NRSG 395 9.2009 NRSG 395 NURSING RESEARCH Bachelor of Science in Nursing Spiritual Service Spiritual Growth Personal Growth Personal Change Agent Moral Professional Growth ONU Nurse Leader Professional Life-Long Learner -1- NRSG 395 9.2009 CONTRIBUTORS The following individuals contributed to the completion of this course of study: Dr. Bonnie J. Beardsley Director, Department of Nursing Dr. Linda Davison, Professor of Nursing Rosalie Tuttle, Assistant Professor of Nursing Olivet Nazarene University September 2007 -2- NRSG 395 9.2009 NRSG 395 NURSING RESEARCH Statement of Faith “As an educational enterprise of the Church of the Nazarene, we pursue truth in order to glorify the God and the Father of our Lord Jesus Christ: praying for the coming of the spirit; remembering the promise of Scripture and tradition; keeping our hearts faithfully attuned to the voice of God; and being thoughtfully, acutely, and critically engaged.” 2002-2004 Catalog. Bourbonnais, IL: Olivet Nazarene University. COURSE DESCRIPTION/OVERVIEW This course provides the basic foundation for an understanding of nursing research. Included in the course are an overview of nursing research, steps in the research process, research designs, research methodology, data collection and analysis, and utilization of research. COURSE LEARNING OUTCOMES Upon completion of this course, the learner will be able to: 1. Discuss the characteristics of ethical nursing research and the nurse’s role utilization of best- practice evidence in nursing practice. 2. Describe the dimensions of the research process: knowledge and theoretical contexts, designs for research, measurements, data collection, analysis, and implications to evidence-based practice. 3. Discuss the ethical, moral, legal, social, and professional issues associated with research. 4. Evaluate nursing research as a knowledgeable consumer and develop a foundation for evolving best- practice application. 5. Analyze concepts from the arts and sciences, which contribute to personal growth and guide clinical judgment. 6. Promote the understanding of evidence-based practice through assimilated knowledge, and recommend constructive change as an evolving leader. COURSE MATERIALS Required Textbooks: Burns, N. & Grove, S., (2007). Understanding nursing research: Building an evidence-based practice (4th ed.). St Louis, MO: Saunders Elsevier. Supplemental Textbooks: Publication Manual of the American Psychological Association -3- NRSG 395 9.2009 Course Textbooks, articles, and access to blackboard will be made available to the learner. Assignments may include discussion topics, individual assignments, and projects. Specifics are outlined in the course. Special Requirements: Internet Access Microsoft Office 2007 Software Completion of the Online Blackboard Training Student Classroom is required. COURSE ASSIGNMENTS/ASSESSMENTS Student learning outcomes will be fostered and assessed in a variety of ways through this course. As best practice suggests, assessment will be formative and summative and will include the application of acquired course knowledge to real world practice settings. This course will include the following: WEEKLY DISCUSSION POSTINGS WRITTEN ASSIGNMENTS CUMULATIVE PORTFOLIO Assignments Points Discussion The discussion assignments each week may be online or on ground (Refer to the class instructor for discussion preference if not an online course) 6@5 points each week 30 Discussion Rubric is applicable for either online or on ground participation requirements Mini Literature Review DUE Week 3 Day 3 20 Design a Research Project DUE Week 4 Day 7 25 Research Critique DUE Week 6 Day 3 25 TOTAL COURSE POINTS 100 -4- NRSG 395 9.2009 WEEKLY WORKSHOP TOPICS WEEK 1: DISCOVERING NURSING RESEARCH WEEK 2: PROBLEM, PURPOSES, HYPOTHESES, REVIEW OF LITERATURE, FRAMEWORKS WEEK 3: THEORETICAL FRAMEWORK AND ETHICS WEEK 4: DESIGNS, OUTCOMES RESEARCH, POPULATIONS, AND SAMPLES WEEK 5: DATA COLLECTION, STATISTICS WEEK 6: CRITIQUING RESEARCH, BUILDING EVIDENCE –BASED PRACTICE STUDENT ATTENDANCE Students are to communicate directly with the course instructor regarding any circumstance that may result in absence of course participation. Course participation is met through discussions in class and/or postings and submission of assignments by the required due date. Due to the nature of some discussions, instructors may not allow students to post in advance or in retrospect to discussions due to absences. Students with an unexcused absence will receive a 50% grade reduction for any assignment submitted during that week. RNBSN ACADEMIC INFORMATION AND POLICIES School of Graduate and Continuing Studies – Attendance Policy One absence (and only one) may be excused without the grade being affected provided make-up work is satisfactory completed: o The learner must contact the instructor. o The absence must be the result of unavoidable circumstances. o Make-up work is satisfactory completed before the start of the following workshop. If the first absence is unexcused, the following scale will be used for grade reduction: o For courses with 7, 8, or 9 workshops/sessions: 1st absence will result in a final course grade no higher than a “B” 2nd absence will result in a final course grade no higher than a “C” 3rd absence will result in a final course grade of “F” o For courses with 4, 5, or 6 workshops/sessions: 1st absence will result in a final course grade no higher than a “C” 2nd absence will result in a final course grade of “F”) All subsequent absences (if first absence is excused) will result in an automatic grade reduction. The number of absences relative to grade reduction will reflect number of workshops in -5- NRSG 395 9.2009 the course (assuming one absence is excused based on the approved criteria listed above): o For courses with 7, 8, or 9 workshops/sessions: 2nd absence will result in a final course grade no higher than a “B” 3rd absence will result in a final course grade no higher than a “C” 4th absence will result in a final course grade of “F” o For courses with 4, 5, or 6 workshops/sessions: 2nd absence will result in a final course grade no higher than a “C” 3rd absence will result in a final course grade of “F” o For courses with 2 or 3 workshops/sessions An alternative cohort must be found so learner can attend the course in total Grades will be monitored with final attendance. Grades must reflect absence – no exceptions. If the first absence is not excused or the learner does not complete the necessary make-up work, the grade will be reduced beginning with the first absence. Instructors will address tardiness on an individual basis. Learners are expected to arrive for class on time and remain for the entire four hour period. Attendance – Online Courses Students are required to participate in class three different days each week. Your initial posting is NOT a RESPONSE to classmates. Both the quantity and quality of participation are evaluated. In courses where there are team/group activities, those discussions are NOT counted as part of the discussion postings. In addition to participation, the discussion rubric provides further details on possible points according to quality of posting. (Refer to the RNBSN Student Handbook for Policy Details) Students are expected to communicate directly with the course instructor regarding any circumstance that may result in absence of course participation. Course participation is met through discussion postings and submission of assignments by the required due date. 1. Learners in online courses must post at least one substantive online message per course week to be considered in attendance. 2. Failure to log in and post at least once a week will result in an unexcused absence. Grade reductions according to the Attendance Policy in this handbook will be applied. 3. Participation is not the same as attendance. Participation requirements are determined by the instructor and will be thoroughly explained in the course syllabus. 4. Students with an unexcused absence will receive a 50% grade reduction for any -6- NRSG 395 9.2009 assignments submitted during that week. Instructors will address tardiness on an individual basis. Learners are expected to arrive for class on time and remain for the entire session. (Refer to the RNBSN Student Handbook for details) EVALUATION PROCEDURE AND Grading System 95 – 100 A 92 – 94.9 A89 – 91.9 B+ 86 – 88.9 B 83 – 85.9 B80 – 82.9 C+ 77 – 79.9 C_____________________________________ 74 – 76.9 CNon-passing scores 71 – 73.9 D+ 68 – 70.9 D 65 – 67.9 DThe student will receive credit for assignments in the following ways: DISCUSSIONS The grading for discussion activities is outlined in the course-grading rubric. Students are required to support their discussions with citations, write in APA and provide a reference list at the bottom of their posting. Participation points, which may be given, based on the Discussion Postings. If this is a required part of the course assessment, the standard policy for discussion requirements and the grading rubric are consistent in each course syllabus. When discussion is part of the required assessment to ensure all members of the learning community have sufficient time to respond you are expected to adhere to the following guidelines: Post your initial activity no later than the third day of each week by midnight. Respond to three of your colleagues’ initial postings during each week on three different days. Provide colleagues with reflective thoughts, personal experience, resources, or general thoughts on the topic. Posting after the required date will result in a grade reduction as stated in the rubric. ASSIGNMENTS Points will be given based on the assessment outlined for each course. Refer to the course assignments and the corresponding grading rubric provided found in the course link identified as (rubric). Each week the course guide will provide the student with the required assignment. The learner as a guide for formulating written objectives should utilize the grading rubric for the assignment. -7- NRSG 395 9.2009 Students with an unexcused absence will receive a 50% grade reduction for any assignment submitted during that week. LATE WORK POLICY No late papers/assignments will be accepted after the date and time stated in the syllabus or otherwise stated by the professor. In extreme circumstances exceptions may be made (i.e. illness). However, this must be agreed upon by the student and professor prior to the due date. POLICIES ON PLAGIARISM Plagiarism is defined as use of intellectual material produced by another person without acknowledging its course. For example: Wholesale copying of passages from works of others into an assignment, paper, posting, or thesis without acknowledgement. Using the views, opinions, or insights of another without acknowledgement. Paraphrasing another person’s characteristic or original phraseology, metaphor, or other literary device without acknowledgment. Faculty will monitor for evidence of plagiarism. All work must be submitted through the correct blackboard process to be assessed for evidence of plagiarism. Self-plagiarism is the use of the learner’s work from a previous class and is highly discouraged. Should the learner’s previous work be used, it must be cited as such. For further information on Olivet Nazarene University Conduct and Responsibilities, see the Catalog at the course link (ONU Bulletin). Students suspected of plagiarism require faculty to contact the Chair, Director of Nursing Department at ONU directly. OVERVIEW WEEK 1 This week you will read three chapters that focus on discovering nursing research. In Chapter 1 the purpose is to explain broadly the world of nursing research. The importance of nursing research in developing an evidence-based practice and the nurse’s role in research are addressed. The past, present, and future of nursing research are explored, including the scientific accomplishments in the profession over the last 150 years. The ways of acquiring knowledge in nursing are discussed, including the significance of research in developing nursing knowledge. The chapter concludes with a discussion of the common research methodologies used in generating nursing knowledge: quantitative, qualitative, and outcomes research. Chapter 2 introduces the reader to quantitative research and a background for reading a research report. The relevant terms are defined and problem solving and nursing processes as a basis for understanding the quantitative research process are presented. The steps of the quantitative research process are introduced, and a descriptive correlational study