1 MISSISSIPPI COLLEGE SCHOOL OF NURSING NUR 323-Research in Nursing Practice Course Title: NUR 323 – Research in Nursing Practice Course: 3 semester hours (45 contact hours) Placement in Curriculum: Semester II Prerequisite: NUR 312 Course Faculty: Mary Jean Padgett, Ph D, RN, Lynn Buckalew, MSN, RN Catalogue Description: Focuses on the research process and the development of an attitude of inquiry. The role of the nurse in conducting and utilizing research is explored. Course Outcomes: 1. Differentiate between nursing research and other types of research. 2. Describe the research process. 3. Identify appropriate research topics within nursing practice. 4. Develop a review of literature on a selected research topic. 5. Conduct data analysis using selected statistical methods. 6. Evaluate data collection and analysis of selected research studies. 7. Discuss the utilization of computers in nursing research. 8. Discuss the importance of research for evidence-based practice in nursing. Course Outline: I. Introduction to Nursing Research II. Research Problems, Purposes, and Hypotheses III. Review of Literature IV. Organizing Framework: Conceptual and Theoretical Frameworks and Designs V. Ethical Concerns VI. Populations and Samples VII. Measurement and Data Collection VIII. Analysis of Research Data IX. Critiquing and Utilization of Nursing Research X. Research in Evidence Based Nursing (EBN) Practice Learning Strategies: 1. On-line discussion forums 2. Written assignments 3. Group projects 4. Examination 2 Evaluation Methods: Modules-on-line participation Test 1 Test 2 Formal Paper Poster Presentation Group Project 30% 15% 15% 20% 15% 5% Required Texts: Burns, N. & Grove, S.K. (2007). Understanding Nursing Practice (4th ed.). Philadelphia, PA: Saunders. Evolve Online Course for Understanding Nursing Research Publication Manual of the American Psychological Association (5th ed.). (2001). Washington, DC: American Psychological Association. Required Other: Computer access and Internet access Grading Scale: The grading scale used by the School of Nursing is as follows: A – 93-100 B – 85-92 C – 77-84 D – 70-76 F – 69 and below For purposes of progression in the School of Nursing, grades of D and F represent unacceptable work. Students must have a 77% or higher average in order to successfully complete a course. Participation in discussion boards: For those classes that have participation in discussion boards as part of the class requirements, the student is expected to contribute to the class in a substantive way at least once each week. Postings should demonstrate thought and an attempt to discuss the student’s personal/work experiences, as they are relevant to the class discussion, and/or sharing information from outside readings, properly cited (see specific Grading Criteria for Online Participation and Contribution). Please remember that the instructor is looking for quality, not quantity Late Work: Assignments are considered late if not submitted by the specified due date and time. Any difficulty in meeting a due date should be discussed with the instructor prior to the due date. Late penalties will be calculated at 5 points per day, with the exception of Saturday and Sunday counting as one day. Papers must follow the acceptable style (grammar, spelling), or the paper may be returned to be corrected before grading occurs. No late penalty will be imposed unless the revised deadline for the paper is missed. All written work, once turned in to faculty, becomes property of the School of Nursing. Academic Honesty: 3 Mississippi College students are expected to be scrupulously honest. Dishonesty, such as cheating or plagiarism, or furnishing false information, including forgery, alteration or misuse of University documents, records or identification, will be regarded as a serious offense subject to severe penalty, including, but not limited to, loss of credit and possible dismissal. See the Mississippi College Student Handbook or University Policy 2.29 for specific information regarding penalties associated with dishonest behavior at Mississippi College. Copies of the Mississippi College Student Handbook are available on line under Campus Life; Student publications. Copies of university policies are available on the Mississippi College web site. (Source: Mississippi College Undergraduate Catalog) Plagiarism: The School of Nursing adheres to the Mississippi College policy concerning plagiarism which appears in the Mississippi College General Bulletin and the Mississippi College Student Handbook. It is as stated here: No student shall submit as his own work any term paper, research paper, thesis or other academic assignment of original work that in any substantial part is not in fact his own work. (This is not intended to