Identify Themes/Categories 8. Triangulation/Saturation 9. Formulate Hypotheses/Theories 10. Communicate Findings
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TERMINOLOGY CONCEPTS/CONSTRUCTS CONCEPTUAL FRAMEWORK
OPERATIONAL DEFINITION VARIABLES DATA HYPOTHESIS (research or null/statistical) PROBLEM STATEMENT RESEARCH DESIGNS SAMPLE/POPULATION
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Concepts/Constructs Refined general or abstract idea “good health”
“nursing care”
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Conceptual Framework A series of concepts or ideas connected by statements about the relationships that exist among them
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Operational Definitions
Specifications of the specific and explicit operations which the researcher must perform in order to collect the required information “Operationalizing the concept”
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Variables Something which varies
An abstract entity which takes on different values.
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DATA Pieces of information obtained in the course of the study
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Hypothesis Research--A statement of the expectations of the researcher concerning the relationships of the variables under study HR Null or Statistical--states that there is no relationship among the variables HO
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Problem Statement A the research question or a statement about the purpose of the study.
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Research Designs Basic designs are experimental and non experimental (or descriptive)
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Sample/Population Sample--the subjects participating in the study
Population--the whole universe of possible subjects Target population--the group to whom the researcher wishes to generalize the results of the study
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RESEARCH REPORTS ABSTRACT INTRODUCTION METHOD RESULTS DISCUSSION
REFERENCES
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Abstract An abbreviated summary of the research problem, methodology, findings and significance.
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INTRODUCTION PURPOSE, RESEARCH QUESTIONS, HYPOTHESES
REVIEW OF THE LITERATURE THEORETICAL FRAMEWORK SIGNIFICANCE OF PROBLEM
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METHOD SUBJECTS RESEARCH DESIGN INSTRUMENTS AND DATA COLLECTION
STUDY PROCEDURES
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RESULTS STATISTICAL TESTS USED VALUE OF THE STATISTIC
STATISTICAL SIGNIFICANCE THEMES (Qualitative Research)
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DISCUSSION INTERPRETATION IMPLICATIONS LIMITATIONS
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REFERENCES All of the literature used in writing the research article. Should contain mostly recent and primary sources.
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