is presented as an example -8- NRSG 395 9.2009 to promote understanding of the process. The chapter also includes a discussion of the critical thinking skills needed for reading research reports and guidelines for conducting an initial critique of these reports. Finally, the chapter concludes with the identification of the steps of the research process from published quasi-experimental and experimental studies. Chapter 3 introduces some of the qualitative research approaches commonly used in nursing and their contributions to nursing knowledge. To facilitate comprehension of these methods, the assumptions underlying the qualitative approaches are explored. A general overview is presented of the following qualitative approaches: phenomenological research, grounded theory research, ethnographic research, and historical research. The methods used to collect, analyze, and interpret qualitative data are described. The content should provide a background for reading and comprehending published qualitative studies and applying study findings to clinical practice. READING ASSIGNMENT WEEK 1 Burns, N. & Grove, S., (2007). Understanding nursing research: Building an evidence-based practice (4th ed.). St Louis, MO: Saunders Elsevier. Chapter 1 - “Discovering Nursing Research” Chapter 2 - “Introduction to the Quantitative Research Process” Chapter 3 - “Introduction to the Qualitative Research Process” RESOURCES WEEK 1 Devotion DISCUSSION ACTIVITY WEEK 1 A. For those who conduct qualitative research, understanding one's own values, beliefs, and philosophical views concerning the phenomenon being studied is a critical first step in the process. In this week’s discussion you will complete a philosophical statement on a particular topic. This statement will assist you in understanding your own beliefs and values about a particular subject, and how personal and professional experiences can influence those beliefs. Select one of the topics below or draw from one of your own significant memories: Nursing as a profession Abortion/reproductive rights Use of complementary/alternative therapies Prayer as an intervention Euthanasia Quality of life for the disabled -9- NRSG 395 9.2009 After you have determined your topic, ponder the following: 1. 2. 3. 4. What is your earliest memory or experience with this phenomenon? What personal experiences (self, family, friends, and acquaintances) may have influenced your values and beliefs pertaining to this phenomenon? How have cultural, societal, and spiritual/religious influences affected your values and beliefs pertaining to this phenomenon? What professional experiences (school, work, collegial relationships, and patient care) may have influenced your values and beliefs pertaining to this phenomenon? Do you have conflicting ideals or unanswered questions about this phenomenon? If so, what are they? How can research help you find the answers? Post an overview of your topic and experience on the discussion board. Address each of the above questions in your discussion. Read all of your colleagues’ postings. Respond to at least three of your colleagues’ initial postings. *Be sure to support your posting with citations from this week’s resources. Refer to the APA Publication Manual to assure your citations in the text and reference list are correct. ASSIGNMENT WEEK 1 There is no assignment for Week One. Looking Ahead Tip: Looking ahead to Week Two your activity will set the stage for the mini literature review due in Week Three… Plan ahead! Look at the assignment in Week Three “Mini Literature Review.” OVERVIEW WEEK 2 This week your reading includes content to assist in differentiating a problem from a purpose and critiquing the problems and purposes in published quantitative, qualitative, and outcomes studies. Objectives, questions, and hypotheses are discussed, and the different types of study variables are introduced. The chapter includes guidelines to assist in critiquing the problems, purposes, objectives, questions, hypotheses, and variables in published quantitative, qualitative, and outcomes studies. Your reading provides essential information to assist in searching the literature, critiquing the literature review sections of quantitative and qualitative studies, and synthesizing research evidence to guide practice. A literature review on the prediction and prevention of pressure ulcers is presented as an example of research knowledge that is ready for use in practice. RESOURCES WEEK 2 - 10 - NRSG 395 9.2009 Devotion READING ASSIGNMENT WEEK 2 Burns, N. & Grove, S., (2007). Understanding nursing research: Building an evidence-based practice (4th ed.). St Louis, MO: Saunders Elsevier. Chapter 4 - “Research Problems, Purposes, and Hypotheses” Chapter 5 - “Review of the Literature” DISCUSSION ACTIVITY WEEK 2 One of the hardest tasks for many students is to appropriately discern which articles are research reports, which are integrative reviews, and which are theoretically based. Search for one article of each general type (research report, integrative review, and theoretically based). Select from the list of topics below or one you already selected in Week One. Some possible topics include: A. B. C. D. E. Accurate temperature measurement in neonates Pain assessment in the cognitively impaired Use of research in nursing as a foundation for evidence-based practice Childhood type 2 diabetes and obesity Use of complementary and alternative therapies for control of menopausal symptoms The goals of this activity are to assist you in understanding the differences between general types of articles used in various research projects and to provide you with experiences in how the general types of articles might be used in better understanding a chosen phenomenon. Process for the Activity A. Using an electronic database, conduct a search of your topic. In delineating the search, use of key words such as "research," "integrative review," and "theory" may help pull those types of articles. Many databases allow for limiting searches to these particular areas. B. Review abstracts. Pull off or print appropriate articles. Label each article as to the type of article you believe it is. Once you have completed the process for obtaining your articles, post the following to the discussion board. 1. What are the differences between the various types of articles? What are the similarities? - 11 - NRSG 395 9.2009 2. How has each type of article assisted you in understanding more about your selected phenomenon? 3. How difficult was it to find appropriate articles for each type or category? What were some of the key words or phrases you used or looked for in helping you find these articles? 4. Read all of your colleagues’ postings. 5. Respond to at least three of your colleagues’ initial postings. *Be sure to support your posting with citations from this week’s resources. Refer to the APA Publication Manual to assure your citations in the text and reference list are correct. ASSIGNMENT WEEK 2: Mini Literature Review This assignment is due no later than Day 3 11:59 p.m. Week 3 Mini Literature Review of a Basic Nursing Procedure or Concern: In this exercise, you will gain the experience of conducting a mini literature review on a selected topic. The goals of this project are to: A. Assist you in understanding the basic process of conducting a literature review. B. Assist you in understanding the beginning process of conducting an evidencebased practice review. C. Provide you with the beginnings of scientifically based knowledge on a selected procedure. Steps of the process: A. Select a topic with your instructor's approval. B. Conduct a search using the various electronic databases. Limit the search to the past 5 years. C. Review abstracts. Pull off or print five appropriate research-based articles. D. Review each article critically using the guidelines provided in Chapter 5 of your text. E. Complete a written review using the guidelines as provided in Chapter 5 of your text. Some possible topics include: A. B. C. D. Intramuscular immunizations: Aspirate or not? Air bolus for nasogastric tube placement in children Application of ice after vaginal birth Capillary refill as indicator of perfusion - 12 - NRSG 395 9.2009 E. Use of restraints in the cognitively impaired OVERVIEW WEEK 3 This week your book addresses what theories are and how they are tested, how a framework is developed, which strategies can be used to identify the framework in a published study, and how frameworks should be critiqued. In addition, the readings provide a background for examining ethical aspects of studies. The ethical codes and regulations that currently guide the conduct of biomedical and behavioral research, with an explanation of the regulation entitled the Health Insurance Portability and Accountability Act (HIPAA), were enacted to protect the privacy of an individual’s health information. The following elements of ethical research are detailed: (1) protecting subjects’ rights, (2) balancing benefits and risks in a study, (3) obtaining informed consent, and (4) obtaining institutional approval for research. Critique guidelines are provided for examining the ethical aspects of published studies and research proposed for conduct in clinical agencies. The chapter concludes with a discussion of two timely ethical issues, scientific misconduct and the use of animals in research. RESOURCES WEEK 3 Devotion READING ASSIGNMENT WEEK 3 Burns, N. & Grove, S., (2007). Understanding nursing research: Building an evidence-based practice (4th ed.). St Louis, MO: Saunders Elsevier. Chapter 6 - “Understanding Theory and Research Frameworks” Chapter 7 - “Examining Ethics in Nursing Research” DISCUSSION ACTIVITY WEEK 3 This week you have developed an understanding of ethical practices and procedures associated with conducting research. In reflecting on your learning, propose a study on your topic and discuss how you plan to weigh benefits/risks, obtain consent, receive IRB approval. How will you practice ethically and preserve rights of humans and/or animals? 1. Post your summary to the above. 2. Read all of your colleagues’ postings. 3. Respond to at least three of your colleagues’ initial postings. *Be sure to support your posting with citations from this week’s resources. Refer to the APA Publication Manual to assure your citations in the text and reference list are correct. - 13 - NRSG 395 9.2009 ASSIGNMENT WEEK 3 Mini Literature Review is due on Day 3 of this week. OVERVIEW WEEK 4 The purpose of this week is to provide a background for understanding and critiquing study designs. The resources include a look at the concepts important to design, identify some designs commonly used in nursing studies, and describe the elements of a good design. The resources also include content related to defining experimental interventions, mapping designs, and identifying replication studies. The textbook provides an explanation of the theoretical basis of outcomes research, a brief history of the emerging endeavors to examine outcomes, the importance of outcomes research designed to examine nursing practice, and methodologies used in outcomes research. There is a discussion that presents the concepts of sampling theory including sampling criteria, sampling frame, and representativeness of a sample. The nonprobability and probability sampling plans or methods and sample size for quantitative and qualitative studies are also detailed. The chapter concludes with a discussion of the natural, partially controlled, and highly controlled settings used for conducting research. RESOURCES WEEK 4 Devotion READING ASSIGNMENT WEEK 4 Burns, N. & Grove, S., (2007). Understanding nursing research: Building an evidence-based practice (4th ed.). St Louis, MO: Saunders Elsevier. Chapter 8 - “Clarifying Research Designs” Chapter 9 - “Outcomes Research” Chapter 10 - “Populations and Samples” DISCUSSION ACTIVITY WEEK 4 Many aspects apply to the discussion this week specific to research design. For this week the discussion will centered on all you have learned up to this point. What is your topic, what is your purpose, your plan to ethically conduct this study on your topic? What is the research design that you will utilize, why? 1. Post an overview of your research question/topic, your purpose, and your plan of study for the - 14 - NRSG 395 9.2009 class. 2. Describe the design that you will use - Qualitative or Quantitative - and detail why. 3. Seek feedback from your colleagues on your plan. 4. Read all of your colleagues’ postings. 