Belza Flashcards

1
Q

Research

A

systematic inquiry to validate and refine existing knowledge and generate knowledge

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2
Q

Nursing research

A

systematic inquiry to answer questions relevant to nursing profession

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3
Q

Ways of Knowing

A
  • Introspection
  • Experience
  • Tradition
  • Intuition
  • Authority
  • Trial & Error
  • Reasoning
  • Modeling
  • Borrowing
  • RESEARCH
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4
Q

Significance of research

A
  1. Specialized body of knowledge: evidence- based practice is formed
    - -> promotes quality outcomes
  2. Nurses are held accountable for quality care
  3. allows for description, exploration, prediction, control of phenomena essential to nursing
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5
Q

Translational research

A

moving knowledge gained from the basic sciences to its application in clinical and community settings

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6
Q

Multi method or triangulation

A

methods are combined (quan+qual in a single study)

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7
Q

Quantitative research

A

formal, objective systematic process in which numerical data are used to obtain information

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8
Q

Quan. Rigor

A

Adherence to detail and accuracy as evident by concise purpose, detailed design explicit ptotocols, measurement of variables

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9
Q

Control

A

imposing rules to decrease possibility that findings are accurate reflection of reality; achieved through design and control of extraneous variables

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10
Q

Types (Quan)

A
  1. Experimental
  2. Quasi-experimental
  3. Exploratory
  4. Descriptive
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11
Q

Experimental

A

Examine cause and effect relationships between interventions and outcomes under controlled conditions, there is possibility of control or manipulation of situation

  • -> more control
  • -> increased internal validity
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12
Q

Quasi-experimental

A

explains cause and effect of relationships among individual and dependent variables, can be used to determine effect of nursing interventions on outcomes

  • ->more practical: ease od implementation
  • -> more feasible: resources, subjects, time
  • ->more appropriate for many nursing topics
  • -> more generalized: comparable to practice
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13
Q

Exploratory

A

examines relationships between 2 or more variables and determines type/strength

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14
Q

descriptiv

A

explore and describe phenomena in real-life situations

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15
Q

control

A
  • sampling: random vs. nonrandom
  • setting: highly controlled vs. natural
  • study intervention protocol
  • quality of measurement methods
  • subjects knowledge of being studied (Hawthorne effect)
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16
Q

Areas of appraise (quan)

A
  • Research problem
  • research question and hypotheses
  • literature review
  • internal and external validity
  • research design
  • sampling
  • ethical issues
  • data reliability and validity of measures
  • collection methods and procedures
  • data analysis, conclusions, recommendations
  • applicability to nursing practice
17
Q

reviews

A
  1. narrative review
  2. quick scoping review
  3. rapid evidence assessment
  4. full systematic review
18
Q

narrative review

A
  • type of secondary review with reliance on experts to gather evidence and synthesize findings
    strength: reviews many sources of information on a topic
    limitations: not systematic, risk of bias
19
Q

scoping review

A

map key concepts in an area/examine area to determine value of conducting a systematic review
- process where literature is identified, examined, gaps are identified

20
Q

systematic reviews

A

identifies, appraises and synthesizes the empirical evidence that meets prespecified eligibility criteria to answer research question

  • summarizes numerous and contradictory findings in an unbiased, methodical way
  • used to help groups and individuals make decisions to improve people´s health (Recommendations and guidelines; Benefit design, coverage and policy decisions; Public policy; Performance measures;  Individual patient care)
21
Q

Critical appraisal of systematic reviews

A
  1. Review Question: Is it clearly an explicitly stated?
  2. Search Strategy: were comprehensive methods used to locate studies? Was thorough search done of appropriate databases and were other potentially important souces explored?
  3. Inclusion criteria: How were studies selected?
  4. Critical Appraisal: Was the validity of studies assessed appropriately?
  5. Data Synthesis: How were studies combined? Were findings combined appropriately?
  6. Similarity of Studies: Were the populations of the different studies similar? Was the same intervention evaluated by the individual studies? Were the same outcomes used to determine the effectiveness of the intervention being evaluated? Were reasons for differences between studies explored?
  7. Reporting of Findings: Are review methods clearly documented? Is the review question clearly and explicitly stated? Was the search strategy reported? Was the inclusion criteria reported? Was the criteria for appraising studies reported? Were the methods used to combine studies reported?
  8. Conclusions and Recommendations: Is a summary of findings provided? Are specific directives for new research proposed? Were the recommendations supported by the reported data?
22
Q

Integrative reviews

A

include quan and qual studies

23
Q

stages of integrative review process

A
  1. Problem formulation
  2. data collection
  3. evaluation of data
  4. data analysis
  5. interpretation and presentation of results
24
Q

Ethnography

A
  • describes pattern of behavior within a culture
  • culture is fundamental as it is the structure of meaning through which we shape experience
  • understand culture by capturing beliefs, knowledge, group activities
25
Q

Phenomenology

A
  • Goal: understand the world as the person who has had the experience sees it
  • Bracketing: awareness of own beliefs, trying to see the experience as the person it sees rather than filtered through own prejudices; laying aside what is known
  • Collect data through observation, videotape and/or written description
26
Q

Grounded theory

A
  • Goal: develop a theory about social processes (based in sociology)
  • Grounded = theory developed from the research is based on data
  • People create reality by attaching meanings to situations
  • Data collected by interview, observation, records; coded and categorized with theory as outcome to explain the phenomenon
27
Q

analytic steps

A
  1. concrete experience: data, transcripts and notes
  2. familiarization with data, time on reflection; recording of data
  3. extraction of key concepts
  4. active experimentation- look for patterns, test for fit
    - -> 1….
28
Q

Rigor in qual

A
  • Adherence to a philosophy
  • Thoroughness in collecting data
  • Researchers self-understanding
  • Consideration of all data during analysis
29
Q

COREQ

A

tool to improve reporting quality in qualitative studies

30
Q

EBN

A
  1. Individual clinical experts
  2. patients values and Expectations
  3. best available clinical evidence
31
Q

EBN Benefits

A
  • Improved health outcomes
  • Guidelines indicate best treatment for care in an area to promote quality health outcomes, assist providers in making best clinical decisions
  • Promotes delivery of quality, cost-effective care to patients and families and meets accreditation criteria
32
Q

EBN Barriers

A
  • Nursing lacks research for EBP
  • Development of evidence-based guidelines has lead to “cookbook” approach to care
  • Some healthcare agencies do not provide resources to support EBP
  • Some nurses do not have background to read research and do not see the value of EBP
33
Q

Research for Evidence pyramid (bottom to top)

A
  1. expert opinion
  2. research articles (RCTs, Cohort studies, qual, studies, etc.)
  3. evidence guidelines
  4. evidence summaries and abstracts
  5. systematic reviews and meta-analysis