prohibit clerical or stenographic assistance such as typing of manuscripts, nor is it to hinder the normal use of reference or other material, provided that the source is acknowledged and documented.) Violation of this regulation shall result in a grade of "0" on the paper or project; repeated violation shall be cause for severe disciplinary action; aiding or abetting plagiarism of the sort described above shall also be cause for disciplinary action (refer. In the absence of clear evidence of a violation, but when there are grounds for reasonable doubt that any item of work is the student's own, the work (paper, thesis, etc.) shall be rejected and the student shall be given another opportunity to do the work with proper safeguards for the assurance of honesty. Failure to adhere to this policy may result in dismissal. Tutoring/Advisement Individual student appointments will be available upon request. Disabilities Act of 1990: In order for a student to receive disability accommodations under Section 504 of the Americans with Disabilities Act, he or she must schedule an individual meeting with the Director of Student Counseling Services immediately upon recognition of their disability (if their disability is known they must come in before the semester begins or make an appointment immediately upon receipt of their syllabi for the new semester). The student must bring with them written documentation from a medical physician and/or licensed clinician that verifies their disability. If the student has received prior accommodations, they must bring written documentation of those accommodations (example Individualized Education Plan from the school system). Documentation must be current (within 3 years). The student must meet with SCS face-to face and also attend two (2) additional follow up meetings (one mid semester before or after midterm examinations and the last one at the end of the semester). Please note that the student may also schedule additional meetings as needed for support through SCS as they work with their professor throughout the semester. Note: Students must come in each semester to complete their Individualized Accommodation Plan (example: MC student completes fall semester IAP plan and even if student is a continuing student for the spring semester they must come in again to complete their spring semester IAP plan). Student Counseling Services is located in Alumni Hall Room #4 or they may be contacted via email at christia@mc.edu or rward@mc.edu. You may also reach them by phone at 601-925-7790. Revised & Approved: 11/07 Revised & Approved: 5/96, 10/99, 5/01, 6/07 Reviewed: 5/02, 5/03, 5/04, 5/05, 5/06, 01/10 4 MISSISSIPPI COLLEGE SCHOOL OF NURSING NUR 323 - Research in Nursing Practice Lesson I: Introduction to course Lesson Objectives: Upon completion of this lesson the student should be able to discuss course expectations and evaluation methods to be used. Lesson Outline: I. Focus of course II. Course requirements III. Evaluation methods IV. Computer orientation at library for nursing research V. Honors program in nursing Student participation in the Honors Program is voluntary. For a student to be accepted, his or her nursing GPA must be 3.5 or higher and one=s overall GPA must be 3.25 or higher. The student must be admitted to the School of Nursing and have taken a minimum of 12 semester hours at Mississippi College. To graduate with honors, the student=s nursing GPA at time of graduation must be 3.5 or higher. If anyone is interested, please contact Dr. Padgett. VII. English Writing Center The English Writing Center is housed in the English office in Jennings Hall, Room 301. The hours the Center will be open will vary each semester. Please call 925-3215 for more information. The Faculty may refer students who are having difficulty with writing skills to the Center for assistance. Every student is welcome to seek assistance from the Center. 8. Plagiarism Required Reading/AV Activities: Reference librarian to demonstrate use of computer programs in Speed Library. 5 Mississippi College School of Nursing NUR 323 - Research in Nursing Practices Lesson II: Introduction to Nursing Research and Ethical Considerations Lesson Objective: Upon completion of this lesson the student should be able to: 1. Recognize the importance of research to the nursing profession. 2. Discuss historical events influencing nursing research. 3. State the role of a baccalaureate nurse in nursing research. 4. Distinguish between the types of knowing. 5. Discuss how research helps to establish a scientific base for nursing practice. 9. Identify similarities and differences between quantitative and qualitative research. 10. Identify types of research reports. 11. Recognize major sections in a research journal article. 