5. Respond to at least three of your colleagues’ initial postings. *Be sure to support your posting with citations from this week’s resources. Refer to the APA Publication Manual to assure your citations in the text and reference list are correct. ASSIGNMENT WEEK 4 Design a Research Project This assignment is due no later than Day 7 11:59 p.m. Qualitative/Quantitative Research Designs: In this exercise, you will design a research project using a selected type or method of research on your specific research topic. The goals of this project are to: A. Provide you with an understanding of how the same research question or problem can be answered differently using various research designs or methods. B. Assist you in understanding the complexities of designing a research project. Steps of the process: A. Begin with your topic problem or question. Select the type of research design or method from the list below that applies to your study. Qualitative methods: ethnography, grounded theory, phenomenology, case study, oral history Quantitative methods: experimental, quasi-experimental, descriptive/survey, longitudinal, cross-sectional, retrospective B. Design your study using the method selected above to help answer the following questions: What would be an appropriate research question, problem, or hypothesis? How extensive a literature review would need to be conducted? Are there any sample characteristics and/or a specific sampling method that you would need to use for this particular method? What steps of data collection would you need to use? What types or levels of data could/should you obtain? What general type or method of data analysis would you use? *Be sure to support your posting with citations from this week’s resources. Refer to the APA Publication Manual to assure your citations in the text and reference list are correct. Your paper should be no more than 3-4 pages. - 15 - NRSG 395 9.2009 OVERVIEW WEEK 5 For this week, the learning includes a discussion of some of the concepts of measurement theory, the reliability and validity of physiological measures, measurement strategies in nursing, and the process of data collection. The textbook also presents a discussion of some of the more pragmatic aspects of quantitative data analysis procedures - the purposes of statistical analysis and the process of performing data analysis. The reasoning behind statistics is explained and some of the more common statistical procedures used to describe variables, examine relationships, and predict and test causal hypotheses are introduced. The resources conclude with strategies for judging statistical suitability and evaluating the interpretation of statistical outcomes. RESOURCES WEEK 5 Devotion READING ASSIGNMENT WEEK 5 Burns, N. & Grove, S., (2007). Understanding nursing research: Building an evidence-based practice (4th ed.). St Louis, MO: Saunders Elsevier. Chapter 11 - “Measurement and Data Collection in Research” Chapter 12 - “Understanding Statistics in Research” DISCUSSION ACTIVITY WEEK 5 This week you will setup data analysis for both qualitative and quantitative research designs. 1. Begin by cutting and pasting three discussion threads and highlight common themes noted. In summary if this was a qualitative study, describe the common themes that you found and your interpretation. 2. Develop a pretend study that requires data analysis setup which demonstrates the mean, mode, and median of your findings. What conclusion can you draw from your finding based on your pretend research question and hypothesis? 3. Post your responses to the discussion board. 4. Read all of your colleagues’ postings. 5. Respond to at least three of your colleagues’ initial postings. *Be sure to support your posting with citations from this week’s resources. Refer to the APA - 16 - NRSG 395 9.2009 Publication Manual to assure your citations in the text and reference list are correct. ASSIGNMENT WEEK 5 Research Critique The final assignment due in Week 6 - Day 3 is a research critique. You will select an article that you have already utilized in the course or a new one. You may elect to do either a qualitative or a quantitative study. Using the template below for critiquing research, conduct a critique of your selected study. OVERVIEW WEEK 6 This week is centered on a reflection that summarizes and builds on previous critique content and provides direction for conducting critiques of both quantitative and qualitative studies. The elements of intellectual critique of research used by nurses are described to assist you in determining the quality of empirical evidence generated by studies. In addition, the steps used to critique quantitative research (comprehension, comparison, analysis, and evaluation) are presented in detail. An example critique of a published quantitative study is provided. The learning concludes with an introduction to the critique process for qualitative research and an example critique of a qualitative study is provided. This course is intended to increase the use of research findings in practice and to facilitate the movement toward evidence-based care in nursing. The concepts of research utilization and evidence-based practice are introduced. Rogers’ theory of diffusion of innovations, a guide for making changes in practice based on research, is explored. The importance of evidence-based practice in nursing, emphasizing the process for synthesizing research evidence for practical use is addressed. The Iowa model for evidence-based practice is discussed as a means which provides direction for agencies to move toward evidence-based care. In summary we conclude this course with a discussion of the national evidence-based practice (EBP) guidelines that have been developed by committees of experts to manage many acute and chronic illnesses and is extremely important in the development of evidence-based health care. RESOURCES WEEK 6 Devotion READING ASSIGNMENT WEEK 6 Burns, N. & Grove, S., (2007). Understanding nursing research: Building an evidence-based practice (4th ed.). St Louis, MO: Saunders Elsevier. Chapter 13 - “Critiquing Research for Nursing Practice” - 17 - NRSG 395 9.2009 Chapter 14 - “Building an Evidence-Based Practice” DISCUSSION ACTIVITY WEEK 6 Pulling it all together! There is no discussion this week - only a reflection on your feelings about research entering and exiting this course. 1. What were your fears about the course at the beginning of Week One or before? 2. Is research relevant to nursing practice, to you as a professional, and to patient and health care delivery? 3. How has this course framed your current understanding of nursing research? 4. Read all of your colleagues’ postings. 5. Respond to at least three of your colleagues’ initial postings. *Be sure to support your posting with citations from this week’s resources. Refer to the APA Publication Manual to assure your citations in the text and reference list are correct. ASSIGNMENT WEEK 6 Your Research Critique is Due by Day 3 of this week! FINAL COURSE REMINDERS! CHECK THE PORTFOLIO GUIDELINE FOR ARTIFACTS REQUIRED FOR THIS COURSE. REMEMBER TO COMPLETE THE ONLINE COURSE ASSESSMENT. - 18 - NRSG 395 9.2009 References Burns, N. & Grove, S., (2007). Understanding nursing research: Building an evidence-based practice (4th ed.). St Louis, MO: Saunders Elsevier. - 19 - NRSG 395 9.2009 GRADING RUBRICS DUE WEEK# 3 - Day 3: Mini Literature Review CONTENT References: current and relevant to topic Gaps in literature knowledge base identified Clearly organized and logically developed Logically builds a case for study Follows appropriate APA, spelling, and grammar. Utilizes at least five appropriate scholarly sources. Total Points POSSIBLE POINTS POINTS RECEIVED FACULTY COMMENTS 3 5 5 5 2 20 Received Support your work with citations from Journal articles, textbook assigned readings, and other scholarly references utilized throughout the course. - 20 - NRSG 395 9.2009 DUE WEEK #4 - Day 7: Design a Research Project CONTENT Appropriateness of research problem, statement, or hypothesis Areas that need to be included in the review of literature Sampling methods needed to undertake this particular study Appropriate steps to be accomplished for data collection. Suitable levels of data to be obtained Data analysis is congruent with the type of research to be conducted. Follows appropriate APA, spelling, and grammar. Utilizes at least five appropriate scholarly sources. Total Points POSSIBLE POINTS POINTS RECEIVED FACULTY COMMENTS 4 4 5 5 4.5 2.5 25 Received Support your work with citations from Journal articles, textbook assigned readings, and other scholarly references utilized throughout the course. - 21 - NRSG 395 9.2009 DUE WEEK 6 Day 3: Research Critique CONTENT Research problem, statement or hypothesis clearly identified. Literature review areas identified along with possible gaps Research design, methods, instruments, and sample discussed adequately Forms of data analysis and rationale for the appropriateness of its usage Summary of pertinent results and implications for practice Follows appropriate APA, spelling, and grammar. Utilizes at least five appropriate scholarly sources. Total Points POSSIBLE POINTS POINTS RECEIVED FACULTY COMMENTS 3 4.5 7 4 4 2.5 25 Received Support your work with citations from Journal articles, textbook assigned readings, and other scholarly references utilized throughout the course. - 22 - NRSG 395 9.2009 Discussion Requirements and Rubric Up to 0.5 points can be deducted for APA and/ or grammar. 5 Points (Exemplary) Discussion postings and responses are responsive to the requirements of the Discussion instructions and are posted by the due date. Discussion postings and responses significantly contribute to the quality of interaction by providing rich and relevant examples, applicable research support, discerning ideas, and/or stimulating thoughts/probes, and are respectful when offering suggestions, constructive feedback, or opposing viewpoints. Discussion postings and responses demonstrate an in-depth understanding of concepts and issues presented in the course (e. g., insightful interpretations or analyses, accurate and perceptive parallels, and well-supported opinions), and are well supported, when appropriate, by pertinent research. Discussion postings and responses provide evidence that the student has read and considered a sampling of colleagues' postings and synthesized key comments and ideas, as applicable. 4 Points (Proficient) Discussion postings and responses are responsive to the requirements of the Discussion instructions and are posted by the due date. Discussion postings and responses contribute to the quality of interaction by providing examples, research support when appropriate, ideas, and/or thoughts/probes, and are respectful when offering suggestions, constructive feedback, or opposing viewpoints. Discussion postings and responses demonstrate some depth of understanding of the issues and show that the student has absorbed the general principles and ideas presented in the course, although viewpoints and interpretations are not always thoroughly supported. Discussion postings and responses provide evidence that the student has considered at least some colleagues' postings and synthesized some key comments and ideas, as applicable. - 23 - NRSG 395 9.2009 3 Points (Sufficient) Discussion postings and responses are posted by the due date but are not always responsive to the requirements of the Discussion instructions. Discussion postings and responses do little to contribute to the quality of interaction or to stimulate thinking and learning. Discussion postings and responses demonstrate a minimal understanding of concepts presented, tend to address peripheral issues, and, while generally accurate, display some omissions and/or errors. Discussion postings and responses do not provide evidence that the student has considered at least some colleagues' postings or synthesized at least some key comments and ideas, as applicable. 