Nursing Research Week 1 to 7 Study online at https://quizlet.com/_1pt7pd 1. Content Week 1: Intro to nursing research Week 2: Quantitative Vs Qualitative. Week 3: Ethics of Research Week 4: Literature Review Week 5: Understanding Qualitative Research Design Week 6: Examining Sampling Week 7: Data Collection and Data Sources. Followed by Textbook Summary: Chapter 1, 18, 2, 3, 4, 11, 5, 6, 7, 8, 12, 13. 2. Lecture Slides Starts here - Vocabs and Concepts. Week 1: Intro to nursing research 3. Nursing Research Systematic inquiry *designed to develop knowledge* about phenomena important to nursing practice, profession, education. 4. CASN Canadian Association of Schools of Nursing 5. Basic Nursing Research 1. Extend base of knowledge 2. Discover general principles. 3. nursing application is not a priority. (extends general nursing knowledge) 6. Applied Nursing 1. Finding solutions to existing problems. Research 2. Designed to show how principles can be applied to nursing practice. (tries to solve clinical nursing problem) 7. Purpose/Focus of nursing research Answer questions on human response to illness and health promotion. Research enables nurses to: 1. Improve client health, 2. Build nursing knowledge, 3. 1 / 50 Nursing Research Week 1 to 7 Study online at https://quizlet.com/_1pt7pd Plan nursing care, 4. Predict probable outcomes, 5. Control undesirable outcomes. 8. Medical research study of new drug, surgical technique 9. Physiotherapy research study of new exercise protocol or supportive device. 10. Evidence inThe ongoing process that incorporates evidence from formed practice research, clinical expertise, client preferences and other available evidence (CNO, 2014) 11. rigor n. strictness or severity 12. What are the evidence found via rigorous research best types of evidence 13. Research based clinically appropriate, cost effective, result in positive outinterventions comes for clients, and professionally accountable. should be 14. Producer-Consumer Continuum Producers of nursing research (have direct involvement in research) -------------Continuum---------------> Consumers of Nursing Research (Indirect Involvement) 15. Nursing Research Past 1. Nightingale (1859) 2. Focus on nursing education (early 1900s) 3. Nursing research accelerated (1950s) 4. Nursing journals published (1960s) 16. Shift to "prac1. Began in the 1960s & continues to be important focus tice oriented" re- 2. Focus on clinical nursing research search: 3. Emphasis on improving patient care 4. Awareness of need for scientific basis for practice. 5. Role of theory in nursing research. 17. Continued growth of nursing 1. Increase in number of nursing researchers, and nursing journals 2. Shift to research utilization and evidence based medi2 / 50 Nursing Research Week 1 to 7 Study online at https://quizlet.com/_1pt7pd research is related to: cine. 3. More funding for nursing research. 18. Future Directions 1. Focus on evidence-based practice. (continue to transfer research to practice, review, critique, utilize findings.) 2. Multiple confirmatory strategies. (Replicate studies with different sample) 3. Integrative/systematic reviews. (review multiple studies and draw conclusions eg: Cochrane review.) 4. Promote interdisciplinary collaboration. (nurses and researchers in similar fields working together) 5. Dissemination of research findings: (promote evidence-based practice) 6. Increased interest in outcomes research (cost effective care with positive outcomes 7. Increasing the visibility of nursing research. ( Increase support for nursing research.) 19. Dissemination (n) the act of dispersing or diffusing something / …, ô 20. Organizations that Set Priorities and support research in canada "Think Tank" = group of nurse researchers. Academy of Canadian Executive Nurses - ACEN Canadian Institutes of Health Research - CIHR Canadian Association of Schools of Nursing - CASN Canadian Health Services Research Foundation RNAO Nursing Research Interest Group - NRIG Canadian Nursing Research Interest Group - CNRG 21. Source of evidence for nursing practice 1. Tradition and Authority 2. Clinical Experience and Intuition 3. Trial and Error 4. Assembled Information 5. Disciplined Research (EBP) 22. Evidence Based clinical decision-making that integrates the best available Practice research with clinical expertise and patient characteristics and preferences 23. 3 / 50 Nursing Research Week 1 to 7 Study online at https://quizlet.com/_1pt7pd Systematic Review A literature review focused on a research question that tries to identify, appraise, select, and synthesize all high quality research evidence relevant to that question eg) Cochrane review; gathers and summarizes best evidences to guide HCPs make informed choices in treatment.; http://www.cochrane.org 24. meta-analysis a procedure for statistically combining the results of many different research studies (*quantitative* ) 25. Meta-synthesis A systematic review that contains only qualitative studies; a scholarly paper that combines results from qualitative studies 26. A paradigm is 1. A world view or a general perspective. 2. A way of looking at the world from different angles 27. positivist paradigm The paradigm underlying the traditional scientific approach, which assumes that there is an orderly reality that can be objectively studied; often associated with QUANTITATIVE research. r/t with determinism, uses logic and objective knowledge to draw conclusion (r/t realism, determinism, quantitative, truth) 28. naturalistic para- Holistic view of nature and the direction of science that digm guides QUALITATIVE research. AKA constructivist paradigm. Reality is subjective, truth or falsity cannot be determined. Addresses emotions, perceptions of participants. (r/t qualitative, relativism, meaning) 29. determinism the philosophy that holds that every event, action, and decision results from something independent of the human will 30. postpositivism Positivism + recognition of the fact that not everything is quantifiable. There are separate rules for creating a study in this style. 31. 4 / 50 Nursing Research Week 1 to 7 Study online at https://quizlet.com/_1pt7pd Positivist Vs Nat- Example: Issue of recovering after a stroke. uralist Positivist: length of hospital stay of stroke patient vs nursing staffing ratio. Naturalist: patient's perception of nursing care before and after stroke. Similarities in paradigms: 1. Goal is knowledge 2. They are both analyzed empirically 3. cooperation of participants is required. 4. Ethical constraints are always involved. 5. Virtually all studies have limitations. 32. Research Meth- Accepted techniques for data collection and analysis relods evant to the research question. Research methods are based on the research question. 33. Quantitative Re- Structured research which uses the controlled scientific search method and standardized question to make generalizations and predictions; includes: questionnaires, surveys, and experiments structured responses that can be statistically tested to confirm insights and hypotheses generated via qualitative research or secondary data tries to exclude bias. 34. Qualitative Research Exploratory, in-depth research involving flexible, open-ended questions; includes: interviews, observation and focus groups Research that provides emotional / behavior insights. (ie: likes, dislikes, needs, wants, interests, hobbies, decision making processes etc). Typical Research question: Identify, Characterize, Describe, Understand. verb is followed by a specific topic, sample, setting. (must be feasible, give boundaries) 5 / 50 Nursing Research Week 1 to 7 Study online at https://quizlet.com/_1pt7pd Products of qualitative research: 1. Recurrent themes or hypotheses (most common) 2. Survey instrument measures 3. Taxonomies (classify phenomenon into properties) 4. Conceptual models (or theories) Themes: Unifying concepts or statements 1. identify and characterize aspects of health care a. patterns, behaviors b. group interactions c. individual perceptions. 2. help to develop testable hypotheses by: a. identifying salient (notably significant) factors b. informing predictions about relationships. 35. reductionist Focuses on small portion of human experience. Narrow focus obscures insights. (limitation of quantitative research) 36. Quantitative Vs Qualitative Qualitative: Approach: Inductive (does not start with a hypothesis) Goal: Depth, generate hypothesis Setting: Natural Sampling: Purposeful (Samples are chosen) Data Collection: Interview guides, observation tools Data Analysis: Iterative interpretation (going to field, collect data, analyse and repeat) Quantitative: Approach: Deductive Goal: Breadth (width), test hypotheses Setting:Experimental/quasi Sampling: Random Data Collection: surveys, administrative/clinical data Data Analysis statistical tests, modeling. Research purposes differ: *Quantitative is exclusively associated with prediction and 6 / 50 Nursing Research Week 1 to 7 Study online at https://quizlet.com/_1pt7pd control*, and *qualitative is exclusively associated with identification* of phenomena. The 2 method's common purposes are description, exploration, explanation pg16 37. Quasi experiment a research method that looks like an experiment BUT *subjects are not randomly assigned* to control and experimental groups (no cause and effect can be drawn) 38. salient prominent; of notable significance 39. Lecture Slides Starts here - vocabs and concepts. Week 2 : Quantitative Vs Qualitative. 