12. Discuss historical events that led up to the creation of the Code of Ethics. 13. Explain the principles of benefience, respect for human dignity and justice. 14. Identify types of vulnerable subjects. 15. Describe the role of Institutional Review Boards (IRB). 16. Evaluate ethical dimensions of a research report. Lesson Outline: I. Introduction to nursing research II. Historical events influencing nursing research A. Florence Nightingale to the 1960's B. Research Journals Since the 1970's C. Future Directions 2000 and Beyond III. BSN expectations in nursing research IV. Types of knowing V. Purposes of Nursing Research A. Quantitative and Qualitative B. Basic and Applied VI. Types of Research Reports A. Theses and Dissertations B. Books C. Presentations at Conferences D. Articles 6 VII. Research Journal Article Content A. Abstract B. Introduction 1. Topic: Significance of need 2. Statement of purpose, research questions, hypothesis C. Review of Literature/Theoretical Framework D. Method Section E. Result Section F. Discussion/Nursing Implications G. References VIII. Ethics of Nursing Research A. Need for Ethical Guidelines 1. Historical Development 2. Ethical Dilemmas 3. Code of Ethics B. Principles of Beneficence 1. Freedom from harm 2. Freedom from exploitation C. Principles of respect for human dignity 1. Right to self determination 2. Right to full disclosure 3. Informed consent 4. Principle of respect D. Principle of Justice 1. Right to fair treatment 2. Right to privacy E. Vulnerable Groups F. Institutional Review Boards (IRB) G. Critiquing ethical aspects Required Readings/AV Activities: 1. Burns & Grove, Chapter 7 2. Watch parts in class: Miss Evers= Boys (791.4372 Mugle) and In the Shadow of the Reich: Nazi Medicine (940.5405 In) Evaluation Methods:Test Suggested Readings: Silva, M. (1995). Ethical guidelines in the conduct, dissemination and implementation of nursing research. Washington, DC: America Nurses Publishing. Silva, M. (1995) Annotated bibliography for ethical guidelines in the conduct, dissemination, and implementation of nursing research. Washington, DC: American Nurses Publishing. Marek, K. (1995). Manual to develop guidelines / developed for American Nurses Association, Committee on Nursing Practice Standards and Guidelines. Washington, DC: American Nurses Publishing. Online Journal of Knowledge Synthesis in Nursing (to access go to MICAL http://mical.mc.edu. Do a title search: Online Journal of Knowledge Synthesis in Nursing. Click on first line and you will go to the home page of OJKSN.) Annual Reviews of Nursing Research National Institute of Nursing Research http://www.nih.gove/ninr Sigma Theta Tau, International www.nursingsociety.org Virginia Henderson International Nursing Library www.stti.inpui.edu//library 8 Mississippi College School of Nursing NUR 323 - Research in Nursing Practice Lesson III: Research Problem/Question and Literature Review Lesson Objectives: Upon completion of this lesson the student should be able to: 1. Discuss the process of problem selection in nursing 2. Conduct a review of literature on a selected topic. 3. Define and discuss selected terms related to nursing research. 4. Examine application of research findings to nursing practice Lesson Outline: I. Problem identification A. Sources B. Feasibility C. Relevance to nursing practice D. Other - Variables E. Statement of purpose II. Review of literature A. Purposes B. Sources 1. Primary vs secondary 2. Traditional 3. Electronic C. Components of a review of literature D. Formulating a written review of literature E. Other III. Application of research findings to nursing practice. Suggested Learning Activities: 1. Formulate a researchable problem or quest 2. Evaluate published problems for (1) significance, (2) reliability, and (3) feasibility 3. Write Research Utilization Paper. 4. Guest Lectures on implementing nursing research Required Reading/AV Activities: Burns & Grove, Chapter 4 & 5 Evaluation Methods: Exam, on-line participation 9 MISSISSIPPI COLLEGE SCHOOL OF NURSING NUR 323 - Research in Nursing Practice Lesson IV: Organizing Framework: Conceptual and Theoretical Frameworks Lesson Objectives: Upon completion of this lesson the student should be able to: 1. Define basic research terms associated with quantitative and qualitative research. 2. Recognize different types of variables. 3. Describe the process of developing and refining a research problem. 