2 or Less Points (Developing) Discussion postings and responses are posted past the late deadline, defined as 11:59 p.m. on the due date, and/or do not address the requirements of the Discussion instructions. Discussion postings and responses do not contribute to the quality of interaction or stimulate thinking and learning. Discussion postings and responses do not demonstrate an understanding of the concepts presented in the course, and/or do not address relevant issues, and/or are inaccurate and contain many omissions and/or errors. Discussion postings and responses do not provide evidence that the student has read or considered colleagues’ postings, as applicable. Possible Points = 30 - 24 - NRSG 395 9.2009 WEEK ONE WEBSITES WEEK 1 Challenges, Strategies and Priority Areas for Nursing and Midwifery Research An online report in rich text format from Bangkok, October 2000, one of several Global Alliances of Sigma Theta Tau International. Delta Omega Classics Includes the full-text online of Notes on Nursing: What It Is and What It Is Not by Florence Nightingale; requires Adobe Acrobat Reader to download; from the Delta Omega Honorary Society in Public Health. Developing Knowledge for Practice: Challenges and Opportunities National Nursing Research Agenda, Volume 1, 1993; from the National Institute of Nursing Research. Developing Nurse Scientists from the National Institute for Nursing Research. Online portion of the course is free, and videos to supplement these are available for purchase. Doctoral Preparation in Nursing from the Position Statements of the Canadian Nurses Association. NINR Focus: End of Life Issues A report from the National Institute of Nursing Research. The End of Our Lives: Guiding the Research Agenda A 21 page online summary of proceedings of a multidisciplinary conference, November 18, 2000; requires Adobe Acrobat Reader to view or print. Grounded theory: a thumbnail sketch From the site Action Research Resources maintained by Bob Dick at Southern Cross University, Australia. Healthy People 2010 web site and Healthy People 2010 2nd edition Includes Table of Contents and full-text online, and links to additional materials, including the Progress Reviews, which report on progress made so far for the 28 focus areas. Data 2010 Database from the CDC Wonder Search Engine of the Centers for Disease Control and Prevention. HP2010 Information Access Project Provides preformulated searches of the PubMed database on specific Healthy People 2010 focus areas, using evidence-based strategies. Available online from the Partners in Information Access for the Public Health Workforce site. Informing the Future: Critical Issues in Health Institute of Medicine, 128 pages, 2001; full text online from the National Academies Press. - 25 - NRSG 395 9.2009 NHLBI Research Training and Career Development Programs Includes information on Establishing a Research Career. Nursing Research Conferences Listings from Sigma Theta Tau International. Nursing Research: A Tool for Action A statement from the International Council of Nurses. Nursing Theories Links to web resources from the meta-site Nurses Info, developed and supported by the Australian Nursing Agency. Nursing Theory Link Page By Lisa Eichelberger, from Department of Nursing, Clayton College and State University; includes items on Abdellah, Henderson, Fitzpatrick's Life Perspective Rhythm Model, Levine, King, Kolcaba's Theory of Comfort, Betty Neuman and Margaret Newman. The Nursing Theory Page An extraordinary resource, formerly based at the University of Alberta, now available from the Hahn School of Nursing and Health Science, University of San Diego. Position Statement On Nursing Research from the American Association of Colleges of Nursing. Registry of Nursing Research A resource provided by the Virginia Henderson International Library, supported by Sigma Theta Tau International Honor Society of Nursing. Research Three projects from the Eta Eta Chapter of the Sigma Theta Tau International Honor Society of Nursing, York College of Pennsylvania. http://clendening.kumc.edu/dc/fn/ From the University of Kansas Clendening Library. Transforming Care at the Bedside A project of the Institute for Healthcare Improvement, funded by the Robert Wood Johnson Foundation. Includes an online article, Sparking Innovation and Excitement on the Hospital Unit. Using Research to Make a Difference in Clinical Nursing Practice: The Nightingale Legacy A lecture presented by Heather F. Clarke, RN, PhD, at the Child Health 2000 International Pediatric Nursing Conference, June 2, 1995. AGENCIES, ORGANIZATIONS, AND ASSOCIATIONS Agency for Healthcare Research and Quality From the U.S. Department of Health and Human Services, this site offers online full text guidelines and reports dealing with a wide variety of health issues, from costs to treatment of specific disorders, and links to other relevant web resources. Features separate sections on Evidence-based Practice, Outcomes & Effectiveness, Funding Opportunities, Funding Announcements, and Nursing Research. - 26 - NRSG 395 9.2009 American Association of Colleges of Nursing American Nurses Association American Nursing Informatics Association The AONE Institute for Patient Care Research & Education Includes information about seed grants; from the American Organization of Nurse Executives. Canadian Association of Schools of Nursing Includes a special section on Nursing Research and Scholarship. Center for Gerontological Nursing (formerly Center for Nursing Research on Elders) School of Nursing, University of Minnesota. Center for Nursing Research of the Foundation of the New York State Nurses Association, Inc. Eastern Nursing Research Society Foundation of Nursing Studies The Global Network of WHO Collaborating Centres for Nursing and Midwifery The Grantsmanship Center Grounded Theory Institute Includes an audio interview with Dr. Glaser about "Grounded Theory." Helene Fuld Health Trust International Consortium of Parse Scholars International Council of Nurses Research Network International Network for Doctoral Education in Nursing http://www.joannabriggs.edu.au/about/home.php An international research collaboration based at the Royal Adelaide Hospital and the Adelaide University, Australia. Includes Best Practice and Changing Practice Information Sheets, many available free to nonmembers. Midwest Nursing Research Society National Institute of Nursing Research Includes Research & Funding. - 27 - NRSG 395 9.2009 National League for Nursing Nursing Informatics Working Group of the American Medical Informatics Association Nursing Research Section of the New Zealand Nurses Organisation. Research & Development Co-ordinating Centre of the Royal College of Nursing, UK. Research in Child Health (RiCH) Group from the Royal College of Nursing, UK. Sigma Theta Tau Honor Society of Nursing Southern Nursing Research Society TriService Nursing Research Program from the Uniformed Services University University of California San Francisco, School of Nursing - Research Western Institute of Nursing OTHER RESOURCES WEEK 1 Click the Week One link for the Power Points to support learning this week! WEEK TWO WEBSITES WEEK 2 Achievable Benchmarks of Care (ABC™) User Manual Updated 09/20/01; from the Center for Outcomes and Effectiveness Research and Education, University of Alabama at Birmingham; full text online. American Heart Association Heart and Stroke Statistical Update The Balanced Scorecard Institute An online site from the organization, designed to provide web-based guidance, information, and tools to government and nonprofit managers as they attempt to design and implement measurement-based management in state, local, and federal government environments. Center for Nursing Classification & Clinical Effectiveness At the University of Iowa; extensive information and research on Nursing Outcomes Classification (NOC), which includes an historical overview, and Nursing Interventions Classification (NIC) site which includes ordering information for Nursing Interventions Classification (NIC): Intervention Labels and Definitions. Defining Variables and Formulating Hypotheses Site from The Whole Art of Deduction: Research Skills for New Scientists By Rodger Marion, PhD, © 1997-2004 by The University of Texas Medical Branch. - 28 - NRSG 395 9.2009 Developing Knowledge for Practice From the National Institute of Nursing Research Full-text online. High Blood Pressure Information Slide Shows Available for viewing or downloading. Includes The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC 7); from the National Heart Lung and Blood Institute. How to Read a Medical Journal Article by Steve Simon. An extensive site from Children's Mercy Hospital, Kansas City; includes evaluation of two sample articles. Part of a larger site STATS - STeve's Attempt to Teach Statistics. How to read a paper: Assessing the methodological quality of published papers By Trisha Greenhalgh; BMJ, 2 August 1997; No 7103 Volume 315; 3rd of 11 part series on using the medical literature. Identifying Research Problems in Critical Care Online article by Jane M. Kurz, RN, PhD, from AACN News, November 2001, vol. 18, no. 11. Improving Your Ability to Think Critically By Rosalinda Alfaro-LeFevre, RN, MSN. An online course from Nurse.com. Nursing Health Services Research Unit "A collaborative project of the University of Toronto, Faculty of Nursing and McMaster University, School of Nursing." Nursing Inquiry: The Research Process: Research Utilization Notes From Indiana State University School of Nursing; includes summaries of the WHICHE and CURN projects. Review questions/Self-Test on independent and dependent variables From the College of Nursing and Health Science, George Mason University. The Theory of Planned Behavior A site by Icek Aizeh, PhD, Head, Division of Personality & Social Psychology, University of Massachusetts at Amherst. Includes a TpB Model and information on Designing a TpB Intervention. AGENCIES, ORGANIZATIONS, AND ASSOCIATIONS Agency for Healthcare Research and Quality From the U.S. Department of Health and Human Services, this site offers online full text guidelines and reports dealing with a wide variety of health issues, from costs to treatment of specific disorders, and links to other relevant web resources. Features separate sections on Evidence-based Practice and Outcomes & Effectiveness and Nursing Research. American Association of Critical Care Nurses - AACN Includes AACN's Research - 29 - NRSG 395 9.2009 Vision & Mission, full text online. American Organization of Nurse Executives - AONE Includes a section on Education and Research Priorities. Cecil G. Sheps Center for Health Services Research University of North Carolina at Chapel Hill Center for Outcomes and Effectiveness Research and Education - COERE National Institute of Nursing Research Office of Human Subjects Research National Institutes of Health; includes links to Internal Review Board regulations and Guidelines for the Conduct of Research Involving Human Subjects at the National Institutes of Health for the conduct of research involving human subjects at the National Institutes of Health. Also known as "The Gray Booklet." APA Style web site Includes information on citing electronic resources, APA Style Manual ordering information, and other resources. APA Style Formatting Guide A short guide from the course Nursing Inquiry: The Research Process by Dr. Mary Bennett, Indiana State University School of Nursing. BioMedical Informatics BioMedical Informatics Course Overview from the Marine Biological Laboratory and National Library of Medicine. Includes application information. Chicago Manual of Style Online resource. Citation Style Guides for Internet and Electronic Sources An extensive resource with many online examples, from the University of Alberta Libraries. Computer Retrieval of Information on Scientific Projects (CRISP) "A searchable database of federally funded biomedical research projects conducted at universities, hospitals, and other research institutions" available from the National Institutes of Health. Essential Nursing References From the Interagency Council on Information Resources for Nursing, National League for Nursing. Fact Sheet: Medical Subject Headings (MeSH®) Information from the National Library of Medicine. How to read a paper: Assessing the methodological quality of published papers By Trisha Greenhalgh; BMJ, 2 August 1997; No 7103 Volume 315; 3rd of 11 part series on using the medical literature. - 30 - NRSG 395 9.2009 HSTAT Free, electronic access to full-text of documents including: clinical practice guidelines, quick-reference guides for clinicians, consumer brochures, and evidence reports sponsored by the Agency for Healthcare Research and Quality (AHRQ). Literature search methods for the development of clinical practice guidelines By Ione Auston, MLS, Marjorie A. Cahn, MA, and Catherine R. Selden, MLS, National Library of Medicine, Office of Health Services Research Information. Pressure Ulcer Treatment (Clinical Guide) Clinical Guideline Number 15 AHCPR Publication No. 95-0652: December 1994; full text online. Pressure Ulcers in Adults (Clinical Guideline) Pressure Ulcers in Adults (Clinical Guideline) Systematic Reviews - The Review Process From The Joanna Briggs