40. Exclusive terms Quantitative Terms: for each research Person contributing information: Respondent methods. That which is being studied: Concepts, Constructs, Variables. Links between concepts: Relationships Logical reasoning processes: deductive Quality of evidence: Reliability, Validity, Generalizability. Qualitative Terms: Person contributing information: (Key) Informant That which is being studied: Phenomena and concepts. Links between concepts: Patterns Logical reasoning processes: inductive Quality of evidence: Trustworthiness. 41. conceptual abstract/theoretical meaning 42. operational how variables are measured. (variables become operational) 43. data set pieces of info obtained in a study. 44. Inductive reasoning 7 / 50 Nursing Research Week 1 to 7 Study online at https://quizlet.com/_1pt7pd process of developing conclusions from observation, used in qualitative research, theory is a generated as a product of inductive reasoning. 45. Deductive reasoning Process of developing specific predictions from general principles, used for (usually) quantitative or qualitative research, research starts with theory then does research to test theory. 46. Reliability Refers to the consistency of measurement, specifically, the extent to which *repeated measurement of the same event yields the same values* 47. Validity Actually measuring exactly what you intend to measure 48. Trustworthiness Trustworthiness in qualitative research encompasses several dimensions, including credibility. *Credibility* is achieved to the extent that the research methods engender condence in the truth of the data and in the researchers' interpretations. *Triangulation*, the use of multiple sources or referents to draw conclusions about what constitutes the truth, is one approach to establishing credibility. 49. Bias a mental tendency or inclination; especially an unfair preference to a certain data; not objective 50. Research control holding constant the extraneous factors (confounding variables) 51. Randomness lack of pattern 52. Reflexivity analyzing and critically considering our own role in, and effect on, our research; focusing to answer only the research question. 53. Generalization and transferability Can the study findings be applies to other groups? Generalization (quantitative term), transferability (qualitative therm) 8 / 50 Nursing Research Week 1 to 7 Study online at https://quizlet.com/_1pt7pd 54. Hawthorne effect A change in a subject's behavior caused simply by the awareness of being studied EG) RR different when told that is being counted 55. Major steps in a quantitative study. 1. Conceptualizing and planning 2. Design and planning phase. 3. Empirical phase. 4. Analytic phase. 5. Disseminating the findings. 56. Activities in a 1. Conceptualizing and planning. qualitative study. 2. Conducting the study. 3. Disseminating the findings. 57. Mixed method studies Using both qualitative and quantitative research methods in the same study. 58. Goal of this prepare you to read and critique published nursing recourse (Nursing search articles/reports. (CNO Entry to Practice CompeResearch) tency #34) 59. Research Critique 1. Different from a research summary/synopsis 2. is a careful, critical appraisal of a study's strengths and limitations. Process of critical appraisal that objectively and critically evaluates a research report's content for scientific merit and application to practice 60. 6 Components of introduction, methods, results, abstract, discussion + refa research arti- erences. cle. IMRAD + references. Most articles follow the IMRAD format. 61. Slides Week 3 Ethical aspects of nursing research Starts here 62. 9 / 50 Nursing Research Week 1 to 7 Study online at https://quizlet.com/_1pt7pd Researcher's re- 1. Study must be conducted in ethical manner, no harm sponsibility should come to participants. 2. ethics application must be approved before the study can start. 63. The nurse's role CNO says, a nurse in a researcher role demonstrates ethical practice by: 1. providing all information necessary to make informed decision. 2. Advocating for nursing involvement in ethical review boards 3. Participating in ethical review of research. 4. Ensuring ethical guidelines are followed to protect research participants. 64. Code of ethics International Standards: 1. Nuremberg Code 2. Declaration of Helsinki Canadian Standards: Tri-Council Policy Statement, under "Ethical Conduct for Research Involving Humans" 65. Tri-council policy In Canada, official statement of ethical conduct for restatement search involving humans; researchers and institutions are expected to adhere to this document to receive federal research funds Major principles: 1. Respect for persons: participation is voluntary, provides informed consent, ensure ethical conduct to ill, disabled, children, and mentally ill 2. Concern for welfare: Physical, mental, social, spiritual well being is taken into account, Privacy, confidentiality, anonymity, inform the participant of potential benefits and risks. 3. Justice: Participants are treated fairly and equitably; no 10 / 50 Nursing Research Week 1 to 7 Study online at https://quizlet.com/_1pt7pd penalty for declining to participate, fair recruiting, power relationships considered. 66. Privacy Data must be anonymous or confidential 67. Confidentiality Person may be identified but information is strictly controlled by the researcher. 68. Anonymity researcher cannot link data with a particular participant. 69. Institutional Re- Formal committees that review research protocols. In view Boards Canada, the *Research Ethics Board* must first review and approve studies that involve human subjects (In US Institutional Review Board, IRB is in charge) 70. Critiquing Ethi- 1. Were participants exposed to any harm? cal Aspects of a 2. Did benefits outweigh particular risks? Study 3. Was there sign of coercion? 4. Were vulnerable population used? 5. Was their privacy safeguarded? 6. Was research approved by IRB, REB? 71. nuremberg code Formed in 1949 after human experiments were conducted in Nazi Germany. Stated that informed consent is absolutely necessary for human experimentation. 72. Declaration of helsinki international code for ethical conduct by physicians conducting biomedical research followed the Nuremberg Code and provides more specific guidelines (1964, revised many time since) 73. Week 3 - Lecture Starts here Notes: Research problem, questions, hypotheses. 74. A research prob- Arises from a perplexing troubling condition. lem 11 / 50 Nursing Research Week 1 to 7 Study online at https://quizlet.com/_1pt7pd 75. A Problem state- A Statement of the problem under study. (statement of ment something that requires investigation) 76. Research ques- The specific query the researcher wants to answer to tion address the research problem. 77. Purpose statement States goals or aims of the study, gives a clue to study design. Clues to finding this statement in an article are looking for statements such as "The goal of the study, the study's aim... etc". 78. Phenomenon of A qualitative term, to identify the focus of their research interest study. concept that you want to know/say more about, you use other concepts to learn/explain it 79. Where do researchers get their ideas for research? 1. Clinical experience 2. Nursing literature 3. Social issues 4. Theories 5. Ideas from external sources. 80. Research is con- 1. Improves patient care sidered signifi- 2. Extends the body of nursing knowledge cant if it.. 3. Builds on existing knowledge 4. Contributes to nursing theory development 5. Corresponds to national research priorities. 81. Hypothesis Tentative prediction about the relationship between two or more variables in a population under study. Only used in quantitative research. Qualitative research can come up with a hypothesis as it's product. as stated in the following definition of hypothesis: a testable explanation for a set of observations based on the available data and guided by inductive reasoning. A hypothesis is narrower in scope than a theory. 12 / 50 Nursing Research Week 1 to 7 Study online at https://quizlet.com/_1pt7pd Purpose of hypothesis: fosters critical thinking, facilitates interpretation of the data, minimizes acceptance of false results, states expected relationship between independent variable and dependent variable, basis of statistical analysis. Types of hypothesis: 1. Simple: Predicts relationship between 2 variables. 2. Complex: Predicts relationship between two or more two independent/dependent variables. 3. Directional: specifies expected direction of relationship between variables. 4. Non-Directional: No stipulation of direction between variables. 5. Null hypothesis: There is no relationship between the independent variable and the dependent variable. Testing Hypothesis: 1. Hypotheses are never proved; they are accepted or supported. 