4. Describe function, characteristics and types of hypothesis. Lesson Outline: I. Organizing Framework A. Terms 1. Theoretical framework 2. Conceptual framework 3. Phenomena 4. Concept 5. Theory 6. Propositions 7. Variables: Independent and Dependent 8. Definitions: Conceptual and Operational 9. Data: Quantitative and Qualitative 10. Relationships 11. Limitations II. Research Questions and Research Problems A. Questions vs. hypothesis B. Types of variables 1. Independent 2. Dependent 3. Research 4. Extraneous 5. Demographic C. Types of Hypothesis 1. Associative vs. casual 2. Simple vs. complex 3. Non directional vs. directional 4. Null vs. research Required Readings: Burns & Grove, Chapter 6 Evaluation Methods: Exam, on-line assignment 10 Mississippi College School of Nursing NUR 323 - Research in Nursing Practice Lesson V: Research Design and Methodology Lesson Objectives: Upon completion of this lesson the student should be able to: 1. Discuss selected types of research and designs. 2. Discuss quantitative vs. qualitative studies. 3. Discuss validity and reliability. 4. Discuss the relationship between research questions and selected research methods. Lesson Outline: I. Concepts Important to Design A. Causality B. Multi-causality C. Probability D. Bias E. Control F. Manipulation G. Design Validity II. Designs for Nursing Studies A. Quantitative B. Qualitative Required Reading/AV Activities: Burns & Grove, Chapter 8 Evaluation Methods: Exam & on-line assignment 11 Mississippi College School of Nursing NUR 323 - Research in Nursing Practice Lesson VI: Sampling Lesson Objectives: Upon completion of this lesson the student should be able to: 1. Discuss various methods of sampling. 2. Discuss the relationship between research questions and selected research methods. Lesson Outline: I. Sampling Theory Terms II. Probability (random) sampling methods A. Simple random sampling B. Stratified random sampling C. Cluster sampling D. Systematic sampling III. Nonprobability sampling methods A. Convenience (accidental) B. Quota IV. Critiquing Samples Required Reading/AV Activities: Burns & Grove, Chapter 10 Evaluation Methods: Exam & on-line assignment 12 MISSISSIPPI COLLEGE SCHOOL OF NURSING NUR 323 - Research in Nursing Practice Lesson VII: Measurement and Data Collection Lesson Objective: Upon completion of this lesson, the student should be able to: 1. Discuss measurement theory and relevant concepts (directness of measurement, measurement error, levels of measurement, reliability, validity). 2. Examine the types of measurement error. 3. Compare and contrast the four types of measurement: nominal, ordinal, interval, and ratio. 4. Describe the three aspects of reliability (stability, equivalence, and homogeneity) and how reliability of a measurement instrument is determined. 5. Discuss the types of measurement validity and how validity of a measurement technique is determined. 6. Recognize the common measurement approaches in nursing research: physiological measures, observations, interviews, questionnaires, and scales. Lesson Outline: I. Basic Concepts of Measurement Theory II. Reliability & Validity III. Measurement Strategies in Nursing IV. Process of Data Collection Required Readings: Burns & Grove, Chapter 11 Evaluation Method: Examination & on-line assignment 13 Mississippi College School of Nursing NUR 323 - Research in Nursing Practice Lesson VIII: Analysis of Data Lesson Objective: Upon completion of this lesson the student should be able to: 1. Discuss selected terms related to data analysis in research. 2. Discuss selected methods of data analysis in quantitative studies. 3. Discuss selected methods of data analysis in qualitative studies. Lesson Outline: I. Process of Data Analysis II. Reasoning Behind Statistics III. Using statistics to Describe IV. Using Statistics to Examine Relationships V. Using Statistics to Predict VI. Using Statistics to Examine Causality VII. Judging Statistical Suitability VIII. Interpreting Statistical Outcomes Required Reading/AV Activities: Burns & Grove, Chapter 11 Evaluation Methods: Exam & on-line assignment 14 Mississippi College School of Nursing NUR 323 - Research in Nursing Practice Lesson IX: Critiquing Nursing Studies Lesson Objectives: Upon completion of this lesson the student should be able to: 1. Discuss the process of critiquing research with regard to data interpretation, conclusions and recommendations. Lesson Outline: I. Elements of a critique II. Nurses' role in conducting critique III. Quantitative research critique process IV. Qualitative research critique process Required Reading/AV Activities: Burns & Grove, Chapter 13 Evaluation Methods: Exam, On-line assignment 15 Mississippi College School of Nursing NUR 323 - Research in Nursing Practice Lesson X: Utilization of Nursing Research Lesson Objectives: Upon completion of this lesson the student should be able to: 1. Identify that a baccalaureate prepared nurse is to develop a research based clinical practice. Lesson Outline: I. Development of a research based clinical practice 1. A gap exists between the obtaining and utilization of research based knowledge 2. Nurses can take