Institute For Evidence Based Nursing & Midwifery. Users' Guides to Evidence-Based Practice Based on the Users Guides to Evidence-based Medicine and reproduced with permission from JAMA. Copyright 1993, American Medical Association, by the Canadian Centres for Health Evidence. Covers analysis of published articles from many different aspects. EndNote A commercial software package that allows you to 'import' and manage citations from various online databases into an integrated bibliographic file. ProCite A commercial software package that allows you to 'import' and manage citations from various online databases into an integrated bibliographic file. Reference Manager® Purchase information on software to manage bibliographic references. RefWorks A fee-based program that allows users to build a "personal database by importing references from online databases." DATABASES CAM Citation Index via PubMed; a searchable database of journal citations dealing with alternative and complementary health. CDC Wonder Searches materials on the Centers for Disease Control and Prevention World Wide Web pages. CINAHL Commercial site for the Cumulated Index to Nursing and Allied Health Literature. This is a proprietary index, and access requires a subscription. Includes information on using Subject Headings, and overview of Products and Services. Computer Retrieval of Information on Scientific Projects (CRISP) "a searchable database - 31 - NRSG 395 9.2009 of federally funded biomedical research projects conducted at universities, hospitals, and other research institutions" available from the National Institutes of Health. Embase Description of this bibliographic database from the Elsevier Science collection of Bibliographic Databases. ERIC The Education Resources Information Center (ERIC), database of journal and nonjournal education literature, sponsored by the Institute of Education Sciences (IES) of the U.S. Department of Education. Ingenta An online service that includes free searching and browsing of more than 25,000 publications, crossing many disciplines. Additional features and services are available for a fee. The National Cancer Institute has many full text documents, and online Cancer Literature resources. This site includes a dictionary, information on treatment options for specific types of cancer, resources and literature, and a bibliographic database that is searchable through PubMed. Some materials are available in English and Spanish. National Library of Medicine Provides free access to MEDLINE, Medline Plus (consumer information), Clinical Trials, a general Gateway and a variety of toxicology databases. See NLM Databases & Electronic Resources for more information on specialty databases and resources. National Library of Medicine's LOCATORplus An online search tool for the book catalog of the National Library of Medicine. OMIM™, the Online Mendelian Inheritance in Man database This database has extensive text explanations of genetically transmitted disorders, as well as links to MEDLINE to search for articles on the topic of each summary. POPLINE An online bibliographic database of articles and publications related to population health; from Johns Hopkins University. Population Index on the Web From Princeton; searchable database of articles on various population issues, including fertility and maternal health issues. ProQuest Online database to periodicals from UMI. Subscription required for access. PubMed Open MEDLINE access from the National Library of Medicine. See also PubMed Clinical Queries A gateway site from the National Library of Medicine's National Center for Biotechnology Information that provides specialized PubMed searches for clinicians by Clinical Study Category, for Systematic Reviews, or Medical Genetics Searches. See also the PubMed Help introductory and reference site for using this tool from the National Library of Medicine. - 32 - NRSG 395 9.2009 Registry of Nursing Research A resource provided by the Virginia Henderson International Library, supported by Sigma Theta Tau International Honor Society of Nursing. Social Sciences Citation Index® A database produced by Thomson Scientific. WORLD WIDE WEB TOOLS Adobe Acrobat Reader This software can be downloaded for free, and is used by many government agencies and other sites for full text online documents, charts, and statistical data. Alta Vista A flexible and precise search engine that permits phrase searching by using quotation marks; example: "nursing theory" retrieves that exact phrase. Assessing the Quality of Internet Health Information Summary of a Health Summit Working Group project from the Agency for Healthcare Research and Quality. DogPile A search engine. Finding Information on the Internet: A Tutorial A free hypertext linked Internet tutorial, for beginners to advanced searchers from the University of California Berkeley Library. Google A flexible search engine that allows phrase searching, like AltaVista, by putting "" marks around a string of words. HealthWeb A subject directory to resources on the Web. In Our Own Words: Medscape Nurses Blog An open-access feature of the Medscape Nurses site, from Medscape, an extensive and authoritative site with information on many specialties. Access is free, but registration is required. Index of Cochrane Reviews From The Cochrane Collaboration, Oxford, UK, evidencebased reviews on a wide variety of topics. Links to Online Resources From Dr. Mary Bennett, DNSc, RN, Indiana State University School of Nursing. The Nurse Friendly Nursing Journals Directory Nursing and Nursing Research A subset of the extensive Hardin MD web directory from the Hardin Library for the Health Sciences, University of Iowa. Nursing Directory - Health Web A subject categorized directory to web resources maintained by the Taubman Medical Library, University of Michigan. - 33 - NRSG 395 9.2009 Nursing on the Net: Health Care Resources You Can Use "A Web Sampler of Resources for Nursing Professionals" from the National Network of Libraries of Medicine. Routinely updated. Related Health Services Research Web Sites An extensive topical directory to web resources compiled by the National Library of Medicine. An alphabetic Index is also available. Spider’s Apprentice Website Provides ratings and explanations of many web search engines. Topica A searchable directory of mailing lists on the web. AGENCIES, ORGANIZATIONS, AND ASSOCIATIONS Agency for Healthcare Research and Quality From the U.S. Department of Health and Human Services, this site offers online full text guidelines and reports dealing with a wide variety of health issues, from costs to treatment of specific disorders, and links to other relevant web resources. Features separate sections on Clinical Practice, Evidencebased Practice and Outcomes & Effectiveness and Nursing Research. American Nursing Informatics Association Cochrane Collaboration "Preparing, maintaining and promoting the accessibility of systematic reviews of the effects of health care interventions". Includes Abstracts of Cochrane Reviews. Cochrane Collaboration/San Francisco Cochrane Center Library of Congress Includes a section on services for Researchers. National Academies Press Provides open-access, full-text, searchable hypertext versions of many of the books published by NAP, many of which are on health care or computing. National Library of Medicine Features extensive resources for medical informatics training opportunities. Nursing Informatics Working Group of the American Medical Informatics Association Nursing Specialist Group of the British Computer Society JOURNALS Evidence-Based Nursing Full online access is available by subscription; selected items are open-access online. Journal of Medical Internet Research Tables of contents are available online. - 34 - NRSG 395 9.2009 MedBioWorld Includes an extensive list of nursing journals links. OTHER RESOURCES WEEK 2 Click the Week Two link for the Power Points to support learning this week! WEEK THREE WEBSITES WEEK 3 THEORY AND RESEARCH FRAMEWORKS Assessment of Performance Measures for Public Health, Substance Abuse, and Mental Health Edward B. Perrin and Jeffrey J. Koshel, Editors; Panel on Performance Measures and Data for Public Health Performance Partnership Grants, National Research Council; 160 pages, 1997. Available online from the National Academies Press. CancerSymptoms.org An online resource from the Oncology Nursing Society. Caring Science Home Page: Watson Caring Theory Homepage From Jean Watson, PhD, RN, FAAN, HNC, University of Colorado. Center for Nursing Classification & Clinical Effectiveness At the University of Iowa; extensive information and research on Nursing Outcomes Classification (NOC), which includes an historical overview, and Nursing Interventions Classification (NIC) site which includes ordering information for Nursing Interventions Classification (NIC): Intervention Labels and Definitions. Clinical Trials.gov A searchable database developed by the National Library of Medicine for the National Institutes of Health. The Comfort Line Web site devoted to the Concept of COMFORT in Nursing; by Kathy Kolcaba, PhD, RN. Community Risk Assessment Tools At the Environmental Protection Agency. Conducting a Community Assessment Chapter 2 From Putting the Pieces Together: Comprehensive School-Linked Strategies for Children and Families; a "collaborative effort of the US Department of Education and the Regional Educational Laboratory Network." Consolidating Theory, Research and Practice: Exploring Critical Social Theory An online article by Nicholas Yacopetti RN, ICU Certificate, BN, CNC; from the 2000 Nursing Monograph, St Vincent's Healthcare Campus, Sisters of Charity Health Service, Darlinghurst, Australia. - 35 - NRSG 395 9.2009 Definition of Serious and Complex Medical Conditions Carole A. Chrvala, PhD, and Steven Sharfstein, MD, Editors; Committee on Serious and Complex Medical Conditions, Institute of Medicine; 128 pages, 1999; full-text online. Grounded theory: a thumbnail sketch From the site Action Research Resources maintained by Bob Dick at Southern Cross University, Australia. Grounded Theory as Scientific Method An overview by Brian D. Haig, University of Canterbury. The Health Promotion Model By Nola J. Pender RN, PhD, FAAN; includes a diagram of the model. Health-Related Quality of Life From the National Center for Chronic Disease Prevention and Health Promotion. Healthy People 2010 web site and Healthy People 2010 2nd edition Includes Table of Contents and full-text online, and links to additional materials, including the Progress Reviews, which report on progress made so far for the 28 focus areas. Health Related Research Instruments A collection of resources by Mary Bennett DNSc, RN, Assistant Dean, Indiana State University School of Nursing. International Consortium of Parse Scholars International Orem Society for Nursing Science and Scholarship Leininger’s Culture Care Theory Chapter 2 of Professional and lay care in the Tanzanian village of Ilembula. Includes the Sunrise Model. Methodological Approaches in Mental Health Services Research and Program Evaluation An online article by Arthur J. Anderson, PhD. Mid-Range Theory Page and What is a Mid-Range Theory? From The Nursing Theory Page an extraordinary resource, available from the Hahn School of Nursing and Health Science, University of San Diego. Neuman Systems Model Website From Neumann College. Nursing Theory Link Page By Lisa Eichelberger, from Department of Nursing, Clayton College and State University; includes items on Abdellah, Henderson, Fitzpatrick's Life Perspective Rhythm Model, Levine, King, Kolcaba's Theory of Comfort, Betty Neuman and Margaret Newman. Nursing Theory Network An extensive site on all aspects of nursing theory. Includes overview of each theory and a collection of links to relevant web sites. - 36 - NRSG 395 9.2009 The Nursing Theory Page An extraordinary resource, formerly based at the University of Alberta, now available from the Hahn School of Nursing and Health Science, University of San Diego. Observation: The Basis of Nursing Research A learning module by Carol E. Smith, RN, PhD, University of Kansas School of Nursing. Orlando's theory of the nurse-patient relationship; from NursesInfo. Quality of life compendium From the Center for Quality of Life Research in Nursing Science Division for Nursing Science, Department of Public Health and Primary Health Care, University of Bergen, Norway; includes specific quality of life instruments. Phenomenology as Research Method An online article by Beverley Campbell, Victoria University of Technology. Roy