RESEARCH METHODOLOGY Problem Statement , Research questions& Hypotheses Analyzing & Writing a Statement of a Problem DR. Amira Yahia By the end of this session the student will be able to : Define terms related to research Identify the problem statement Discuss the source of information Draw problem analysis diagram Explain basic description of the problem Evaluate research problem Set some examples of research question Discuss the hypothesis List Theory related to research Studies begin as problems that researchers want to solve or as questions they want to answer. This chapter discusses the formulation and development of research problems. We begin by clarifying some relevant terms. Research Problem: A situation or circumstance that requires a solution to be described, explained, or predicted. It is an unsatisfactory situation that wants you to confront. 4 Research Topic: The broad general area expected to investigate. It is a broad idea or concept from which many problems may be delineated. Once the researcher has decided on the problem of the research, then she needs to have a definition/description of the problem written in a concise clear manner. It should contain information such as: Background information concerning the health status of the community. Basic description of the problem. Justification. Mention previous studies CONT… Articulates the problem to be addressed and indicates the need for a study. This constitutes the scientific justification for the study; i.e. the basis of the need for research to generate further knowledge that will contribute to the existing knowledge. The statement must be written in a way that gives an empirical basis to describe the situation and also specifies clearly the gaps in the existing knowledge and/or controversy and inconclusive evidence. The problem statement should make a convincing argument that: Sufficient knowledge is not available to explain the problem under study. Or There is a need to test what is known and taken as fact, in a situation of new findings or conditions. The research statement should include six elements: Information about the research topic that provoked the study The scope of the problem (e.g.. how many people are affected by it). Why it is important to study the problem The research statement should include six elements: How nursing science would be influenced by the study General characteristics of the population of interest The overall goal or aim of the study or the question to be answered. CONT…. : Are the specific queries researchers want to answer in addressing the research problem. Research questions guide the types of data to be collected in a study. Are formal statement represent the relationship between two or more variable rather than seeking to describe a relationship , a research hypothesis predicts or clearly explaining outcome. Students are sometimes puzzled about the origins of research problems. Where do ideas for research problems come from? How do researchers select topic areas and develop research questions? At the most basic level, research topics originate with researchers’ interests. Because research is a time consuming enterprise, curiosity about and interest in a topic are essential to a project’s success. Explicit sources that might fuel researchers’ curiosity include experience, the nursing literature, social issues, theories, and ideas from others. The development of a research problem is a creative process that depends on imagination and creativity. It is better to begin by relaxing and jotting down general areas of interest as they come to mind. The important point is to put some ideas on paper. Examples of some broad topics that may come to mind include nurse—patient communication, pain in patients with cancer, and postoperative loss of orientation. Specify and describe core problem Analyze the problem by identifying factors and their interactions with the problem. Draw a simplified problem diagram. Organize related factors into larger categories Formulating the problem statement ANALYZE THE PROBLEM BY IDENTIFYING FACTORS AND THEIR INTERACTIONS WITH THE PROBLEM Factor Problem Factor High rate of Complicated malaria Insufficient Peripheral facilities Poor patient Compliance With therapy High rate of Complicated malaria Bad management of complication High rate Of severe malaria Delayed Health Seeking Socio-cultural Delayed health seeking behavior Poor patient compliance to therapy Service Insufficient peripheral facilities Inappropriate management of complications Disease related related High rate of severe malaria Background information: Magnitude, frequency and distribution. Affected geographical areas Affected population groups Ethnic and gender considerations. Basic description of the problem: Probable causes of the problem What is the current knowledge of the problem and its causes? Possible factors influencing problem Is there a consensus? Is there a controversy? Is there a conclusive evidence? Justification: In what ways have solutions to the problem been attempted? What has been proposed? And what are the results? What remains to be answered? What areas have not been possible to understand, determine, verify, or test? the research problems &purpose are significant to nurse Generate Clarify Relevant The feasibility of research problems & purpose Can be practically done 1- researcher expertise 2- Financial commitment 3-Subject,facility,equipmet 4- Ethical consideration 1-Percived discrepancy between what is existing and what is expected 2- A question why this discrepancy exists 3- More than one answer to the question is expected The problem selected for the research should fulfill the following criteria: RELIVANCE:-THE PROBLEM SHOULD BE AN IMPORTANT HEALTH PROBLEM. 2. APPLICABLE:THE PROBLEM SHOULD HAVE SOME CHANCE OF BEING SOLVED. 3. FEASIBILITY: THE RESEARCH SHOULD BE FEASIBLE WITHIN THE AVAILABLE RESOURCES. 4-Political acceptability The ultimate goal of a research is to provide decision – makers and managers with results , so it is advisable to choose a topic that has the interest and support of the authorities . This will increase the chance for recommendations to be implemented . Urgency of results needed According to the .urgency needed for data , the researcher should decide what research to be done first and which can be done later Ethical issues should be considered when we are trying to choose a research topic, for we may do harm on others when we are carrying out research. Acceptance of research by the study subjects is important and taking consents from them is always important. 