The University of Texas of the Permian Basin BSN Nursing Program NURS 3200 Research and Nursing Informatics Basic Information Instructor: Vicki Y. Johnson, PhD, RN Email: TBA Office Location: MB 3140 Office Hours: Tuesday 09-11; Wednesday 13-15 Phone office: 432.552.2575 NURS 3200 Research and Nursing Informatics Course Placement: Junior Spring Semester Course Pre-requisites: Class: Admission to the nursing program or prior approval of Director. Two (2) hours of class per week. Class Schedule and Room: Tuesdays 12Noon - 2p; MB 3247 Course Description Role of research in professional nursing practice including principles of research and critical utilization of research findings by application to evidence-based nursing practice. Core concepts of informatics, computer skills, and use of technology and informatics in clinical practice and data management. Ethical issues in research and confidentiality of patient information. Objectives/Outcomes: Upon completion of course, the student will be able to: 1. Describe the role of research for nurses, the nursing profession and health care. 2. State ethical issues related to research, scholarship, and research subjects. 3. Compare and contrast use and contributions of qualitative, quantitative, and multiple design research methods. 4. Identify the importance of critical reasoning and analysis of research as a competent consumer. 5. Critique research studies/designs using ethical principles and evaluation criteria. 6. Describe basic research processes as links to evidence-based nursing practice and healthcare services. 7. Critically evaluate research findings that test cause and effect relationships. 8. Identify existing research studies on selected topics whether there is sufficient evidence to change nursing practice. 9. Locate evidence based research protocols for use in monitoring nurse sensitive client care indicators and leadership outcomes. 10. Determine future directions significant to and for nursing research. Teaching Strategies: This course is taught by lecture, seminar, breakout groups, and questions and discussion. Assigned reading is expected to be completed prior to the class. Grade is based on attendance, four research appraisals, research project, quizzes, mid-term exam, and a final exam. Course grading: Quizzes 5% Research appraisal 1 10% Research appraisal 2 10% Mid Term Exam 20% Research appraisal 3 10% Research appraisal 4 10% Research Project 15% Final Exam 20% Total 100% Textbook & Materials Required LoBiondo-Wood, G. & Haber, J. (2013). Nursing research: Methods and critical appraisal for evidencebased practice. (8th Edition). Mosby/Elsevier. LoBiondo-Wood, G. & Haber, J. (2013). Study Guide - Nursing research: Methods and critical appraisal for evidence-based practice. (8th Edition). Mosby/Elsevier. Burkhardt, M. and A. Nathaniel. (2008). Ethics & issues in contemporary nursing. (4th Edition). Cengage Learning. ANA National Database of Nursing Quality Indicators (current) ANA Guidelines for Protection of Human Rights. Research critiques, process, and criteria. Guidelines for research proposal concerning nurse sensitive indicators. Guidelines Lectures: You should read the textbook as assigned prior to class. Most of the lectures provide expansion of specific textbook topics and guidance on important areas. Face-to-face lectures will be summaries, elaborations on specific topics, and discussion. Attendance: Your attendance is expected at every clinical session; attendance will be recorded. This type of course requires participation in all areas for accurate evaluation of performance. Intelligent participation requires that you be prepared for the class. Your attendance is expected at every class and/or lab and clinical. Computer Skills and Other Requirements: Basic computer skills, ability to use Internet, and ability to type. All assignments must be formatted in Microsoft Word or Excel using APA or the assignment will be rejected. Critical Dates with Course Schedule: Critical Dates: Last day to add a course Last day to drop a course with a 100% refund Last Day to drop a course without creating an academic record Last official drop date or withdrawal from classes Spring Break Last regular Class Day Final Examinations January 22 January 29 January 29 March 24 March 10 - 14 May 1 May 5 - 8 Course Schedule: Week Dates Class Content 1 01/14 2 01/21 3 01/28 4 02/04 5 02/11 6 02/18 7 02/25 8 9 03/04 03/18 10 03/25 11 04/01 12 04/08 13 04/15 14 04/22 15 04/29 Final 05/06 Orientation to course and syllabus, and teaching strategies. Overview of research components and terms. Critical reasoning and critical reading and interpretation of research. Guidelines for research critiques, process, and criteria. Guidelines for research proposal of nurse sensitive