Adaptation Association Roy Adaptation Association - RAA Roy Adaptation Model Website of Sr. Callista Roy, PhD, RN, FAAN, Professor & Nurse Theorist. Stress and Disease: The contribution of Hans Selye to psychoneuroimmunology. A personal Reminiscence. An online article by Istvan Berczi, Department of Immunology, Faculty of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada. Supercourse: Epidemiology, the Internet and Global Health from the University of Pittsburgh. "This course (Executive Summary) is designed to provide an overview on epidemiology and the Internet for medical and health related students around the world." Theories, Dominant Models, and the Need for Applied Research From: Research and Intervention: Preventing Substance Abuse in Higher Education. The Theory of Planned Behavior A site by Icek Aizeh, PhD, Head, Division of Personality & Social Psychology, University of Massachusetts at Amherst. Includes a TpB Model and information on Designing a TpB Intervention. Unitary Health Care: Martha Rogers' Science of Unitary Human Beings An extensive site from the UK. Use of the Neuman Systems Model for Interdisciplinary Teams An online article from the Online Journal of Rural Nursing and Health Care. AGENCIES, ORGANIZATIONS, AND ASSOCIATIONS Agency for Healthcare Research and Quality From the U.S. Department of Health and - 37 - NRSG 395 9.2009 Human Services, this site offers online full-text guidelines and reports dealing with a wide variety of health issues, from costs to treatment of specific disorders, and links to other relevant web resources. Features separate sections on Evidence-based Practice and Outcomes & Effectiveness and Nursing Research. American Association of Colleges of Nursing American Holistic Nurses Association American Nurses Association American Nursing Informatics Association American Public Health Association - APHA, Public Health Nursing Section, Maternal & Child Health Section, and APHA Public Health Education and Health Promotion Section and Maternal and Child Health Community Leadership Institute Resource Center. Canadian Nurses Association Centre for Applied Health Research Canada Center for Outcomes and Effectiveness Research and Education Centers for Disease Control and Prevention - CDC Critical Care Research Network A Canadian "voluntary alliance of critical care units whose mission is to improve patient care and resource utilization through the development, implementation and evaluation of health services research protocols." The Family Care Research Program International Association for Human Caring International Network for Doctoral Education in Nursing Joint Commission on Accreditation of Healthcare Organizations - JCAHO National Center for Chronic Disease Prevention and Health Promotion National Institutes of Health and Listing of Institutes and Centers National League for Nursing - NLN NANDA International Formerly the North American Nursing Diagnosis Association Nursing Informatics Working Group of the American Medical Informatics Association - 38 - NRSG 395 9.2009 Oncology Nursing Society Public Health Training Network From the Centers for Disease Control and Prevention. Contains information on online conferences, current issues in public health, and more. U.S. Department of Health and Human Services ETHICS IN RESEARCH American Nurses Association includes Code of Ethics for Nurses with Interpretive Statements [includes purchase information]; ANA Position Statements on Ethics and Human Rights and the ANA Center for Ethics and Human Rights; and Code of Ethics for Nurses: With Interpretive Statements An Independent Study Module by Kevin G. Hook, MA, BSN, RN, and Gladys B. White, PhD, RN; from the American Nurses Association. The Ethical Conduct of Clinical Research Involving Children Marilyn J. Field and Richard E. Berman, Editors, Committee on Clinical Research Involving Children; 448 pages, 2004. Available online from the National Academies Press. Ethical, Legal, and Social Implications of Human Genetics Research From the National Human Genome Research Institute. Ethical Principles for Medical Research Involving Human Subjects The World Medical Association Declaration of Helsinki, available full-text online. The Ethical Principles of Psychologists and Code of Conduct Available full-text online. Code of Federal Regulations - Title 21--Food and Drugs: Chapter I - Food and Drug Administration, Department of Health and Human Services, Part 50 - Protection of Human Subjects Current printed version from the GPO Access site. Code of Federal Regulations - Protection of Human Subjects From the Office for Human Research Protections. Good Clinical Practice in FDA-Regulated Clinical Trials Extensive site from the U.S. FDA. A Guide to Informed Consent Full-text online guide from the U.S. Food and Drug Administration. HIPAA Privacy Rule: Overview and Resources From the National Institutes of Health. HIPAA Privacy Rule: HIPAA Authorization for Research Educational site providing information for covered entities and researchers on authorizations for research uses or - 39 - NRSG 395 9.2009 disclosures of protected health information; from the U.S. Department of Health & Human Services. Includes additional detailed information on: How Can Covered Entities Use and Disclose Protected Health Information for Research and Comply with the Privacy Rule?; How Do Other Privacy Protections Interact With the Privacy Rule?; Privacy Boards and the HIPAA Privacy Rule; and Institutional Review Boards and the HIPAA Privacy Rule. HIPAA: Medical Privacy - National Standards to Protect the Privacy of Personal Health Information Information site from the Office for Civil Rights. Includes the Complete Privacy, Security, and Enforcement (Procedural) Regulation Text and background information. Inclusion of Women in Research Guideline from the Office of Research on Women's Health, National Institutes of Health. Informed Consent for Research on Human Subjects with Dementia Position Statement from the American Geriatrics Society. Integrity in Scientific Research: Creating an Environment That Promotes Responsible Conduct Committee on Assessing Integrity in Research Environments, National Research Council, Institute of Medicine; 216 pages, 2002. Full-text online publication available from the National Academies Press. Nuremberg Code From the web site of the United States Holocaust Memorial Museum. Patient Involvement With Life Threatening Diseases From the Office of Special Health Issues, U.S. Food and Drug Administration. Contains links to web sites dealing with patient participation in selection of therapies and participation in drug trials. Policy Guidance From the Office for Human Research Protections, DHHS. Includes sections on Regulations, Guidance Materials (including the Belmont Report), and Informed Consent. Preserving Public Trust: Accreditation and Human Research Participant Protection Programs Committee on Assessing the System for Protecting Human Research Subjects, Board on Health Sciences Policy, Institute of Medicine; 232 pages, 2001. Available fulltext online from the National Academies Press. Protecting Data Privacy in Health Services Research Committee on the Role of Institutional Review Boards in Health Services Research Data Privacy Protection, Division of Health Care Services; 208 pages, 2000. Available full-text online from the National Academies Press. The Protection of Human Subjects Research Tutorial: The Jewish Chronic Disease Hospital Study From an online learning module, University of Maine. Public Health Service Policy on Humane Care and Use of Laboratory Animals A 23 page - 40 - NRSG 395 9.2009 document, revised August 2002, available online from the Office of Laboratory Animal Welfare, National Institutes of Health. Policy for Science and Technology Recent publications from the National Academies Press, including several on research issues. Resources for the World Association of Medical Editors. Includes references to issues such as fraud in publication and correcting errors in publication. The Responsible Conduct of Research in the Health Sciences By the Committee on the Responsible Conduct of Research, National Research Council, 1989. A full-text online book from the National Academies Press. Responsible Science, Volume I: Ensuring the Integrity of the Research Process By the Panel on Scientific Responsibility and the Conduct of Research, National Academy of Sciences, National Academy of Engineering, Institute of Medicine, 1992. A full-text online book from the National Academies Press. Cancer Incidence and Mortality and Analysis of Cancer Incidence in Pennsylvania Counties 1994-1998 From the Pennsylvania Department of Health. AGENCIES, ORGANIZATIONS, AND ASSOCIATIONS American Compliance Institute Maintains an extensive set of links to regulatory agencies. American Society for Bioethics and Humanities American Society of Law, Medicine & Ethics Center for Bioethics and Human Dignity Department of Bioethics Case Western Reserve, School of Medicine. Center for Clinical Ethics and Humanities in Health Care Center for Ethics and Human Rights of the American Nurses Association. This is an extensive site, with links to the ANA Code of Ethics and additional resources. Center for Health Ethics and Law University of West Virginia. The Hastings Center An organization for the study of "fundamental ethical questions in health care, biotechnology, and the environment". Publishes The Hastings Center Report and IRB: Ethics & Human Research, which are available by membership or subscription. John Dossetor Health Ethics Centre University of Alberta. - 41 - NRSG 395 9.2009 National Catholic Bioethics Center Formerly Pope John Center. Office for Human Research Protections DHHS Office of Laboratory Animal Welfare of the National Institutes of Health Office of Extramural Research. Site includes the PHS Policy on Humane Care and Use of Laboratory Animals, news items, an online manual for the care of laboratory animals, and relevant federal regulations. Office of Research Integrity From the Public Health Service. Includes the full-text online document Handling Misconduct: Introduction. JOURNALS BioethicsNet/American Journal of Bioethics Online Produced by University of Pennsylvania Center for Bioethics and The MIT Press. Subscription is required to access journal articles. Federal Register Online via GPO Access. HHS News and Public Affairs HIPAAdvisory Summarized information on HIPPA standards with FAQs, advisories, and news updates. OTHER RESOURCES WEEK 3 Click the Week Three link for the Power Points to support learning this week! - 42 - NRSG 395 9.2009 WEEK FOUR WEBSITES WEEK 4 CLARIFYING RESEARCH DESIGNS Healthy People 2010 web site and Healthy People 2010 2nd edition Includes Table of Contents and full-text online, and links to additional materials, including the Progress Reviews, which report on progress made so far for the 28 focus areas. HP2010 Information Access Project Provides preformulated searches of the PubMed database on specific Healthy People 2010 focus areas, using evidence-based strategies. Available online from the Partners in Information Access for the Public Health Workforce site. DATA 2010 A special searchable collection related to the focus areas and objectives of Healthy People 2010. From CDC Wonder, allows searching on topics by focus area, specific population groups, data source, or objectives within a focus group; "contains the most recent monitoring data for tracking Healthy People 2010", includes national and some state data. Data 2010 Gateway site to resources on the progress of the Healthy People 2010 campaign. On Quality and Validity An online article from Bandolier. Overview: Reliability and Validity Includes an Annotated Bibliography and Related Links; from the Colorado State University Writing Guide. Overview of Research Designs An online slide presentation by Rosemary Schiller, Villanova University. Research Design and Measurement Module III of the Nursing Research Series: Discovery to Practice; from the American Association of Critical-Care Nurses, 2002 [31 pages]. Research Methods Knowledge Base By William M. Trochim, Cornell University. Includes extensive sections on Internal Validity, Quasi-Experimental Design, and Experimental Design. The Rochester Research Fables By Jeanne Grace, PhD, RN. Worth the visit when you need a break from the heavier literature. Includes such classics as Cinderella . . . , or The Measure of True Love. The Scientific Method Overview from the Biology Project, University of Arizona. Test Reviews Online A fee-for-service web site from the Buros Institute