2. Findings are always tentative (not certain). 82. Critiquing the problem statement and research questions 1. Among the questions the research reader asks: Is the research problem clear? Significant for nursing? 2. Is the problem developed as a purpose statement, question or hypothesis. 3. Are these statements clear? easy to identify? 83. Critiquing hypothesis statements 1. Do the hypotheses flow from theory or previous research? 2. Are hypothesis properly worded? 3. Are they directional/non-directional? 84. Week 4 - LecStarts here ture slides - Literature Review 85. Purpose of litera- 1. Identify a research problem ture review for re- 2. Refine research questions or hypotheses searchers. 3. Know what is known and what is not. 13 / 50 Nursing Research Week 1 to 7 Study online at https://quizlet.com/_1pt7pd 4. Determine gaps or inconsistencies in knowledge. 5. Identify theoretical conceptual frameworks as the basis for research. 6. Interpreting research findings and developing implications. 7. Identifying new interventions/theory to be tested. 8. Identifying research designs & data collection methods. 86. Purposes of literature review for nurses in practice, education, administration 1. Acquisition of knowledge 2. Evaluate practice/recommendations 3. Develop EB protocols & Interventions. 4. Develop and revise nursing curricula. 5. Develop policy statements & practice guidelines. 87. Sources of litera- 1. Primary Source: A report of a study, written by original ture researcher. 2. Secondary sources: Prepared by someone other than original researcher eg: literature review etc. 88. Conceptual vs Empirical 1. Conceptual literature (theoretical), published articles. 2. Empirical literature (research), published studies. 89. conceptual arti- used to develop a theory, but doesn't test the theory cle 90. Theory An abstract generalization that presents a systematic explanation about how two or more concepts/phenomena are interrelated. 91. Conceptual mod- 1. They identify concepts that are related to a common els theme. 2. More loosely structured than theories 3. Do not explicitly link concepts. 92. Frameworks 1. The conceptual underpinnings of a study 2. Every study has one! 3. May not be explicitly stated, but all researchers must give thought to the concepts they are studying before they begin their research. 4. May appear under the heading, theoretical or concep14 / 50 Nursing Research Week 1 to 7 Study online at https://quizlet.com/_1pt7pd tual framework. Sometime theory is buried in the introduction or literature review section of a research article/report. 93. Role of theory in 1. Provides direction for research Research 2. Guides the data collection process 3. Allows researchers to pull findings together in a coherent structure 4. Assists in interpreting research findings 5. An ongoing, cyclical process: Observations -> theory development -> Research -> Theory testing -> back to therody development. 94. How theories are 1. Theoretical orientation: theory can be used as a "theoused in Qualita- retical lens". It maybe used early on in a qualitative study tive Research. *as an orienting world view* and/or to a way of inquiring about human nature. 2. Theoretical guidance: Theory maybe used for *organizational or interpretive purposes* 3. Theory may be the *end product*: Examples of this are qualitative studies in which theory is the original end product of the study. 95. Inductive theo- Researcher makes observations, notes patterns, then ry and qualitative develops theory inductively grounded in data. research. 96. inductive Theory r/t Qualitative/Naturalist Paradigm. Inductive Method: First prescribed by Bacon, is a process of making numerous observations until one feels confident in drawing generalizations and predictions from them 97. deductive Theo- Researcher starts with theory, develops and tests hyry potheses, refines theory using deductive approach. Deductive Method: Method developed by Descartes that stated a conclusion can be reached using prior known facts (general to specific) 15 / 50 Nursing Research Week 1 to 7 Study online at https://quizlet.com/_1pt7pd 98. Critiquing theoretical and conceptual frameworks 1. Is the theory explicitly stated? 2. Is a satisfactory overview of the theory given? 3. Is there a logical flow from the framework to the research problem and hypotheses? (quantitative) 4. Are the conceptual definitions clearly stated? 5. Did the theory/framework guide the study methods (Quantitative) 6. Does the emerging theory seem clearly presented logical and supported by the data? 7. Does the researcher use the theory in the discussion section of the article to discuss the findings? 99. Week 5 - LecStarts here ture Notes - Qualitative Research Designs 100. Purpose of quali- 1. When the research goal is to thoroughly *describe, tative design understand or explain* a phenomenon from the subjective (not countable) perspective of the participants. 2. When striving for a holistic (body and *mind*) understanding of a phenomenon. 101. Characteristic of 1. Design is flexible qualitative de2. Decisions about how, when and from whom data will sign be collected from are made before the study but *may change as it unfolds*. 3. Decisions are made based on what is learned as the study progresses. AKA emergent design. 102. Emergent design a design that unfolds in the course of a qualitative study as the researcher makes ongoing design decisions reflecting what has already been learned 103. Qualitative re1. Focus is the participants subjective experience. search methods 2. Naturalistic setting 3. Methods: Interviews, direct observation, document review, cultural records. 4. No control of the independent variable; term variable is 16 / 50 Nursing Research Week 1 to 7 Study online at https://quizlet.com/_1pt7pd not used at all 5. Group comparisons are not usually done 6. The sample size is small compared to quantitative studies 7. Data collection may be cross-sectional, or longitudinal 8. Data saturation: data is collected until researcher hears repetition in participants' experiences. (nothing new) 9. Analysis is artful, progressive 10. Ethical principles of respect, non-manipulation are highly valued. 104. Phases of a qual- 1. Orientation and overview: Get a handle on what is itative study. salient (important) about the phenomenon of interest. 2. Focused exploration: scrutiny and in-depth exploration of salient information 3. Confirmation and closure: going back and discussing findings with participants. 105. Researcher's Role 1. The researcher is "close" to the participants (must have a good rapport) 2. Researcher has a duty to identify his/her own ideologies, biases and presuppositions (implicit assumption about the world) early in the process (to eliminate bias) 3. This is often addressed directly in the research report 4. This process makes it easier for the researcher to acknowledge them and 'bracket' or separate out his/her own experiences. 106. Types of Qual1. Ethnography itative Research 2. Phenomenology Strategies 3. Grounded Theory 4. Participatory action research. 107. Ethonography 1. Arose from anthroppology 2. Goal is to describe cultural/group patterns 3. Strive to gain an "*emic*" or insider's perspective of the culture. 4. Sample research questions: How do decisions about daily activities get made in a nursing home? How do seniors adapt to moving to assisted living accommodation? 17 / 50 Nursing Research Week 1 to 7 Study online at https://quizlet.com/_1pt7pd 5. Methods: Lengthy field work using diaries, photos, observation, interviews etc. 6. Product: in-depth, holistic portrait of group under study. Ethnography is method in which the researcher attempts to understand a culture or distinct social group through participation observation 108. emic vs etic emic is viewpoint obtained from within the social group (from the perspective of the subject) and etic is from outside (from the perspective of the observer). 109. Phenomenology 1. Arose from philosophy. 2. Goal: To describe the "lived experience" of the participants 3. A) Descriptive phenomenology - Describes the meaning of human experience. Researcher "brackets" his/her experience (excludes bias) 4. B) Interpretive phenomenology (hermeneutics): interpretes human experience. Believes bracketing is not realistic. 5. Sample research questions:" What does it mean to undergo cancer treatment, to be diagnosed with diabetes, to have a stillborn child? 6. Small sample often *less than 10* 7. Methods in depth interviews 8. Analysis Search for themes that capture the participants experiences. 110. Grounded theory 1. Arose from sociology 2. Goal: To provide comprehensive explanation of a basic social process that is grounded in reality. 3. Goes beyond description in that theory is "grounded" in data. 4. Sample research question: "What processes do families go through when a family member is diagnosed with an acute brain injury? 5. Methods: In-depth interviews, observation, chart review. 18 / 50 Nursing Research Week 1 to 7 Study online at https://quizlet.com/_1pt7pd uses *constant comparison* 6. Sample: No clear rule, usually ranges from *15 to 30*. Theoretical sampling is used: the researcher analyzes data and based on findings, seeks out more participants who will confirm or provide exceptions to the theory that is being developed. 