indicators. LoBiondo-Wood Chapters 1,2 and 13, Burkhardt Chapter 12 Legal and ethical issues regarding scholarship, research, sampling and human subjects. Informed consent. Vulnerable populations. ANA guidelines for protection of human rights. Burkhardt Chapter 12 The research process. Literature review. Qualitative and quantitative research overview use and contributions. Key terminology. LoBiondo-Woods Chapters 2, 4 and 5 Quiz 1: NIH Training Certificate due: 01/28 by 1700 Theoretical frameworks. LoBiondo-Woods Chapter 5 Quiz 2: Covers weeks 1-3 Data collection. Sampling. Ethical treatment of data. LoBiondo-Wood Chapters 12 and 14, Burkhardt Chapter 12 Research Appraisal # 1 due: 02/17 by 1700 Qualitative Research, approaches and evaluation LoBiondo-Wood Chapters 6-8 Qualitative research, application of Qualitative research to practice continued. Quiz 3: Covers weeks 4-7 Research Appraisal # 2 due: 03/01 by 1700 Mid-Term Examination Quantitative Research, Experimental and quasi-experimental designs, non-experimental designs LoBiondo-Woods Chapters 9-11 Quantitative Research sampling, legal and ethical issues, data collection methods. Multiple design methodology and application of Quantitative research to practice. LoBiondo-Woods Chapters 12,13 and 14 Reliability and validity. Research to test cause and effect relationships. LoBiondo-Woods Chapter 15 Data analysis. Inferential statistics, use and misuse of statistics. LoBiondo-Wood Ch 16,17 and 18 Quiz 4: Covers weeks 9-11 Research Appraisal # 3 due: 04/14 by 1700 Designing research on nurse sensitive indicators and research proposals. ANA National Database of Nursing Quality Indicators (current) Guidelines for research proposal of nurse sensitive indicators. Research Appraisal # 4 due: 04/21 by 1700 Designing research on nurse leadership indicators and deciding when research/evidence should change leadership or other practice. LoBiondo-Wood Chapters 3 and 5 Performance improvement and monitor of health services. Developing Evidence-based practice. Tools for application of research. Research link to evidence-based practice and healthcare services. Future directions of nursing research. Quiz 5: Covers weeks 12-15 LoBiondo-Wood Ch 19-20 Final Examination Scholastic Dishonesty The integrity of a university degree depends on the integrity of the work done for that degree by each student. The University expects a student to maintain a high standard of individual honor in all scholastic work (Rules and Regulations of the Board of Regents). Scholastic dishonesty includes, but is not limited to cheating, plagiarism, collusion, and the submission for credit of any work or materials that are attributable in whole or in part to another person, any act designed to give unfair advantage to a student, or the attempt to commit such acts. Detailed information on scholastic dishonesty along with disciplinary procedures is outlined in the Handbook of Operating Procedures, Part 5, Section 1, and the Student Guide. Disabilities Any student who feels that he or she may require assistance for any type of physical or learning disability should consult with me during the first week. To request academic accommodations for a disability, contact Director of the PASS Office in the Mesa Building Room 1160, 432-552-2631. Students are required to provide documentation of disability to the PASS Office prior to receiving accommodations. Course Assignments QUIZZES There are five (5) quiz grades for the course. The grade for Quiz # 1 will be recorded following completion of the NIH Training and submission of a copy of the completion certificate to the assignment drop box in Blackboard labeled, “NIH”. Quizzes # 2-5 will be taken in the scheduled class as indicated in the table below. The cumulative quiz grades account for 5% of the course grade. Quiz #1 #2 #3 #4 #5 Content * NIH TRAINING: Protection of Human Subjects Weeks 1 – 3: Assigned Readings & Class Weeks 4 – 7: Assigned Readings & Class Weeks 9 – 11: Assigned Readings & Class Weeks 12 –15: Assigned Readings & Class Date 01/28 by 1700 02/04 02/25 04/08 04/29 NIH Training Access the web-based NIH tutorial at: http://phrp.nihtraining.com/users/login.php Once you have reached the NIH training site, follow the directions below: 1. Sign in as: “new to PHRP” 2. Continue to Course Registration page 3. Fill in required fields 4. Submit for registration 5. Enter training module 6. Follow instructions, complete the module 7. Save certificate as PDF file to your computer hard drive 8. Submit certificate to assignment drop box in Blackboard labeled, “NIH”, by 01/28/2014 @ 1700 9. Once the PDF file of the training certificate is received, a grade of 100% will be recorded in the gradebook EXAMS There will be two (2) exams for this course, a Mid-Term Exam