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NRSG 120 > week 1/3 > Flashcards

week 1/3 Flashcards

(46 cards)

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1
Q

What is Nursing Research?

A

Nursing research is
a systematic inquiry
designed to develop evidence about issues of importance to nurses and their clients.”

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2
Q

Following evidence-based practice in research is the?

A

Gold standard

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3
Q

3 things evidence-based practice based on in the model?

A
  1. Best scientific evidence
  2. Patient values
  3. Clinical experience
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4
Q

What is evidence based practice?

A

Evidence-based practice is the use of the best evidence in making patient care decisions.

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5
Q

Roles of nurses in research?

A

1 Search for research evidence

2 Discuss implications

3 Offer advice to patients about a study

4 Contribute an idea for clinical inquiry

5 Assist in collecting research information

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6
Q

What Type of Knowledge is
Nursing Practice Based On?

A

: Tradition and experts- relying on experts & tradition

: Clinical experience- Relying on it BUT has bias b/c personal

: Trial and error- situational= too many variables

: Disciplined research: a
specialized body of
knowledge for
healthcare.

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7
Q

EBP Exemplars

A

Kangaroo care
 Skin to skin
 Widely adopted practice

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8
Q

Readiness of Nurses
for EBP

A

Nurses are both consumers and researchers of research

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9
Q

Barriers to Evidence Based Practice

A

Nurse characteristics-bias

Organization characteristics

Resources

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10
Q

Paradigm

A

Paradigm- philosophical reality
View of the world & explanation of how
the world works

  • Has assumption= allows u to figure out
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11
Q

Nursing Research Paradigms

A

The Positivist Paradigm

The Constructivist Paradigm

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12
Q

The Positivist Paradigm

A

Looks to understand reasons behind phenomena

There is a reality that can be studied and known

Reality exists independent of human observation

Values objectivity

Quantitative

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13
Q

The Constructivist Paradigm

A

Reality is constructed by people- reality is diff for everyone
 There are many ways to interpret reality
 Subjective interactions are the best way to
understand the phenomenon of interest
 Qualitative

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14
Q

What can you do to prepare to use
evidence in your everyday nursing
practice and bridge the know-do gap?

A

Use the evidence-based practice to bridge the gap

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15
Q

Evidence-Informed Practice Process

A

Ask
* Acquire
* Appraise
* Apply
* Assess

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16
Q

Step 1: Asking Questions –
about what?

A

Therapy / Intervention-Intervention implementing

 Diagnosis / Assessment

 Prognosis- in population

 Etiology (cause)

 Description

 Meaning of experiences

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17
Q

Step 1: Asking Questions - How?

A

PICO
Population
Intervention
Comparison
Outcome

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18
Q

Population

A

Disease type, severity, co-
morbidities
 Age
 Gender
 Ethnicity

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19
Q

Intervention

Study These Flashcards
A

Exposure
 Treatment

 Diagnostic test or
assessment

 Prognostic factor

 Risk factor

20
Q

Comparison

Study These Flashcards
A

What is it being compared TOO
 Alternative therapy

 No therapy (control)

 Usual or standard care

 May not exist or be relevant

21
Q

Out come

Study These Flashcards
A

Benefit- of intervention
 Harm- of intervention
 May be measured in a variety of ways

22
Q

Step 1: Asking Questions - How?
Questions of meaning:

Study These Flashcards
A

PICo
Population
 Phenomenon of Interest
Context

23
Q

Phenomenon of Interest

Study These Flashcards
A

Experiences related to people’s health or
illness

 How people perceive an aspect of their
health or their health care

 Examples include symptoms, receiving a diagnosis, participating in the care of
someone, etc

24
Q

Co-ntext

Study These Flashcards
A

The persons context, enviroument, cultural &cuminity, setting

25
Types of Research Evidence
Qualitative Designs  Quantitative Designs  Single studies and synopsis  Systematic reviews and summaries  Clinical Practice Guidelines  Grey Literature
26
Evidence higharchy
Help us know how strongly to take advice from Systematic review Single RTC non-randomized control trial
27
P-Q. Evidence-based practice uses...
Clinical expertise, best evidence, and patient preferences
28
P-Q What is the nature of reality in a positivist paradigm?
Reality exists but it is impossible to be totally objective
29
Boolean ooperators
and or () works * add extra ends " - to be in order
30
SOURCES THAT LEAD TO RESEARCH
Originate from researcher’s interests 2) Global social or political issues 3) Researchers within a program ofresearch “next steps
31
“FINER” CRITERIA
1.F (Feasible): Is the study feasible in terms of time, money, resources, and scope? 2.I (Interesting): Is the question interesting to the researcher and the wider community? 3.N (Novel): Does the question add new knowledge or perspectives? 4.E (Ethical): Is the study ethically sound? 5.R (Relevant): Is the question relevant to scientific knowledge, clinical and health policy, or future research?
32
LOCATION OF RESEARCH
Can occur in many settings , clinics, homes. A 'site' refers to the broad location of the research, like a whole community or an institution. * Multisite studies are conducted to include a larger and more diverse participant group.
33
CONCEPTS AND THEORIES
Concept- more measurable.. Human attributes , phenommon,pain, fatigue , obesity in qualitative. Construct- Complex ideas, nurses help beyond care. Therory- an explanation of aspects of reality. - qual = theory explain what happens - qaunt= theory explain phenom
34
Evidence-Based Practice Process
Ask * Clinical question Acquire * Search Appraise * Quality Apply * Implement Assess * Evaluate
35
Step two of EBP
Acquire * Who to search with? * Where to search? * How to search? * What to search for? * What tools to use?
36
STEPS IN A QUALITATIVE STUDY
STEPS IN A QUALITATIVE STUDY 1. Conceptualizing and Planning the Study 2. Conducting the Study
37
Conceptualizing and Planning the Study
◎ Identifying the research problem ◎ Doing a literature review ◎ Developing an overall approach ◎ Selecting and gaining entrée into research sites ◎ Developing an overall approach ◎ Addressing ethical issues
38
Conducting the Study
◎ Sampling, data collection, data analysis, and interpretation take place in an iterative process ◎ Talk with those who have firsthand experience with the phenomenon of interest ◎ Data analysis involves clustering related narrative information and developing themes ◎ Data saturation determines participant numbers ◎ Ensure the data accurately reflects the participants’ viewpoints ◎ Disseminate findings at conferences, publications etc
39
Quantitative Research Methods
Phase 1: The conceptual phase= is there a conceptual framework Phase 2: The design and planning phase= select design, every detail is important Phase 3: The empirical phase= Collection of data Phase 4: The analytic phase = Explain results/ clinical signiff Phase 5: The dissemination phase= find the best way to present findings
40
Tittle
Title = key words & type of study
41
Abstarct
Summary = research Q, methodology, main results, implications
42
What is IMRaD?
Intro Method Results Discussion
43
results
Main findings * Quantitative: statistical tests, P-value, statistical significance * Qualitative: themes and/or categories found
44
Findings : Qaulitative
Raw data thematically organized Researcher’s emerging theory about the phenomenon under study
45
DISCUSSION
Interpretation of what results mean *Contains studies to justify findings (similarities/differences) * Strengths and limitations of the study
46
Quantitative studies have __________ flow of steps, while qualitative studies have ______ flow of steps.
a) Linear; circular

NRSG 120 (3 decks)

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