111. Participatory Ac- 1. Arose from critical social theory tion Research 2. Goal: to empower participants and reduce social and political inequalities. 3. Participants active in all aspects of the study: they set goals for the study, may do the data collection, contribute to doing/checking analysis, reporting. 4. Sample research question: What are the views and practices of South East Asian women who move to Ontario regarding PAP tests.? 5. Methods: Interviews, observation, program development. 112. Guidelines for 1. What qualitative design was used? Was it clearly idencritiquing quali- tified? tative designs 2. Was the research question congruent with the research design? 3. Were data sources and methods consistent with he research design? 4. Was the research design thoroughly described? 5. Did the design lend itself to a thoughtful, complete picture of the phenomenon of interest. 113. Week 6 - Lecture Starts here Notes - Examining Sample Plans 114. Sampling is 1. Process of selecting participants (= sample population) 2. Why use a sample? because of time and cost. 3. Quantitative samples enable to generalize findings to a larger group 4. Qualitative participants are selected to provide an indepth understanding of the phenomenon. (eg: study on homeless people, study on nursing students etc.) 19 / 50 Nursing Research Week 1 to 7 Study online at https://quizlet.com/_1pt7pd 115. General sam1. Identify target population pling procedure 2. Identify accessible population 3. Develop sampling plan. 116. Basic Sampling 1. Population Concepts 1.1 Eligibility (inclusion) criteria 1.2 Target (ideal) Vs. Accessible. (what's available from target) 2. Sample 2.1 Representativeness (does it represent the segment of target population) 3. Sampling bias (it's not representative) 4. Strata (segment of population) 5. Probability/random vs. nonprobability/non random sampling 6. Different approaches used for quantitative and qualitative studies. 117. Inclusion criteria characteristics that the prospective subjects must have if they are to be included in the study 118. Target population population experimenter wants to study 119. Accessible pop- Portion of the target population that is accessible to the ulation researcher, from which a sample in drawn. 120. Sample Representativeness refers to how similiar a sample's profile is to the population it represents 121. Sampling bias A problem that occurs when a sample is not representative of the population from which it is drawn. 122. stratified sampling The process of dividing the population into subgroups (strata) to create a sample that contains members of each subgroup in the same proportion that exists in the same proportion that exists in the larger population. For example, if the population being studied is 40% Danish 20 / 50 Nursing Research Week 1 to 7 Study online at https://quizlet.com/_1pt7pd and 60% Swedish, this would be 40% Danish and 60% Swedish as well. 123. random / proba- Type of sampling procedure in which one is able to specify bility sampling the probability that any member of the population will be included in the sample. A sample that fairly represents a population because each member has an equal chance of inclusion 124. non random / non probability sampling Does not use random sampling, sometimes because it is not possible ( for example, the homeless population) there are 4 types: reliance on available subjects, purposive sampling, quota sampling, and snowball sampling all of the elements do not have an equal chance of being selected, not representative of population 125. Two main sampling designs non random sampling is used in quantitative and qualitative. random sampling is only used in quantitative research. 126. Qualitative Sam- 1. The goal: to uncover individual experience, to discover pling meaning 2. Hence, small sample size, nonrandom selection, sample is chosen (eg: homeless people) 3. Generalizability of findings is not a guiding principle. (because of small sample size.) 4. Sampling design evolves as study progresses. Qualitative sampling is non-probability sampling, where researchers recruit only specific populations to investigate a specific topic or when the total population is unknown or unavailable. there are four types of non-probability sampling. convenience sampling, purposive sampling, quota sampling, and snowball sampling 21 / 50 Nursing Research Week 1 to 7 Study online at https://quizlet.com/_1pt7pd 127. convenience sampling Consists of only available member of the population (leads to biased results). 128. purposive sampling selecting sample members to study because they possess attributes important to understanding the research topic 129. quota sampling Used when a specific number of cases are necessary from various strata (groups). A nonprobability sampling technique in which researchers divide the population into groups and then arbitrarily choose participants from each group 130. Snowball sampling recruitment of participants based on word of mouth or referrals from other participants is useful for hard-to-reach or hard-to-identify populations for which there is no sampling frame, but the members of which are somewhat interconnected 131. Qualitative Sam- 1. Small in comparison to quantitative ple Sizes 2. Depends on purpose, quality of informants, & type of sampling strategy 3. Determined on basis of information needs 4. No fixed rules however, sample size and method varied according to the different qualitative traditions 5. Guiding principle is data saturation. 132. data saturation In qualitative research, the time when no new information is being obtained and repetition of information is consistently heard 133. Sampling in Slide 11 three main qualitative traditions 134. Ethnographic study sampling Ethnographic studies: (25-50) people, use smaller number of key informants, sample events, records artifacts etc. 22 / 50 Nursing Research Week 1 to 7 Study online at https://quizlet.com/_1pt7pd 135. Phenomenologi- Typically (but not always) very small numbers (less than cal study 10), Must have experienced the phenomenon under sampling study. 136. Grounded theory Typically 20-30 but may be up to 50 people, uses theoretsampling ical sampling. 137. Theoretical sam- selecting sample members based on earlier interviews pling that suggest that particular types of participants will help researchers better understand the research topic 138. key informant Individual who is the main link between the researcher and group being researched. Provides info on group 139. Critiquing Qual- We examine the sampling section for: itative sampling 1. Adequacy: Sufficiency and quality of data. plans 2. Appropriateness: Does the sampling method match the study design 3. Fittingness: Comparabiliity of the sample from the study and people in another setting where findings maybe applied. 140. Week 7 - Scruti- Starts here nizing Data Collection methods 141. Major types of Data Collection methods 1. Self-reports (mainly surveys and interviews) 2. Observation 3. Biophysiologic measures (a quantitative technique.) 142. Key Dimensions The data collection methods vary regarding: of Data Collec- 1. Structure tion Methods 2. Quantifiability 3. Obtrusiveness 4. Objectivity 143. Chapter 1 Textbook Summary - *Nursing research* is a systematic inquiry to develop knowledge about issues of importance to nurses and serves to establish a base of knowledge for nursing prac23 / 50 Nursing Research Week 1 to 7 Study online at https://quizlet.com/_1pt7pd tice. - Nurses in various settings are pursuing an evidence-based practice(EBP) that incorporates research ndings into their decisions and their interactions with clients. - Knowledge of nursing research methods enhances the professional practice of all nurses, including both consumers of research (who read, evaluate, and use studies) and producers of research (who design and undertake studies). - Nursing research began with Florence Nightingale but developed slowly until its rapid acceleration in the 1950s. Since the 1970s, nursing research has focused on problems related to clinical practice. - The Canadian Health Services Research Foundation (CHSRF) has been funding a series of research chairs and related programs specic to nursing since 1999. - Future emphases of nursing research are likely to include EBP and research utilization projects, replications of research, integrative reviews, transdisciplinary studies, expanded dissemination efforts, and outcomes research. - Disciplined research is widely considered superior to other sources of evidence for nursing practice, such as tradition, authority, clinical experience, trial and error, and intuition. - Disciplined inquiry in nursing is conducted mainly within two broad paradigms, or worldviews with underlying assumptions about the complexities of reality: the positivist paradigm and the naturalistic paradigm. - Researchers in the positivist paradigm assume that there is an objective reality and that natural phenomena 24 / 50 Nursing Research Week 1 to 7 Study online at