7 Before you decide to conduct a research, you should find out whether the suggested topic was investigated before in this area or another area with similar conditions. If the topic has been investigated the results should be reviewed to explore whether major questions need further investigations, if not this topic is not suitable for research and should be discarded. THE RESEARCH SHOULD BE COST/EFFECTIVE There are no rules for making a final selection of a research problem. Some criteria, however, should be kept in mind in the decision-making process. The four most important considerations are the significance, research ability, and feasibility of the problem, and its interest to the researcher It is a direct rewording of the statement of the purpose phrased interrogatively rather than declaratively Questions that are simple and direct invite an answer and help to focus attention on the kinds of data needed to provide that answer. 32 Example of a research question: What is the relationship between the nurses’ job satisfaction and their tendency to leave the work setting? 33 Do nurses with greater empathy have patients experiencing less pain and receiving adequate Analgesia than those with less empathy? What is the lived experience of caring for a family member with Alzheimer’s disease at home? It is the research’s prediction of the outcome of the research study. That is the expected relationship between the study variables. Thus, RESEARCH HYPOTHESIS translates the research purpose into a clear prediction of the expected results or outcome of the study 35 Importance of R.H.: It provides direction for the type of research (i.e. design, sampling, data collection .. etc.). Suggests the type of statistical analysis to be used in the study. Identifies the variables to be manipulated and/or measured 36 How to state a R.H.: Research hypothesis should be stated clearly, concisely, measurably, and in the present tense. For a hypothesis to be stated clearly, concisely, and measurably, three criteria should be considered: 37 Three criteria should be considered: 1. 2. 3. A relationship should be addressed in each hypothesis. The variable/condition/relationship must be testable or measurable. The aim of the research guides what is included in the research hypothesis. 38 Types of hypothesis Simple It predicts the relationship \between one independent variable and one dependent variable. Example: Newborns of smoking mothers (I.V) have lower birth weight (D.V.) than those of non-smoking mothers. Lower levels of exercise postpartum (I.V) will be associated with greater weight retention (D.V ) 39 Types of hypothesis Complex It predicts the relationship between 2 or more I.V. and 2 or more D.V. Example: Structured preoperative support (IV).is more effective in reducing surgical patient’s perception of pain (D.V) and request of analgesics (D.V) than structured post operative support (i.v.) 40 Null It predicts no relationship between I.V. and D.V. It is used when statistical testing procedures are applied to the data. Example: There is no relationship between maternal smoking and newborn’s birth weight. 41 Alternative It is the opposite of the null hypothesis. So, it predicts a relationship between the I.V. and D.V. Example: All the previous examples are alternative hypotheses. 42 THEORY To refer to an abstract generalization that offers a systematic explanation about how phenomena are interrelated. Types of theories 1-descriptive theory : That “describe or classify specific dimensions or characteristics of individuals, groups, situations, or events by summarizing commonalities found in discrete observations 2-Grand theories or macro theories describe and explain large segments of the human experience. 3- Learning theorist Such as sociologists, developed general theoretical systems to account for broad classes of behavior. 4-Middle-range theories Restricted in scope, focusing on a narrow range of experience. attempt to explain such phenomena as decision-making, stress, self-care, health promotion, and infant attachment. A framework of the overall conceptual underpinnings of a study. Not every study is based on a theory or conceptual model, but every study has a framework. In a study based on a theory, the framework is referred to as the theoretical framework SUMMARY research problem is a perplexing or enigmatic situation that a researcher wants to address through disciplined inquiry. • The most common sources of ideas for nursing research problems are experience, relevant literature, social issues, theory, and external sources. A Various criteria should be considered in assessing the value of a research problem. The problem should be clinically significant; researchable. • Feasibility involves the issues of time, cooperation of study participants and other people, availability of facilities and equipment, researcher experience, and ethical considerations. • Problem statement articulates the nature, context , and significance of a problem to be studied. A research question is the specific query researchers want to answer in addressing the research problem. GROUP WORK & PRESENTATIONS 1. Identify a research problem 2. Make a problem analysis diagram 3. Rearrange factors into broader categories INSTRUCTIONS FOR GROUP WORK (HOME WORK) Prepare a first draft of one page of the statement of the problem for your group highlighting some of the following: Background information: Magnitude, frequency and distribution. Affected geographical areas and population groups Ethnic and gender considerations. Basic description of the problem: Probable causes of the problem What is the current knowledge of the problem and its causes? Possible factors influencing problem Is there a consensus? Is there a controversy? Is there a conclusive evidence? Justification: In what ways have solutions to the problem been attempted? What has been proposed? And what are the results? What remains to be answered? What areas have not been possible to understand, determine, verify, or test?