(2) Social Science Research & Evidence-Based Practice Flashcards

1
Q

Why do researchers carry out social science research?

A

Social research answer questions about social life with confidence for clinical use.

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2
Q

What are the two ways of conducting social science researches? Briefly describe the differences (7).

A

Quantitative

  • Numerical
  • Point of views of researchers
  • Researchers distant
  • Theory testing
  • Macro
  • Structured
  • Generalisation

Qualitative

  • Artefacts & words
  • Point of views of participants
  • Researchers close
  • Theory emergent
  • Micro
  • Less structured
  • Contextual understanding
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3
Q

What are the weaknesses of qualitative research (3)?

A
  • May generalise the results to be representable to the whole population
  • Difficult to find consistent relationships
  • Causality?
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4
Q

What are qualitative research good at (3)?

A
  • Detailed information
  • Understanding perspectives as if in the situation
  • Explaining relationships between variables
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5
Q

What are quantitative research good at (4)?

A
  • Comparisons
  • Describing
  • Measuring
  • Finding relationships between things
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6
Q

What are the weaknesses of quantitative research (4)?

A
  • May miss out important information
  • Participants may be forced into inappropriate categories
  • Participants may not express in the way they want
  • Causality?
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7
Q

Suggest some common ways to carry out a quantitative research (3)?

A
  • Primary experimental studies e.g. RCTs, Cohort Studies, Case Control Studies
  • Secondary analysis e.g. Census, National Surveys
  • Questionnaires
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8
Q

Suggest some common ways to carry out a qualitative research (4)?

A
  • Interviews
  • Focus Groups
  • Media/Documentary analysis e.g. Patient’s diaries
  • Ethnography and Observation
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9
Q

How is the strength of a quantitative research measured?

A
  • Validity: measure what it is meant to measure
  • Reliability: results are consistent, differences in results come from variables between participants, not from understanding/interpretations of their responses
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10
Q

Suggest ways to produce a better questionnaire (2). What type of research is it?

A
  • Close questions
  • Off questions, e.g. Other, write in details
  • Quantitative research
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11
Q

What is ethnography? What type of research is it? and what is it good at (2)?

A
  • Observing behaviours of individuals instead of relying on what they tell you
  • Qualitative research
  • Observe what participants unaware/biased of
  • Record important events that weren’t designed to find orginally
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12
Q

What is Evidence-Based Practice?

A

Integration of clinicians’ expertise and best available external clinical evidence from systemic researches.

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13
Q

How did Evidence-based practice originate (5)?

A

Before it, there were:

  • Ambiguous of effectiveness
  • Rely on individuals’ personal decisions
  • Influenced by social culture/organisation
  • Clinical fashions
  • Historical practice
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14
Q

What are the strengths of Systemic Research (4)?

A
  • Save clinicians to locate and analysis studies themselves
  • Old studies were often biased and subjective
  • Address clinical uncertainties
  • Reduce delay between discoveries and implementation
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15
Q

Suggest some Practical criticisms of Evidence-Based Practice (3).

A
  • Impossible to maintain systemic reviews across all specialities
  • RCTs are gold standards but sometimes not ethical
  • Outcomes are very biomedical, limiting the trials conducted and therefore funding (NICE guidance)
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16
Q

Suggest some Philosophical criticisms of Evidence-Based Practice (3).

A
  • Doctors become ‘rule followers’
  • Systemic review may be seem as ways to legalise something, the population may undermine doctors hence the NHS
  • Professional responsibility removed
17
Q

Suggest some difficulties of bringing in Evidence-Based Practice (5).

A
  • Doctors may not know
  • Doctors know, may not use
  • Resources limited (financial/human)
  • Organisational systems cannot support innovation e.g. Managers don’t have the authority
  • What if the patient wants something else?
18
Q

What else must be taken into account other than the conclusions of evidence based medicine (2)?

A
  • Patients’ preferences
  • Situations
  • Professional judgement
19
Q

Suggest sources where you get systemic reviews from (4)?

A
  • Medical journals
  • Cochrane collaboration
  • NHS Centre for Reviews and Dissemination
  • NIHR Health Technology Assessment Programme