https://quizlet.com/_1pt7pd (observable facts and events) are regular and orderly. The related assumption of determinism refers to the belief that events are not haphazard but rather the result of prior causes. Pure positivism has been replaced with a postpositivist perspective that acknowledges the difculty of making totally objective observations and knowing reality with certainty. - Researchers in the naturalistic paradigm assume that reality is not a xed entity but is rather a construction of human minds, and thus "truth" is a composite of multiple constructions of reality. - The positivist paradigm is associated with quantitative research—the collection and analysis of numeric information. Quantitative research is typically conducted within the traditional scientic method, which is a systematic and controlled process. Quantitative researchers base their ndings on empirical evidence (evidence collected by way of the human senses) and strive for generalizability of their ndings beyond a single setting or situation. - Researchers within the naturalistic paradigm emphasize understanding the human experience as it is lived through the collection and analysis of subjective, narrative materials using exible procedures that evolve in the eld; this paradigm is associated with qualitative research. - Nursing research can be either basic (designed to provide information for the sake of knowledge) or applied (designed to solve specic problems). Research purposes include identication, description, exploration, explanation, prediction, and control. 144. Chapter 18 Text- pg 372-373 Starts here book Summary 145. Research Utiliza- Research utilization (RU) and evidence-based practice tion (RU) vs (EBP) are overlapping concepts that concern efforts to 25 / 50 Nursing Research Week 1 to 7 Study online at https://quizlet.com/_1pt7pd Evidence Based use research as a basis for clinical decisions. RU starts Practice (EBP) with research ndings that get evaluated for possible use in practice. EBP starts with a search for the best possible evidence for a clinical problem, with emphasis on research-based evidence 146. Chapter 2 Textbook Summary * A study (or investigation) is undertaken by one or more researchers (or investigators). The people who provide information in a study are the study participants (in both quantitative and qualitative research) or informants (in qualitative research). * Collaborative research involving a research team with both clinical and methodologic expertise is increasingly common in addressing problems of clinical relevance. * The site is the overall location for the research; researchers sometimes engage in multisite studies. Settings—the more specic places where data collection occurs—range from naturalistic (eld) settings to formal laboratories. * Researchers investigate phenomena or concepts (or constructs), which are abstractions or mental representations inferred from behaviour or events. * Concepts are the building blocks of theories, which are systematic explanations of some aspect of the world. * In quantitative studies, concepts are called variables. A variable is a characteristic or quality that takes on different values (i.e., varies from one person to another). * The dependent (or outcome) variable is the behaviour, characteristic, or outcome the researcher is interested in explaining, predicting, or affecting. The independent variable is the presumed cause of, antecedent to, or inuence on the dependent variable. 26 / 50 Nursing Research Week 1 to 7 Study online at https://quizlet.com/_1pt7pd * A conceptual denition claries the abstract or theoretical meaning of a concept being studied. An operational denition species the procedures and tools required to measure a variable. * Data—the information collected during the course of a study—may take the form of narrative information (qualitative data) or numeric values (quantitative data). * Researchers often focus on the relationship between two concepts. A relationship is a bond (or pattern of association) between two phenomena; when the independent variable causes or determines the dependent variable, it is a causal (or cause-and-effect) relationship. * Inductive reasoning is the process of developing conclusions from specic observations, whereas deductive reasoning is the process of developing specic predictions from general principles. * Researchers face numerous conceptual, practical, ethical, and methodologic challenges. The major methodologic challenge is designing studies that are reliable and valid (quantitative studies) or trustworthy (qualitative studies). * Reliability refers to the accuracy and consistency of information obtained in a study. Validity is a more complex concept that concerns the soundness of the study's evidence—that is, whether the ndings are cogent and well grounded. * Trustworthiness in qualitative research encompasses several dimensions, including credibility. Credibility is achieved to the extent that the research methods engender condence in the truth of the data and in the researchers' interpretations. Triangulation, the use of multiple sources or referents to draw conclusions about what constitutes the truth, is one approach to establishing cred27 / 50 Nursing Research Week 1 to 7 Study online at https://quizlet.com/_1pt7pd ibility. * A bias is an inuence that distorts study results. In quantitative research, a powerful tool to eliminate bias concerns randomness—having features of the study established by chance rather than by design or preference. * Qualitative researchers often keep personal biases in check through reexivity, the process of reecting critically on the self and noting personal values that could affect data collection and interpretation. * Quantitative researchers use various methods of research control to hold constant confounding inuences on the dependent variable so that its relationship to the independent variable can be better understood. The confounding inuences are extraneous variables—extraneous to the purpose of the study. * Generalizability is the criterion used in a quantitative study to assess the extent to which the ndings can be applied to other groups and settings. * A similar concept in qualitative studies is transferability, the extent to which qualitative ndings can be transferred to other settings. A mechanism for promoting transferability is thick description, the rich, thorough description of the research context so that others can make inferences about contextual similarities. 147. Chapter 3 Textbook Summary * Quantitative studies are either experimental or nonexperimental. In experimental research, researchers actively introduce a treatment or intervention; in nonexperimental research,researchers make observations of existing characteristics and behaviour without intervening. * Qualitative nursing research often is rooted in research traditions from the disciplines of anthropology, sociology, and psychology. Three such traditions are ethnography, 28 / 50 Nursing Research Week 1 to 7 Study online at https://quizlet.com/_1pt7pd grounded theory, and phenomenology. * Grounded theory seeks to describe and understand key social-psychological processes that occur in social settings. * Phenomenology is concerned with lived experiences and is an approach to learning about what people's life experiences are like and what they mean. * Ethnography provides a framework for studying the meanings, patterns, and experiences of a dened cultural group in a holistic fashion. * In a quantitative study, researchers progress in a linear fashion from posing a research question to answering it in fairly standard steps. * The main phases in a quantitative study are the conceptual, planning, empirical, analytic, and dissemination phases. * The conceptual phase involves dening the problem to be studied, doing a literature review engaging in clinical eldwork for clinical studies, developing a framework and conceptual denitions, and formulating hypotheses to be tested. * The design and planning phase entails selecting a research design, formulating the intervention protocol(in experimental research), specifying the population, developing a sampling plan, specifying methods to measure the research variables, designing procedures to protect subjects' rights, and nalizing the research plan (and, in some cases, conducting a pilot study). * The empirical phase involves collecting the data and preparing the data for analysis (e.g., coding the data). 29 / 50 Nursing Research Week 1 to 7 Study online at https://quizlet.com/_1pt7pd * The analytic phase involves analyzing the data through statistical analysis and interpreting the results. * The dissemination phase entails communicating the ndings and promoting their utilization. * The ow of activities in a qualitative study is more exible and less linear than in a quantitative study. * Qualitative researchers begin with a broad question that is narrowed through the actual process of data collection and analysis. * In the early phase of a qualitative study, researchers select a site and then take steps to gain entrée into it; gaining entrée typically involves enlisting the cooperation of gatekeepers i stakeholders within the site. * Qualitative studies typically involve an emergent design: researchers select informants, collect data, and then analyze and interpret them in an ongoing fashion. Field experiences help to shape the design of the study. * Early analysis leads to renements in sampling and data collection, until saturation (redundancy of information) is achieved. * Qualitative researchers conclude by disseminating ndings that can subsequently be used to guide further studies, to develop structured measuring tools, and to inuence nurses' perceptions of a problem and their conceptualizations of potential solutions. 