actions to develop a research based practice Required Reading/AV Activities: TBA Evaluation Methods: Exam and on-line assignments 16 Mississippi College School of Nursing NUR 323 Research in Nursing Practice Guidelines – Literature Review Each student will choose a nursing topic and perform a review of the literature on the chosen topic. THREE articles are to be included in the formal paper. All topics and articles will be approved by instructor. This paper is to be done using APA format, using the latest APA manual. Each student is to: turn in a hard copy of the paper submit an electronic copy of the paper and turn in a copy of each article. Guidelines: Title Page – see APA text Introduction/Background – State purpose (your purpose is the review current literature on the topic you have selected) and contents to be included in the body of the paper. Review of the studies – Write one paragraph for each study. Include: Purpose Sample (who, how many, where) Framework – not all studies will have a specific framework noted. If you study does not, state: No specific framework was identified. Design How was data analyzed Key Findings Synthesis/Discussion – Write two or more paragraphs comparing the studies. Include: Strengths and weakness – DO NOT just summarize the studies. Also when identifying the article, you must either use the author(s) name or the title of the article. Nursing implications – how will the study affect nurses (were they useful, relevant, appropriate?) Were there any recommendations for future studies? Conclusion – A brief restatement of your purpose. 17 Mississippi College School of Nursing NUR 323 Research in Nursing Practice Literature Review I. Title Page (1%) _____ II. Introduction (5%) _____ Statement of purpose State contents in body of paper III. Review of Studies (35%) _____ Three nursing research articles, one paragraph per article, briefly discussing for each article: purpose, subjects, design, framework, data analysis, key findings for each article IV. Synthesis/Discussion (20%) _____ Compare the three articles, were they relevant, useful, appropriate V. Conclusion (10%) _____ Summary statement, recommendations for future study VI. Scholarship (20%) _____ APA Format Spelling, grammar, sentence structure VII. Reference Page (7%) ______ VIII. Grading Sheet (1%) ______ IX. One hard copy of paper, electronic submission of paper and attachment of both articles (1%) ______ 18 POSTER PRESENTATION NURSING 323 The poster’s background Suggestions: A solid color background for the entire poster with a complementary color as a border for important elements of the poster works well. Use the basic science fair tri fold poster. The poster’s text The text should be double-spaced and large enough to be read from at least 4 feet. Any font is acceptable, as long as it can be easily read. Be consistent with the font – emphasize with boldface, underlining, or color. The poster’s contents You will highlight the 3 articles used for your Review of Literature. Work to tell the story of the 3 articles – what you learned about this aspect of nursing. Someone viewing the poster should be able to look at the poster, know what your topic was and what knowledge was gained from the study and how it useful to the body of nursing knowledge. Learn to EDIT!! – Posters are visual presentation…it is not necessary to go into excessive detail about methods – or lots of the table data. You can discuss this type of information with interested persons individually during the poster session – or have handouts. Use short sentences – simple words - & bullets to illustrate points 19 Criteria for Class Poster Presentation Identifying Information: 1. Student Name: ________________________________ 2. Project Name: __________________________________ 3. Reviewer Name: _______________________________ Directions for Rating Poster Presentation: Rate the presentation by indication on a scale of 1-5 (1=poor; 5=excellent) or 1-10 (1=poor; 10=excellent) the extent to which the presentation meets each of the following criteria. In the presentation content – this can be given verbally if not on the poster. TOTAL POINTS POSSILBE 100 Evaluation criteria Rating Presentation content: Introduction Purpose (clear/concise) Body of content Relationship to Nursing Conclusion CAN BE VERBAL IF NOT ON POSTER Verbal/Nonverbal communication: Understandable Appropriate Body Language Eye Contact Visual Print size large enough Not cluttered Consistent style Background provides contrast Response to audience feedback Creativity Total points possible 100 1 1 1 1 2 2 2 2 3 3 3 3 Comments 1 1 1 1 1 2 2 2 2 2 3 3 3 3 3 4 4 4 4 4 5 5 5 5 5 4 4 4 4 5 6 5 6 56 5 6 7 7 7 7 8 8 8 8 1 1 1 1 2 2 2 2 4 4 4 4 5 5 5 5 3 3 3 3 9 9 9 9 10 10 10 10 1 2 3 4 5 6 7 8 9 10 1 2 3 4 5 20