and Final Exam; each exam will count 20% of the course grade. Course content from weeks 1-7 will be included on the Mid-Term Exam. The Mid-Term Exam is scheduled to be administered 03/04/2014. Course content from weeks 9-15 will be included on the Final Exam, which is scheduled to be administered 05/06/2014. An exam blueprint will be posted for the Mid-Term Exam 02/25/2014; the blueprint for the Final Exam will be posted 04/29/2014. CRITICAL RESEARCH APPRAISALS Students will be assigned to Student-Partner Groups to complete the Critical Research Appraisal assignments. Each Student-Partner Group will complete four (4) Critical Research Appraisals. Each Critical Research Appraisal should address the questions from the guideline that is specific to the type of research study to be appraised. The Critical Research Appraisal must be no longer than five (5) typed, double-spaced pages with one-inch margins, using correct APA format. Each Critical Research Appraisal should include a cover page and list of references page, which DO NOT count in the 5-page limit. Each Critical Research Appraisal should be submitted by one member of the Student-Partner Group to the appropriate assignment drop box in Blackboard labeled, “Appraisal 1”, “Appraisal 2”, “Appraisal 3”, “Appraisal 4”, respectively. APPRAISAL RESEARCH STUDY TYPE #1 Theory-Testing #2 Qualitative #3 Quantitative: Experimental or Quasi-Experimental #4 Quantitative: Non-Experimental * LoBiondo-Wood & Haber (2013) CRITICAL RESEARCH APPRAISAL GUIDELINE* P. 87; Questions 1-7 P. 128; Questions 1-16 DUE DATE 02/17/14 by 1700 03/01/14 by 1700 P. 195; First 6 questions Plus Questions for Experimental or Quasi-Experimental Design 04/14/14 by 1700 P. 214; Questions 1-10 04/21/14 by 1700 CRITICAL RESEARCH APPRAISAL GRADING RUBRIC The following criteria will be used to grade the Critical Research Appraisal assignments. Each Critical Research Appraisal counts 10% of the course grade. The score requirement described under each point on the scale defines the minimum performance that must be demonstrated in order to achieve that score. CATEGORY Content (35%) Answered all required questions; provided examples and supportive rationale. Organization & Presentation (35%) Followed APA format for paper Paper < 5 pages. (References and cover page not included in page count) 3 2 1 Intelligent consideration & knowledge of topic with originality Adequate engagement of questions but little originality Adequate knowledge, ideas may be conventional Good synthesis evident Evidence of synthesis Effective introduction, body & conclusion Clear introduction, body & conclusion, albeit somewhat mechanical Little or no evidence of synthesis Reasonably adequate introduction, body and conclusion Writing flows smoothly, with effective paragraph transitions Effective plan with evidence of analysis Clear, controlled and fluent diction Expression (15%) Appropriate, active voice, and wide-ranging word choice No major errors Evidence of careful proofreading throughout Scholarship (15%) Excellent APA formatting with full congruence between citations and reference list Effective paragraph transitions, however sentence conventional Specific plan followed fairly consistently Clear and reasonably fluent Mechanical or abrupt transitions Specific plan identified but limited 0 Ambiguous and limited Insufficient or unclear details No clear introduction or conclusion Transitions poor and inappropriate Plan of development barely adequate Clear, functionally correct, but unimaginative word choice Frequently awkward A few minor errors and one or two major errors, which do not reduce the clarity of communication Minor errors and a few major errors that reduce clarity of communication Frequent errors that impede communication Occasional spelling, punctuation, or typographical errors Multiple spelling, punctuation or typographical errors Good APA formatting with congruence between citations and reference list Fair APA formatting with some differences between citations and reference list Appropriate, clear and correct word choice Limited and sometimes inaccurate words Significant spelling, punctuation & typo errors Limited APA use, with errors in format, and little congruence between citations and reference list RESEARCH PROJECT Students will be assigned to Student-Partner Groups to complete the Research Project assignment, “Using Evidence from the Literature to Support or Change Current Nursing Practice”. Each Student-Partner Group will: 1. Choose a current practice in nursing for the project; nursing practice topics must be approved by the instructor 2. Develop a clinical question using the PICO format 3. Conduct a review of the literature a. Minimum: 5 peer-reviewed journal articles b. Three (3) of the peer-reviewed journal