148. Chapter 4 Textbook Summary * The most common types of research reports are theses and dissertations, books, conference presentations (including oral reports and poster sessions), and, especially, journal articles. * Research journal articles provide brief descriptions of 30 / 50 Nursing Research Week 1 to 7 Study online at https://quizlet.com/_1pt7pd studies and are designed to communicate the contribution the study has made to knowledge. * Quantitative journal articles (and many qualitative ones) typically follow the IMRAD format with the following sections: introduction (explanation of the study problem and its context), method section (the strategies used to address the research problem), results (the actual study ndings), and discussion (the interpretation of the ndings). * Journal articles typically begin with a structured abstract (a brief synopsis of the study) and conclude with references (a list of works cited in the report). * Research reports are often difcult to read because they are dense, concise, and may contain a lot of jargon. * Qualitative research reports are written in a more inviting and conversational style than quantitative ones, which are more impersonal and include information on statistical tests. * Statistical tests are procedures for testing research hypotheses and evaluating the believability of the ndings. Findings that are statistically signicant are ones that have a high probability (p) of being accurate. * The ultimate goal of this book is to help students to prepare a research critique, which is a careful, critical appraisal of the strengths and limitations of a piece of research, often for the purpose of considering the worth of its evidence for nursing practice. 149. Chapter 11 Text- 197 Only Starts here book Summary 150. Mixed method Integration of qualitative and quantitative data within single studies or coordinated clusters of studies. 31 / 50 Nursing Research Week 1 to 7 Study online at https://quizlet.com/_1pt7pd It is believed by some that many areas of inquiry can be enriched and the evidence base enhanced through the judicious blending of qualitative and quantitative data. The following advantages are discussed: 1. Complementarity: can minimize limitations of each method and look for synergistic effect. 2. Incrementality and validity: Qualitative studies can develop hypothesis to be tested and hypothesis can be tested using quantitative methods and repeated to increase strength of the results. 3. Creating new frontiers: Inconsistencies between the 2 paradigms can yield insights that can be used to further develop a line of inquiry. 151. Chapter 5 Text- * Because research has not always been conducted ethbook Summary - ically, and because of the ethical dilemmas researchers often face in designing studies that are both ethical and methodologically rigorous, codes of ethics have been developed to guide researchers. * In Canada, the Tri-Council Policy Statement on ethical conduct for research with humans set forth eight key ethical principles: respect for human dignity, respect for free and informed consent, respect for vulnerable persons, respect for privacy and condentiality, respect of justice and inclusiveness, balancing harms and benets, minimizing harm, and maximizing benet. * Respect for human dignity includes the participants' right to self-determination, which means participants have the freedom to control their own actions, including the right to refuse to participate in the study or to answer certain questions. * Informed consent is intended to provide prospective participants with information needed to make a reasoned and voluntary decision about participation in a study. * Full disclosure means researchers have fully described 32 / 50 Nursing Research Week 1 to 7 Study online at https://quizlet.com/_1pt7pd the study, including risks and benets, to prospective participants. When full disclosure poses the risk of biased results, researchers sometimes use covert data collection or concealment (the collection of data without the participants' knowledge or consent) or deception (withholding information from participants or providing false information). * Vulnerable subjects require additional protection as participants. They may be vulnerable because they are not able to make a truly informed decision about study participation (e.g., children); because of diminished autonomy (e.g., prisoners); or because their circumstances heighten the risk of physical or psychological harm (e.g., pregnant women). * The principle of justice includes the right to fair and equitable treatment and to an inclusionary approach to recruitment of participants. * Benecenceinvolves the performance of some good, and the protection of participants from harm and exploitation (nonmalecence). * Various procedures have been developed to safeguard study participants' rights, including the performance of a risk/benet assessment, implementation of informed consent procedures, and efforts to safeguard participants' condentiality. * In a risk/benet assessment,the individual benets of participation in a study (and societal benets of the research) are weighed against the costs to individuals. * Informed consent normally involves the signing of a consent form to document voluntary and informed participation. In qualitative studies, consent may need to be continually renegotiated with participants as the study evolves, through process consent procedures. 33 / 50 Nursing Research Week 1 to 7 Study online at https://quizlet.com/_1pt7pd * Privacy can be maintained through anonymity (wherein not even researchers know the participants' identity) or through formal condentiality procedures that safeguard the information participants provide. * Researchers sometimes offer debrieng sessions after data collection to provide participants with more information or an opportunity to air complaints. * External review of the ethical aspects of a study by a Research Ethics Board (REB) or other human subjects committee is highly desirable and may be required by either the agency funding the research or the organization from which participants are recruited. * Ethical conduct in research involves not only protection of the rights of human and animal subjects but also efforts to maintain high standards of integrity and avoid such forms of research misconductas plagiarism, fabrication of results, or falsication of data 152. Chapter 12 Text- * Sampling is the process of selecting a portion of the book Summary - population, which is an entire aggregate of cases. Samples * An element (the basic unit about which information is collected) must meet the eligibility criteria to be included in the sample. * The main consideration in assessing a sample in a quantitative study is its representativeness—the extent to which the sample is similar to the population and avoids bias. Sampling bias refers to the systematic overrepresentation or underrepresentation of some segment of the population. * Quantitative researchers usually sample from an accessible population but typically want to generalize to a larger target population. 34 / 50 Nursing Research Week 1 to 7 Study online at https://quizlet.com/_1pt7pd * Nonprobability sampling (wherein elements are selected by nonrandom methods) includes convenience, quota, and purposive sampling. Nonprobability sampling designs are convenient and economical; a major disadvantage is their potential for bias. * Convenience sampling(or accidental sampling) uses the most readily available or most convenient group of people for the sample. Snowball sampling is a type of convenience sampling in which referrals for potential participants are made by those already in the sample. * Quota sampling divides the population into homogeneous strata (subgroups) to ensure representation of those subgroups in the sample; within each stratum, researchers select participants by convenience sampling. * In purposive (or judgmental) sampling, participants or types of participants are hand picked based on the researcher's knowledge about the population. * Probability sampling designs, which involve the random selection of elements from the population, yield more representative samples than nonprobability designs and permit estimates of the magnitude of sampling error. Probability samples, however, are expensive and demanding. * Simple random sampling involves the selection of elements on a random basis from a sampling frame that enumerates all the elements. * Stratied random sampling divides the population into homogeneous subgroups