Midterm Review Flashcards
What are the 5 Ways of Knowing in Nursing?
- Tradition
- Authority
- Trial & Error
- Experience intuition
- Logical reasoning/scientific method research
From a Historical Perspective, Scientific Approach to Development of Knowledge is characterized by?
- ORDER: inquiry conducted following a logical series of steps, according to a pre-specified plan
- CONTROL: some aspect of what we are studying to minimize error/bias, which threaten our conclusion/validity.
- EMPIRICISM: Facts are grounded to objected reality.
- GENERALIZATION: Gain knowledge that is transportable from a specific situation to a general.
Assumptions:
- objective reality
- nature is orderly & regular
- events proceded & cause others (“ determinism”)
What is qualitative research?
- Concerened primarly with process (HOW), rather than outcomes or products.
- interested in meaning & meaning-making-how people make sense of there lives and experiences.
Advent assumptions:
- Reality/ knowledge is constructed by the human mind or social interactions
- Events not neccesarily casual & predetermined
What are the 2 philosophies of research/paradigms
- Quantitative-empirical analytical/positivist/received
2. Qualitative-naturalistic, recieved
In the qualitative vs. quantitative paradigm what is the ontological assumption?
Questions: what is the nature of reality?
Qualitative: tangible reality, controllable, predictable, testable
Quantitative: constructed, mulitple, context dependent.
In the qualitative vs. quantitative paradigm what is the epistemological assumption?
Questions: what is the relationship of the researcher to that researched?
Qualitative: constructed, multiple, context dependant.
Quantitative: highly, interactive
In the qualitative vs. quantitative paradigm what is the axiological assumption?
Questions: what is the role of values?
Qualitative: value-free
Quantitative: value-laden
In the qualitative vs. quantitative paradigm what is the Rhetorical assumption?
Questions: what is the language of research?
Qualitative: formal, based on set definitions, impersonal voice
Quantitative: informal, evolving decisions, personal voice
In the qualitative vs. quantitative paradigm what is the methodological assumption?
Questions: what is the process of research?
Qualitative: deductive process, cause & effect, static design-categories isolated before study, context free, generilations leading to prediction, explanation & understanding, accurate & reliable through validity & realiability.
Quantitative: inductive process, mutual simultaneous shaping of factors, emerging design-categories identified during research process, context bound, petterns, theories deveolped for understanding, accurate & reliable through verification.
What are the 9 philosophical orgins with in the Quantitative & Qualitative Research Characteristics ?
- FOCUS: Quantitative: concise, objective, reductionistic. Qualitative: broad, subjective, holistic.
- REASONING: Quantitative: logistic, deductive. Qualitative: dialectic, inductive
- BASIS OF KNOWING: Quantitative: cause & effect relationships. Qualitative: meaning, discovery, understanding
- THEORETICAL FOCUS: Quantitative: tests theory. Qualitative: develops theory.
- RESEARCH INVOLVEMENT:Quantitative: control Qualitative: shared interpretation
- METHODS OF MEASUREMENT:Quantitative: Structured interviews, questionnaires, observations, scales, or physiological instruments. Qualitative: Semi- or unstructured interviews & observations
- DATA: Quantitative: numbers Qualitative: words
- ANALYSIS: Quantitative: statistical analysis Qualitative: individual interpretation
- FINDINGS: Quantitative: generalization accept or reject theoretical proposition. Qualitative: uniqueness dynamic understanding of phenomena & new theory
- Qualitative (naturalistic, interpative, humanistic)
- Quantitative (logical positvism)
Define nursing research?
Research: systematic, logical, and empirical inquiry into a phenomenon to produce verifiable knowledge
(qualitative & quantitative)
Purpose: to improve practice & health outcomes of patients
Define Evidence- Informed Decision Making
“A continuous interactive process involving the explicit, conscientious and judicious consideration of the best available evidence to provide care” [CNA]
Research use/utilization requires nurses to:
- Value research as one way of developing knowledge for nursing
- Have the ability to find relevant research
Have knowledge of sound research practices
Have the ability to critical evaluate research findings
What are the roles of a nurse in research?
- consumer/decision maker
- change champion
- participate/subject
- investigators/producers
CNO: review research in nursing and health related disciplines, critically evaluate research findings, and use findings to inform practice
CNA:) All nurses will …participate in research, read, and apply research findings
What are the directions of nursing research?
- community research
- programs of research
- international perspective
- intervention studies
What are the steps involved in critical reading of nursing research?
- Preliminary reading
- Comprehensive understanding
- Analysis understanding
- Synthesis
What are the steps involved in comprehension/understanding?
- Preliminary understanding: Skim abstract and article. Might decide to stop reading.
- Comprehensive understanding: Understand author’s intent, review unfamiliar terms, terms in relation to context
- Analysis understanding: Understand parts, critique soundness
- Synthesis understanding: Put together and make sense
Critical appraisal ultimately helps you to answer 3 questions. What are they?
- What are the study results?
- Are they valid, i.e., were they obtained by sound scientific methods? (big part of this course)
- Will the results help me in my practice, i.e., clinical significant & useful, generalizable to my patient population?
Goal: begin to determine the value of a research study for your purpose & start critiquing study for its scientific merit, application to practice. You begin to critique!
List the research process/steps
- Research problem and problem statement
- Purpose Statement (Quantitative/Qualitative).
- Hypothesis or Hypotheses in quantitative studies
- Types of hypotheses
- Variables in quantitative research
- Title /abstract
- Critique of problem and purpose statement
What is the purpose of creating a research problem/ problem statement ?