articles must be research studies c. All peer-reviewed journal articles must have been published within the last 6 years [2009-2014] 4. Appraise the evidence obtained from the literature review using the JHNEBP Research Evidence Appraisal (Johns Hopkins Hospital/Johns Hopkins University) instrument; JHNEBP will be provided by the instructor a. Complete a JHNEBP Evidence Appraisal instrument form for each peer-reviewed journal article used in the review of literature 5. Write a project summary indicating one of the following: a. The current nursing practice is supported by evidence from the review of literature and include documentation from the literature that corroborates this conclusion, or b. The current nursing practice is not supported by evidence from the review of literature and include documentation from the literature that substantiates this conclusion 6. The completed Research Project assignment should be submitted by one member of the Student-Partner Group to the drop box in Blackboard labeled, “Project” by 05/02/2014 @ 1700. 7. Place one (1) copy of each article reviewed for the Research Project in a folder labeled with the names of each member of the Student-Partner Group, and submit the folder to Dr. Johnson by 05/02/2014@ 1700. The completed Research Project assignment should contain the following components: 1. Cover Page 2. Introduction: Include purpose of project and description of specific nursing practice (0.5 page) 3. PICO Question (0.5) page 4. Review of Literature: concise summary of each study reviewed (maximum five (5) pages) 5. Project Summary: maximum (1) page 6. List of References 7. Appendices: (minimum: five (5) completed JHNEBP Research Evidence Appraisal forms) The Research Project assignment must follow correct APA format Typed pages, double-spaced One-inch margins References cited within text (summary) must also appear in the List of References Correct APA format should be used for citations in text and List of References RESEARCH PROJECT GRADING RUBRIC The following criteria will be used to grade the Research Project assignment. The Research Project counts 15% of the course grade. The score requirement described under each point on the scale defines the minimum performance that must be demonstrated in order to achieve that score. CATEGORY Content (35%) Correctly completed JHNEBP Research Evidence Appraisal for each peer-reviewed journal in the review of literature (ROL) Accurately summarized findings of the ROL Conclusion rationale supported with documented evidence from the ROL Organization & Presentation (35%) Followed APA format for paper Adhered to page requirement/limit (ROL: < 5 pages; Project Summary: < 1 pages) o Cover page, List of References, Appendices not included in page count Expression (15%) Coherent articulation of summary, conclusion/decision, and rationale 3 2 Intelligent consideration & knowledge of topic with originality Adequate engagement of project components, but little originality Adequate knowledge, ideas may be conventional Evidence of synthesis Little or no evidence of synthesis Clear introduction, body & conclusion albeit somewhat mechanical Reasonably adequate introduction, body and conclusion Effective paragraph transitions, however sentence conventional Mechanical or abrupt transitions Good synthesis evident Effective introduction, body & conclusion Writing flows smoothly, with effective paragraph transitions Effective plan with evidence of analysis Specific plan identified but limited 0 Ambiguous and limited Insufficient or unclear details No clear introduction or conclusion Transitions poor and inappropriate Plan of development minimally adequate Specific plan followed fairly consistently Clear, controlled and fluent diction Clear and reasonably fluent Appropriate, active voice, and wide-ranging word choice No major errors Appropriate, clear and correct word choice A few minor errors and one or two major errors, which do not reduce the clarity of communication Evidence of careful proofreading throughout Scholarship (15%) 1 Excellent APA formatting with full congruence between citations and reference list Occasional spelling, punctuation, or typographical errors Good APA formatting with congruence between citations and reference list Clear but functionally correct, but unimaginative word choice Minor errors and a few major errors that reduce clarity of communication Multiple spelling, punctuation or typographical errors Fair APA formatting with some differences between citations and reference list Frequently awkward Limited and sometimes inaccurate words Frequent errors that impede communication Significant spelling, punctuation & typo errors Limited APA use, with errors in format ,and little congruence between citations and reference list