from which elements are selected at random. * Cluster sampling (or multistage sampling) involves the successive selection of random samples from larger to smaller units by either simple random or stratied random 35 / 50 Nursing Research Week 1 to 7 Study online at https://quizlet.com/_1pt7pd methods. * Systematic sampling is the selection of every kth case from a list. By dividing the population size by the desired sample size, the researcher establishes the sampling interval, which is the standard distance between the selected elements. * In addition to representativeness, sample size is another important concern in quantitative studies, especially with regard to a study's statistical conclusion validity. * Advanced researchers use power analysisto estimate sample size needs. Large samples are preferable to small ones in quantitative studies because larger samples tend to be more representative, but even large samples do not guarantee representativeness. * Qualitative researchers use the theoretical demands of the study to select articulate and reective informants with certain types of experience in an emergent way, capitalizing on early learning to guide subsequent sampling decisions. * Qualitative researchers most often use purposive or, in grounded theory studies, theoretical sampling to guide them in selecting data sources that maximize information richness. * Various purposive sampling strategies have been used by qualitative researchers. One strategy is maximum variation sampling,which entails purposely selecting cases with a wide range of variation. Other strategies include homogeneous sampling (deliberately reducing variation), extreme case sampling (selecting the most unusual or extreme cases), and criterion sampling (studying cases that meet a predetermined criterion of importance). * Another strategy in qualitative research is sampling 36 / 50 Nursing Research Week 1 to 7 Study online at https://quizlet.com/_1pt7pd conrming and disconrming cases,that is, selecting cases that enrich and challenge the researchers' conceptualizations. * Samples in qualitative studies are typically small and based on information needs. A guiding principle is data saturation, which involves sampling to the point at which no new information is obtained and redundancy is achieved. * Ethnographers make numerous sampling decisions, including not only whom to sample but also whatto sample (e.g., activities, events, documents, artefacts); these decisions are often aided by key informants who serve as guides and interpreters of the culture. * Phenomenologists typically work with a small sample of people (10 or fewer) who meet the criterion of having lived the experience under study. * Grounded theory researchers typically use theoretical sampling and work with samples of about 20 to 30 people. * Criteria for evaluating qualitative sampling are informational adequacy and appropriateness; potential for transferability is another issue of concern. 153. Chapter 6 Text- * A research problem is a perplexing or enigmatic sitbook Summary - uation that a researcher wants to address through disEthics ciplined inquiry. Sources of ideas for nursing research problems include clinical experience, relevant literature, social issues, and theory. * Researchers usually identify a broad topic or focus, then narrow the scope of the problem and identify questions consistent with a paradigm of choice. * A statement of purposesummarizes the overall goal of the study; in both qualitative and quantitative studies, the 37 / 50 Nursing Research Week 1 to 7 Study online at https://quizlet.com/_1pt7pd purpose statement identies the key concepts (variables) and the study group or population. * A research questionstates the specic query the researcher wants to answer to address the research problem. * A hypothesis is a statement of a predicted relationship between two or more variables. A testable hypothesis states the anticipated association between one or more independent and one or more dependent variables. * A directional hypothesis species the expected direction or nature of a hypothesized relationship; nondirectional hypotheses predict a relationship but do not stipulate the form that the relationship will take. * Research hypotheses predict the existence of relationships; null hypotheses express the absence of any relationship. * Hypotheses are never proved nor disproved in an ultimate sense—they are accepted or rejected, supported or not supported by the data. 154. Chapter 8 Text- * A theoryis a broad characterization of phenomena. As book Summary - classically dened, a theory is an abstract generalization that systematically explains the relationships among phenomena. Descriptive theory thoroughly describes a phenomenon. * The overall objective of theory is to make research ndings meaningful, summarize existing knowledge into coherent systems, stimulate and provide direction to new research, and explain the nature of relationships among variables. * The basic components of a theory are concepts. Classically dened theories consist of a set of propositions about 38 / 50 Nursing Research Week 1 to 7 Study online at https://quizlet.com/_1pt7pd interrelationships among concepts, arranged in a logical system that permits new statements to be derived from them. * Concepts are also the basic elements of conceptual models, but the concepts are not linked to one another in a logically ordered, deductive system. * Schematic models(or conceptual maps) are symbolic representations of phenomena that depict a conceptual model through the use of symbols or diagrams. * A framework is the conceptual underpinnings of a study. In many studies, the framework is implicit and not fully explicated. * Several conceptual models of nursing have been developed and have been used in nursing research (e.g., Moyra Allen's McGill Model of Nursing). The concepts that are central to models of nursing are person, environment, health, and nursing. * Nonnursing theories used by nurse researchers (e.g., Lazarus and Folkman's Theory of Stress and Coping) are referred to as borrowed theories; when the appropriateness of borrowed theories for nursing inquiry is conrmed, the theories become shared theories. * In some qualitative research traditions (e.g., phenomenology), the researcher strives to suspend previously held substantive conceptualizations of the phenomena under study, but nevertheless there is a rich theoretical underpinning associated with the tradition itself. * Some qualitative researchers specically seek to develop grounded theories, data-driven explanations to account for phenomena under study (substantive theories) through inductive processes. 39 / 50 Nursing Research Week 1 to 7 Study online at https://quizlet.com/_1pt7pd * In classical applications of theory, quantitative researchers test hypotheses deduced from a theory. A particularly fruitful approach involves testing two competing theories in one study. * In both qualitative and quantitative studies, researchers sometimes use a theory or model as an organizing framework or as an interpretive tool. * Researchers sometimes develop a problem, design a study, and then look for a conceptual framework; such an after-the-fact selection of a framework is less compelling than the systematic testing of a particular theory. 155. Chapter 7 Text- * A research literature reviewis a written summary of the book Summary - state of knowledge on a research problem. * Researchers undertake literature reviews to determine knowledge on a topic of interest, to provide a context for a study, and to justify the need for a study; consumers review and synthesize evidence-based information to gain knowledge and improve nursing practice. * Electronic databases, which are important tools for locating references, usually can be accessed through an online search or by way of CD-ROM. For nurses, the CINAHL database is especially useful. * Most database searches begin with a subject search, but a textword search and an author search are other possibilities. * In writing a research review, reviewers should carefully organize the relevant materials, which should consist primarily of primary source research reports. * The role of reviewers is to point out what has been studied to date, how adequate and dependable those studies are, and what gaps exist in the body of research. 40 / 50 Nursing Research Week 1 to 7 Study online at https://quizlet.com/_1pt7pd * Nurses need to have skills in using and critiquing research reviews prepared by others, including traditional narrative reviews, meta-analyses (the integration of study ndings using statistical procedures), and qualitative metasyntheses (integrations of qualitative research ndings that produce new interpretations.) 