Conduct a research study b/c have:
a problem or situation in need of a solution
A problem/situation arises when we are uncertain about a phenomenon, ie. we don’t have adequate information about it or enough understanding to know what to do
Always indicate a lack of knowledge of some sort or a gap in knowledge
Significance to nursing practice, health care & target population is highlighted – the “so what”?
What is the Contribution?! GAP!!!
Whats the point of having a purpose statement ( quantitative & qualitative) ?
- Tells you the focus of the study (aims, goals, or objectives)
- The purpose (aka aim, objective goal) of this study is …
- Tells the reader what to expect:
- Evaluate …. sounds like an experiment/quasi-experiment
- Explore lived experience … sounds like phenomenology
- Indicates the sample & what the general variable/concepts of interest
- Should contain concepts/variables, population, and possibly setting
- Usually located in the introductory paragraph of the end of the literature review section (therefore, the purpose of this study was ….)
- Sometimes no purpose statement. Researcher goes straight to research questions/hypotheses.
Restatement & clarification of the purpose statement is done through the following…
They make comparisions between 2 or more groups & examine the relationship of 2 or more indepedant variables and dependant variables:
- Questions
- Objectives
- Hypotheses ( only in quantitative)
What is a hypothesis or hypotheses?
- Statement about the relationship between 2 or more variables that suggests an answer to the research question or addresses the study purpose
- Derived from the research problem, literature review, and conceptual framework
- Theory based
- It is a prediction linking theory to research
- Written in declarative format (a statement,NOT a question) and predicts a relationship between 2 or more variables
- May be more than 1 hypothesis in a research study – each is subunit or subset of the research problem/addresses part of study purpose
- Testable=observable, measurable (not value-laden)
What the the different type of Hypotheses?
- Research hypotheses
- Directional
- Non-directional
- Null hypotheses
- No relationship/ difference
What are the variables used in Quantitative Research?
Main types used in quant. research as basis of writing hypotheses & questions for correlational, experimental & quasi-exp studies:
Dependent (Y)
Independent (X)
Think back to high school math
if X then Y
Y=mX + b
Neither dependent or independent
Just a relationship exists
What does the title/abstract tell the reader?
“The title keys the reader to the main variables of the study”
“An abstract keys the reader to the main components of the study”.
“An abstract is a short comprehensive synopsis or summary of a study at the beginning of an article. An abstract quickly focuses the reader on the main points of a study. A well-presented abstract is accurate, self-contained, concise, specific, non-evaluative, coherent, and readable.”
Does the abstract tell you the main components/phenomena of the study? What are the key variables/phenomena?
Does the abstract focus you to the main findings of the study? What are the main findings?
What questions are posed in the Critique of the problem and purpose statement?
- Has the problem been substantiated – how well?
- Has the significance of the problem been identified?
- Does the purpose/aim match/respond to the problem statement?
- Does the question imply the possibility of empirical testing? Can it be answered?
Define the Philosophical Terms: Ontology, Epistemology, Methodology
ONTOLOGY
The science or study of “being.”
Questions: What can be said to exist? Into what categories can existing things be sorted?
EPISTEMOLOGY
Epistemology addresses the issue of “truth.”
Questions: What is knowledge? How do we know what we know? What is the scope of knowledge?
METHODOLOGY
Methodology refers to discipline-specific principles, rules, and procedures that guide the research process.
Questions: How can we answer our research question? What approache(s) are most relevant/suitable?
What are the 3 nursing paradigms?
- Post-Positivism
- Critical Social
- Constuctivist
Describe the Paradigms for Ontology.
post-positivism, critical theory, constructive
POST-POSITIVISM - a material world exisits, not all things can be understood, sensed or placed into a cause and effect relationship. The senses provide us with imperfect understanding of the external material world.
CRITICAL THEORY- reality is constructed by those with the most power at particular points in history, reality is palstic at all times imperfectly understood, overtime relaity is shaped by numerous political/social/economical & cultural forces.
CONTRUCTIVE- reality in constructed by individual perception, not absolute truth or validity, truth is realitive and subjective and based on perception or some particular frame of reference.
Describe the Paradigms for Epistemology.
post-positivism, critical theory, constructive
POST-POSITIVISM- researchers are naturally biased, objectivity is the ultimate goal, encourages traingulation & replication findings, encourages intense scrutiny of research and rejectin of poorly conducted research.
CRITICAL THEORY- research is a transaction b/w the researcher and participant, perceptions naturally influence knowledge generation/creation, contextual awareness & its relationship to the participants-understanding of reality is the focus of the research, objectivity as outlined by past positivist is not a desired goal.
CONSTUCTIVE- research is a transaction b/w researcher & participant, perceptions naturally influence knowledge generalization/creation, emphasizes the meaning ascribed to human experience, context is considered but not emphasized, objectivity as outlined by the post-positivist is not a desired goal.
Describe the Paradigms for Methodology.
post-positivism, critical theory, constructive
POST-POSITIVISM-research is a series of lodgical steps, includes experimental & non-experimental approaches, research questions/hypotheses are proposed and subject to testing.
CRITICAL THEORY- inquiry requires dialogue b/w the investigator and researcher participant, dialogue is transformative and brings to the forefront the historical context behind experiences of suffering, conflict and collective struggles, dialogue increases participates awareness of actions required to incite change.
CONSTRUCTIVE-inquiry requires dialogue b/w the researcher and participant, focus on intrepretation of written texts, art pictures and videos, findings bring to the forefront the various ways in which people construct meaning and understanding.