1. Excellence in Nursing Practice Through Research, EBP & Application to Bedside Patient Care Chesapeake Bay Society of PeriAnesthesia Nurses Saturday, February 8 th, 2014 Kim A. Noble, PhD., RN, CPAN © Copyright Kim A. Noble; use prohibited without permission

2. Part IV Hard or Soft: Quantitative –Vs.- Qualitative Kim A. Noble, PhD., RN, CPAN knoble@aspan.org

3. Objectives Following participation in this lecture, the learner will: Compare and contrast qualitative and quantitative research designs; Describe leveling the evidence of qualitative and quantitative research designs; Analyze research using standardized tool(s) for literature critique; Discuss the application of research findings.

4. Philosophy for Nursing ©

5. Two Opposite Paradigms ©

6. Again Compare…

7. Left Brain –Vs- Right Brain Where do you fall? http://testyourself.psychtests.com/bin/transfer?req=MnwzMTc4fDE1NzI3 NTR8MHwxfDE=&refempt=

8. Quantitative Focus on the numbers

9. Quantitative (con’t)

10. Qualitative

11. Qualitative (con’t)

12. Different Evaluation Outcomes JBI FAME Scale: Feasibility Appropriateness Meaningfulness Economic Metasynthesis

13. Level of Evidence Effectiveness E 1-4 Level 1 ~ SLR (with homogeneity) of experimental studies (i.e. RCT) ~ Meta-analysis (with homogeneity) of experimental studies (eg RCT with concealed randomization) OR one or more large experimental studies with narrow confidence intervals Level 2 One or more smaller RCTs with wider confidence intervals OR quasi- experimental studies (without randomization). Level 3 a.Cohort studies (with control group) b. Case-controlled c. Observational studies (without control group) Level 4 Expert opinion, physiological bench research, or consensus JBI Levels of Evidence - Effectiveness ©

14. © Boswell, C. & Cannon, S. (2007). Introduction to Nursing Research: Incorporating Evidence-Based Practice, Sudbury, MA: Jones & Bartlett. Burns, N. & Grove, S. K. (2011). Understanding Nursing Research: Building Evidence-Based Practice, 5 th ed., Maryland Heights, MO: Elsevier, Saunders. Malloch, K. & Porter-O’Grady, T. (2006). Introduction to Evidence-Based Practice in Nursing and Health Care, Sudbury, MA: Jones & Bartlett. White, K. M. & Dudley-Brown, S. (2012). Translation of Evidence Into Nursing and Health Care Practice, New York: Springer. References