156. Chapter 13 Text- * Some researchers use existing data in their studies—for book Summary - example, those doing historical research, meta-analyses, scrutinizing data secondary analyses, or analyses of available records. collection * Data collection methods vary along four dimensions: structure, quantiability, researcher obtrusiveness, and objectivity. * The three principal data collection methods for nurse researchers are self reports, observations, and biophysiologic measures. * Self-reports are the most widely used method of collecting data for nursing studies. Qualitative studies—especially ethnographies—are more likely than quantitative studies to triangulate data from different sources. * Self-report data are collected by means of an oral interview or written questionnaire. Self-report methods are an indispensable means of collecting data but are susceptible to errors of reporting. * Unstructured self-reports, used in qualitative studies, include completely unstructured interviews,which are conversational discussions on the topic of interest; semistructured (or focused) interviews, using a broad topic guide; focus group interviews,which involve discussions with small groups; life histories, which encourage respondents to narrate their life experiences about a theme; the think aloud method, which involves having people talk about decisions as they are making them; diaries, in which 41 / 50 Nursing Research Week 1 to 7 Study online at https://quizlet.com/_1pt7pd respondents are asked to maintain daily records about some aspects of their lives; and the critical incidents technique, which involves probes about the circumstances surrounding an incident that is critical to an outcome of interest. * Structured self-reports used in quantitative studies employ a formal instrument—a questionnaire or interview schedule—that may contain a combination of open-ended questions (which permit respondents to respond in their own words) and closed-ended questions (which offer respondents xed alternatives from which to choose). * Questionnaires are less costly than interviews, offer the possibility of anonymity, and run no risk of interviewer bias; however, interviews yield higher response rates, are suitable for a wider variety of people, and provide richer data than questionnaires. * Social-psychological scales are self-report tools for quantitatively measuring the intensity of such characteristics as attitudes, needs, and perceptions. * Likert scales (or summated rating scales) present respondents with a series of items worded favourably or unfavourably toward some phenomenon; responses indicating level of agreement or disagreement with each statement are scored and summed into a composite score. * The semantic differential (SD) technique consists of a series of scales with bipolar adjectives (e.g., good/bad) along which respondents rate their reactions toward phenomena. * A visual analog scale (VAS) is used to measure subjective experiences (e.g., pain, fatigue) along a line designating a bipolar continuum. 42 / 50 Nursing Research Week 1 to 7 Study online at https://quizlet.com/_1pt7pd * Scales are versatile and powerful but are susceptible to response set biases— the tendency of some people to respond to items in characteristic ways, independently of item content. * Vignettes are brief descriptions of some person or situation to which respondents are asked to react. * With a Q sort, respondents sort a set of statements into piles according to specified criteria. * Direct observation of phenomena, which includes both structured and unstructured procedures, is a technique for gathering data about behaviours and events. * One type of unstructured observation is participant observation, in which the researcher gains entrée into the social group of interest and participates to varying degrees in its functioning while making in-depth observations of activities and events. Logs of daily events and eld notes of the observer's experiences and interpretations constitute the major data collection instruments in unstructured observation. * Structured observations, which dictate what the observer should observe, often involve checklists—tools based on category systemsfor recording the appearance, frequency, or duration of prespecied behaviours or events. Alternatively, the observer may use rating scales to rate phenomena along a dimension of interest (e.g., energetic/lethargic). * Structured observations often use a sampling plan (such as time sampling or event sampling) for selecting the behaviours or events to be observed. * Observational techniques are a versatile and important alternative to selfreports, but observational biases can pose a threat to the validity and accuracy of observational 43 / 50 Nursing Research Week 1 to 7 Study online at https://quizlet.com/_1pt7pd data. * Data may also be derived from biophysiologic measures, which can be classied as either in vivomeasurements (those performed within or on living organisms) or in vitro measurements (those performed outside the organism's body, such as blood tests). Biophysiologic measures have the advantage of being objective, accurate, and precise. * In developing a data collection plan, the researcher must decide who will collect the data, how the data collectors will be trained, and what the circumstances for data collection will be. 157. Random True Starts here and False Covering week 1-7 158. Provability sam- true pling is the same as random sampling 159. provability sam- true pling is expensive and demanding 160. What is cluster sampling? sampling in which elements are selected in two or more stages, with the first stage being the random selection of naturally occurring clusters and the last stage being the random selection of elements within clusters 161. Systematic sam- true. pling is related to every nth case from a list 162. true. 44 / 50 Nursing Research Week 1 to 7 Study online at https://quizlet.com/_1pt7pd key informants are guides and interpreters of the culture 163. power analysis is true used for estimating sample size need 164. data collection true methods vary along structure, quantifiability, researcher obtrusiveness and objectivity 165. researcher obtrusiveness The degree to which participants are aware of the presence of the research. 166. Interview or writ- true ten questionnaire can be used for self Self report 167. Unstructured self reports are used in quantitative study false 168. semantic differ- true ential is related to good and bad response 169. visual analog scale is related true 45 / 50 Nursing Research Week 1 to 7 Study online at https://quizlet.com/_1pt7pd to bipolar continuum 170. Likert scales are true used to gauge level of agreement 171. in Q sort, respon- true dents sort a set of statements. 172. In a structrue tured observation, observer is observes only events related to the research 173. In participant ob- true servation, observer becomes embedded in the social group r/t emic 174. Broad charactrue terization of phenomena are known as theory 175. Descriptive theo- true ry thoroughly describes a phenomenon 176. Concepts are components of theory true 46 / 50 Nursing Research Week 1 to 7 Study online at https://quizlet.com/_1pt7pd 177. Conceptual mod- true els are like theory but not logically ordered. 178. Schematic mod- true els are AKA conceptual maps 179. Schematic mod- true els depict a conceptual model using symbols and diagrams 180. Framework is true conceptual underpinning of a study, it can be explicitly mentioned or implicit 181. borrowed theo- true ries are non nursing theories used by nurse researchers 182. shared theories true are when borrowed theories become nursing theories after relevancy is verified 183. example of sub- in grounded theory, a theory that is grounded in data stantive theory from a single study on a specific substantive area (e.g., postpartum depression); in contrast to formal theory 47 / 50 Nursing Research Week 1 to 7 Study online at https://quizlet.com/_1pt7pd 184. literature review true is a written summary of the state of knowledge on a research problem 185. primary source true research reports are written by the author of the study 186. meta analyses true are related to collection of quantitative, statistical studies 187. meta syntheses true are r/t collection of qualitative studies 188. Research prob- true lem describes an unanswered phenomena 189. Statement of pur- true pose summarizes the goal of the study 190. null hypothesis true is absence of any relationship 191. Full disclosure means that the true 48 / 50 Nursing Research Week 1 to 7 Study online at https://quizlet.com/_1pt7pd researchers have fully described the study (pros and cons) to participants 192. covert data col- true lection is used if full disclosure poses risk to impartiality of the study (introduces bias) 193. Beneficence in true research ethics refers to protection of participants from harm and exploitation 194. examples of Vul- true nerable subjects are children, prisoners, pregnant women 195. self determitrue nation means that participants have the freedom to control their decisions including declining to answer questions, withdrawing from study. 196. Ethical dilemmas 49 / 50 Nursing Research Week 1 to 7 Study online at https://quizlet.com/_1pt7pd Problems about which more than once choice can be made and the choice made is influenced by the values and beliefs of decision makers. 197. Clinical trials studies designed to assess the effectiveness of clinical interventions often designed in a phases. 198. Randomized clinical trial Full experimental test of the treatment 50 / 50