of Mental - 43 - NRSG 395 9.2009 Measurements. AGENCIES, ORGANIZATIONS, AND ASSOCIATIONS OUTCOMES RESEARCH AONE Policy Statement on Mandated Staffing Ratios Approved by the AONE Board of Directors, December 2003. From the American Organization of Nurse Executives AONE. Center for Nursing Classification & Clinical Effectiveness At the University of Iowa; extensive information and research on Nursing Outcomes Classification (NOC), which includes an historical overview, and Nursing Interventions Classification (NIC)site which includes ordering information for Nursing Interventions Classification (NIC): Intervention Labels and Definitions. Center for Outcomes and Effectiveness Research and Education At the University of Alabama at Birmingham. Child Health Measurement Project Formerly Known as the Functional Outcomes Project. Description of the project and how the functional outcomes measures are developed; from the American Academy of Pediatrics. Clinical Care Classification System Nursing Diagnoses & Nursing Interventions, by Virginia K. Saba, EdD, RN, FAAN, FACMI. From SabaCare. Clinical Quality Improvement Formerly known as the Online Medical Quality Clearinghouse; from the American Academy of Family Physicians; reference tool with links to organizations, performance measures, and programs and projects. Costs, Outcomes, and Patient Satisfaction by Provider Type for Patients with Rheumatic and Musculoskeletal Conditions: A Critical Review of the Literature and Proposed Methodologic Standards From the Annals of Internal Medicine, 1 July 1997; 127:52-60. The Effectiveness of Public Health Nursing: A Review of Systematic Reviews A full-text online document available from the School of Nursing and Midwifery, University of Dundee, Scotland. Essential Concepts for Staff Nurses: The Outcomes Imperative An online continuing education course by Denise M. Korniewicz DNSc., RN, FAAN and Joanne Duffy DNSc., RN, CCRN, from the American Nurses Association. First Report and Recommendations of the Commonwealth Fund's International Working Group on Quality Indicators Available online from the Commonwealth Fund. Geographic Information Systems and Public Health: Mapping the Future By Thomas B. Richards, MD, Charles M. Croner, PhD, Gerard Rushton, PhD, Carol K. Brown, MS, and - 44 - NRSG 395 9.2009 Littleton Fowler, DDS; Public Health Reports 1999;114:359-373. Reproduced here with the permission of Oxford University Press. Online article from the Long Island Geographical Information System web site. Health and Health Behaviour Among Young People From the Health Behaviour in School-aged Children: A WHO Cross-National Study (HBSC) site. Hospital Nurse Staffing and Quality of Care Research in Action, Issue 14, March 2004 report, full-text online from the Agency for Healthcare Research and Quality. Hospital Quality Alliance (HQA) Ten Measure "Starter Set" From the Hospital Quality Initiative (HQI) site, Centers for Medicare & Medicaid Services. Includes items on Pneumonia and Heart Attack. Identifying and Measuring CYD Outcomes Online article by Lisa A. LaCava, from CYD Journal [Community Youth Development], 2001. International Nursing Minimum Data Set A fact sheet from the International Council of Nurses. Medical Outcomes Study (MOS) Social Support Survey From the Rand Corporation; includes a description, the survey, and information on how to score the survey. National Database of Nursing Quality Indicators (NDNQI) Based at the School of Nursing, University of Kansas Medical Center. Developed for and owned by the American Nurses Association. Nursing Best Practice Guidelines Project of the Registered Nurses Association of Ontario, Canada. National Center for Nursing Quality From the American Nurses Association. Includes access to the ANA National Database of Nursing Quality Indicators for acute care hospitals (requires registration) and an extensive selection of web resources on quality. Nursing Information & Data Set Evaluation Center From the American Nurses Association. Site includes a link to addresses and contact information for the 12 ANA recognized languages for nursing. Nurse Staffing and Patient Outcomes in Hospitals A 487 page, 2001 study of relationships between nurse staffing variables and patient outcomes in acute care hospital inpatient units. Available online from the Hospital & Healthsystem Association of Pennsylvania. Nurse Staffing Resources from the American Nurses Association. Includes information on the Registered Nurse Safe Staffing Act of 2005, and on staffing plans and ratios. Safe Staffing/Patient Outcomes Information from the American Nurses Association. - 45 - NRSG 395 9.2009 Nursing and Patient Outcomes Research: Canadian Perspectives Abstract of a presentation from a conference, Advancing Nursing Practice Excellence: State of the Science, Friday, September 27, 2002. OASIS (the Outcome and Assessment Information Set) From the Centers for Medicare and Medicaid Services. Omaha System Web site Includes case studies and a listserv. Outcome Evaluation By Richard A. Krueger, PhD. Patient-Nurse Synergy: Optimizing Patients' Outcomes Online article by Martha AQ Curley, RN, PhD, CCRN; from the American Journal of Critical Care, January 1998, vol. 7, no. 1. Patient Outcomes Research: Examining the Effectiveness of Nursing Practice From a conference sponsored by the National Institute of Nursing Research in 1991; requires Adobe Acrobat Reader to view or print the multiple files. Priority Areas for National Action: Transforming Health Care Quality Karen Adams and Janet M. Corrigan, Editors, Committee on Identifying Priority Areas for Quality Improvement; 160 pages, 2003. Available full-text online from the National Academies Press. Quality Control Tutorials Tutorials on how to use a variety of quality control tools: flow chart, Pareto chart and more; from the Continuous Quality Improvement (CQI) Server, Department of Industrial Engineering, Clemson University. Quality Indicators From the Agency for Healthcare Research and Quality - AHRQ An extensive site on "measures of health care quality that make use of readily available hospital inpatient administrative data." Includes Prevention QIs, Inpatient QIs, and Patient Safety Indicators. "Software and user guides for all three modules are available to assist users in applying the Quality Indicators to their own data." Quality Indicators: Outcomes Measurement Using the ANA Safety and Quality Indicators Online continuing education course from the American Nurses Association. Standardized Nursing Language Learning Module Available for credit on the web from the University of Michigan. Using Geographic Methods to Understand Health Issues From the Agency for Healthcare Research and Quality. AGENCIES, ORGANIZATIONS, AND ASSOCIATIONS - 46 - NRSG 395 9.2009 Center for Quality of the Health Resources and Services Administration. Institute for Healthcare Improvement "A global knowledge environment created to help health care professionals around the world accelerate their progress toward unprecedented levels of performance and improvement." The Joanna Briggs Institute For Evidence Based Nursing & Midwifery An international research collaboration based at the Royal Adelaide Hospital and the Adelaide University, Australia. Includes Best Practice and Changing Practice Information Sheets, many available free to non-members. Joint Commission on Accreditation of Healthcare Organizations Medical Outcomes Trust "A not for profit organization dedicated to improving health and health care by promoting the science of outcomes measurement" located in Boston, Massachusetts. NANDA International Formerly the North American Nursing Diagnosis Association National Association for Healthcare Quality National Committee for Quality Assurance National Guideline Clearinghouse National Quality Measures Clearinghouse™ - NQMC "Sponsored by the Agency for Healthcare Research and Quality, U.S. Department of Health and Human Services." A "public repository for evidence-based quality measures and measure sets." Includes links to related sites, and QualityTools web site. International Journal of Nursing Terminologies and Classifications Official publication of NANDA International. Tables of contents and abstracts are available online; full-text access requires subscription or purchase. POPULATIONS AND SAMPLES Data 2010 Database From the CDC Wonder Search Engine of the Centers for Disease Control and Prevention. Drug Addiction Research and the Health of Women From the National Institute on Drug Abuse; requires Adobe Acrobat Reader for access to full text. - 47 - NRSG 395 9.2009 Envisioning the National Health Care Quality Report Margarita P. Hurtado, Elaine K. Swift, and Janet M. Corrigan, Editors, Committee on the National Quality Report on Health Care Delivery, Board on Health Care Services; 256 pages, 2001. Available full text online. Evaluating systems integration in the ACCESS program for persons who are homeless and mentally ill: A panel presentation Online abstracts from the 128th Annual Meeting of American Public Health Association, 2000. Family Involvement with Homeless Severely Mentally Ill Relatives Summary of a research project from the Mental Health Services Research Program (MHSRP), University of Illinois, Chicago. Getting the Sample Size Right: A Brief Introduction to Power Analysis By Jeremy Miles, UK. Includes online tools. Health and Human Services Statistics About Minorities A data base that "catalogs web resources maintained by HHS agencies, other federal, state and local government agencies and their contractor or grantees." The Health Care for the Homeless Information Resource Center From the Bureau of Primary Health Care; this is an extensive site that includes bibliographies, a video lending library, and a "tools" site that provides intake and assessment forms, and the Health Care for the Homeless Directory. Health Status and Determinants of Health of Hispanic Population From Baylor College of Medicine. Healthy People 2000 Progress Report: People with Low Income October 30, 1997. Healthy People 2010 and Data 2010 Gateway site to resources on the progress of the Healthy People 2010 campaign. Healthy People 2010 Companion Web Sites and Documents Healthy People 2010 Minority Populations Gateway From the National Heart, Lung, and Blood Institute. State Healthy People 2010 Plans State Healthy People 2010 Tool Library Homeless Home Page From the Department of Health and Human Services; includes sites on statistics, grants, programs and more. Hunger Almanac 2007 and Hunger in America 2006 Full-text online reports from - 48 - NRSG 395 9.2009 America's Second Harvest. Hunger and Homelessness Report 2005 report [105 pages] and 2006 report, available online from the United States Conference of Mayors. Linking Public Health Nursing Practice and Education to Promote Population Health Program overview and project activities reports from the Public Health Nurse Consultants site of the Office of Public Health Practice, Minnesota Department of Health. Multicultural Resources From the Mental Health Services Research Program, University of Illinois at Chicago. The National Children's Study A study "led by a consortium of federal agency partners: the U.S. Department of Health and Human Services (DHHS) (including the National Institute of Child Health and Human Development [NICHD] and the National Institute of Environmental Health Sciences [NIEHS], two parts of the National Institutes of Health, and the Centers for Disease Control and Prevention [CDC]) and the U.S. Environmental Protection Agency (EPA)." The study will "examine the effects of environmental influences on the health and development of more than 100,000 children across the United States, following them from before birth until age 21." The Nun Study From the University of Kentucky, Sanders-Brown Center on Aging. Nursing Information & Data Set Evaluation Center From the American Nurses Association. Site includes a link to addresses and contact information for the 12 ANA recognized languages for nursing. Nursing Outcomes Classification (NOC) Includes an historical overview From the University of Iowa. OASIS (the Outcome and Assessment Information Set) From the Centers for Medicare & Medicaid Services. Patient Outcomes Research: Examining the Effectiveness of Nursing Practice From a conference sponsored by the National Institute of Nursing Research in 1991; requires Adobe Acrobat Reader to view or print the multiple files. Population Projections for States by Age, Sex, Race, and Hispanic Origin From the U.S. Census Bureau. Practical Lessons: The 1998 National Symposium on Homelessness Research Edited by Linda B. Fosburg, PhD, and Deborah L. Dennis, MA, for the U.S. Department of Housing and Urban Development and the U.S. Department of Health and Human Services, August 1999; full text online. Racial and Ethnic Differences in the Health of Older Americans Linda G. Martin and - 49 - NRSG 395 9.2009 Beth J. Soldo, Editors; Committee on Population, National Research Council; 312 pages, 1997. Available online from the National Academies Press. Strategies for Working With Culturally Diverse Communities and Clients: Excerpts By Elizabeth Randall-David 1989; an extensive online document on the server at CLAS (Culturally and Linguistically Appropriate Services) Early Childhood Research Institute. Street Work with High-Risk Youth An online course from the Substance Abuse and Mental health Services Administration. Top 25 American Indian Tribes for the United States: 1990 and 1980 From the U.S. Bureau of the Census American Indian and Alaska Native Populations page. Understanding Racial and Ethnic Differences in Health in Late Life: A Research Agenda Rodolfo A. Bulatao and Norman B. Anderson, Editors, Panel on Race, Ethnicity, and Health in Later Life, National Research Council; 184 pages, 2004. Available online from the National Academies Press. The Unequal Burden of Cancer: An Assessment of NIH Research and Programs for Ethnic Minorities and the Medically Underserved -1999 Available online from the National Academies Press. Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care Full text online book from the National Academies Press; Brian D. Smedley, Adrienne Y. Stith, and Alan R. Nelson, Editors, Committee on Understanding and Eliminating Racial and Ethnic Disparities in Health Care, Board on Health Sciences Policy; 782 pages, 2002. DEMOGRAPHIC AND STATISTICAL RESOURCES American Cancer Society: Statistics Reports for previous years are also available. America's Children: Key National Indicators of Well-Being 2007. From the Federal Interagency Forum on Child and Family Statistics. Reports are available full-text online; some reports require Adobe Acrobat Reader. Atlas of United States Mortality From the National Center for Health Statistics. BLS projections to 2014 Selected items from the Bureau of Labor Statistics. Canadian Cancer Statistics From Health Canada. Cancer Mortality Maps & Graph Web Site From the National Cancer Institute. Child Health USA Online reports are available for 1999 to the present as full text online - 50 - NRSG 395 9.2009 PDF documents from the Maternal and Child Health Bureau. Comprehensive Epidemiologic Data Resource (CEDR) From the Department of Energy. The Dartmouth Atlas of Health Care Designed to provide a graphical "accurate description of how medical resources are distributed and used in the United States." Data and Statistics From the Centers for Disease Control and Prevention. Directory of Health and Human Services Data Resources From the DHHS. FASTSTATS From the Centers for Disease Control and Prevention. A well organized site that provides access to statistics by topic, such as Men's Health, Women's Health, Allergies, and much more. Fedstats A gateway to statistics available through U.S. agencies. Forum on Child and Family Statistics The official web site of the Federal Interagency Forum on Child and Family Statistics; provides easy access to the Forum's reports, and national and state data on children and their families collected and published by various federal agencies. The Health and Well-Being of Children: A Portrait of States and the Nation 2005 From the Maternal and Child Health Bureau. Health Canada An extensive resource from "the Federal department responsible for helping Canadians maintain and improve their health, while respecting individual choices and circumstances." Health United States Site also includes access to previous years, online, from 1993 forward. Health Data for All Ages From the National Center for Health Statistics. Includes detailed information on women's health. Injuries, Illnesses, and Fatalities (IIF) program From the Bureau of Labor Statistics. KIDS COUNT A project of the Annie E. Casey Foundation, a national and state-by-state effort to track the status of children in the United States; includes annual KIDSCOUNT Databook and other KIDSCOUNT publications. Life Tables From "Vital Statistics of the United States, Volume II, Mortality, Part A, Section 6 contains life tables. This section is also issued annually as a separate publication. The life tables provide life expectancy data"; requires Adobe Acrobat Reader for viewing. Mortality Tables From the National Center for Health Statistics. - 51 - NRSG 395 9.2009 National Survey of America's Families Information from the Urban Institute. Occupational Injuries and Illnesses (Annual) From the U.S. Department of Labor. Population Profile of the United States From the U.S. Bureau of the Census. Population Projections for States by Age, Sex, Race, and Hispanic Origin From the U.S. Census Bureau. Population Studies Center From the University of Michigan; includes links to specific population data resources under "Data Pages". Profile of Older Americans Full text and graphics documents online from the Administration on Aging; reports are available from 1999 through the present. 65+ in the United States P23-209 Current Population Reports: Special Studies, December 2005; a 254 page full-text online report that requires Adobe Acrobat Reader to access. State & County QuickFacts: State and County Demographic and Economic Profiles Click on map areas for data related to those sites. Statistical Abstract of the United States Includes a section on State Rankings. Statistics on the Aging Population From the Administration on Aging. Substance Abuse and Mental Health Statistics From SAMHSA. Surveillance, Epidemiology, and End Results (SEER) The major epidemiological resource from the National Cancer Institute. U.S. Bureau of the Census: Income Statistics and Poverty Statistics; Includes a link to HHS Poverty Guidelines. White House Social Statistics Briefing Room Includes graphs and charts on selected topics. AGENCIES, ORGANIZATIONS, AND ASSOCIATIONS Administration for Children and Families Agency for Toxic Substances and Disease Registry American Public Health Association American Social Health Association - 52 - NRSG 395 9.2009 Association for Professionals in Infection Control & Epidemiology Center on Budget and Policy Priorities Centers for Disease Control and Prevention - CDC Centers for Disease Control's Behavioral Risk Factor Surveillance System DHHS Office of the Assistant Secretary for Planning and Evaluation Includes some full text reports on programs. Health Resources and Services Administration Interagency Council on Information Resources for Nursing Johns Hopkins Population Information Program Scroll down to view description of resources for this program. Designed to provide "health and family planning professionals and policy makers with authoritative, accurate, and up-to-date information." Includes access to the Popline bibliographic database. National Association for Public Health Statistics and Information Systems National Center for Children in Poverty Includes reports such as Reducing Disparities Beginning in Early Childhood, July 2007. National Center for Health Statistics National Prevention Information Network Sponsored by the Centers for Disease Control and Prevention, to promote HIV, STD, and Tuberculosis prevention. NANDA International (Formerly the North American Nursing Diagnosis Association) Office of Minority Health Resource Center Pharmaceutical Research and Manufacturers of America Members include approximately "100 U.S. companies that have a primary commitment to pharmaceutical research." Contains additional information on "Facts & Figures" and a "Medicines in Development Database." National Survey on Drug Use & Health Formerly called the National Household Survey on Drug Abuse (NHSDA). From SAMHSA; includes summary of findings from the older National Household Survey on Drug Abuse. State Public Interest Research Groups - 53 - NRSG 395 9.2009 U.S. Food and Drug Administration - FDA JOURNALS Chronic Disease Notes and Reports Newsletter of the National Center for Chronic Disease Prevention and Health Promotion. HIV and AIDS in Canada HIV/AIDS Surveillance Reports Available online from the Centers for Disease Control and Prevention. MMWR: Morbidity & Mortality Weekly Report Available full text online, requires Adobe Acrobat Reader . MMWR: Morbidity and Mortality Weekly Report -- CDC Surveillance Summaries Available full text online, requires Adobe Acrobat Reader. Monthly Vital Statistics Reports through volume 46, and National Vital Statistics Reports effective with Vol. 47, No. 1, U.S., full text online. Series Reports (Rainbow Series) From the National Vital Statistics System. Many of these require Adobe Acrobat Reader to view and print. Weekly Epidemiological Record From the World Health Organization; requires Adobe Acrobat Reader to access full-text online. AGENCIES, ORGANIZATIONS, AND ASSOCIATIONS Administration on Aging Aging and Seniors From Health Canada. Center for Health and Health Care in Schools Healthy Schools, Healthy You School health information site of the National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Promotion. Gerontological Nursing Interventions Research Center University of Iowa, College of Nursing. International Institute for Qualitative Methodology The John A. Hartford Foundation, Institute for Geriatric Nursing Michigan Center for Urban African American Aging Research - 54 - NRSG 395 9.2009 NIH Office of the Director, Office of Behavioral and Social Sciences Research National Institute on Aging National Resource Center on Homelessness and Mental Illness Office of Minority and Women's Health From the Centers for Disease Control and Prevention. Office of Minority Health Resource Center - OMHRC Includes access to organizations, programs, and documents. Rural Information Center Includes links to full text documents and organizations. Society for Clinical Trials "An international professional organization dedicated to the development and dissemination of knowledge about the design and conduct of clinical trials and related health care research methodologies." Transcultural Nursing Society JOURNALS Cultural Diversity and Ethnic Minority Psychology Abstracts and tables of contents are available online; from the American Psychological Association. OTHER RESOURCES WEEK 4 Click the Week Four link for the Power Points to support learning this week! WEEK FIVE WEBSITES WEEK 5 MEASUREMENT STRATEGIES Assessment of Performance Measures for Public Health, Substance Abuse, and Mental Health Edward B. Perrin and Jeffrey J. Koshel, Editors; Panel on Performance Measures and Data for Public Health Performance Partnership Grants, National Research Council, 160 pages, 1997; full text online from the National Academies Press. Basics of Measurement and Interpreting Statistics - Differences Sites from The Whole Art of Deduction: Research Skills for New Scientists By Rodger Marion, PhD, © 19972004 by The University of Texas Medical Branch. Case Definitions for Infectious Conditions Under Public Health Surveillance and a List of - 55 - NRSG 395 9.2009 Nationally Notifiable Infectious Diseases for the Current Year From the Centers for Disease Control and Prevention, includes Anthrax. CDC Wonder Searches the materials on the Centers for Disease Control and Prevention World Wide Web site. Center for Nursing Classification & Clinical Effectiveness At the University of Iowa; extensive information and research on Nursing Outcomes Classification (NOC), which includes an historical overview, and Nursing Interventions Classification (NIC) site which includes ordering information for Nursing Interventions Classification (NIC): Intervention Labels and Definitions. Child Health Care Quality Toolbox A site from the Agency for Healthcare Research and Quality. Includes Understanding Quality Measurement, an extensive online document with links to many additional resources. Clinical Quality Improvement Formerly known as the Online Medical Quality Clearinghouse; from the American Academy of Family Physicians; reference tool with links to organizations, performance measures, and programs and projects. Conducting a Community Assessment Chapter 2 from Putting the Pieces Together: Comprehensive School-Linked Strategies for Children and Families; a "collaborative effort of the U.S. Department of Education and the Regional Educational Laboratory Network." Early Childhood Longitudinal Study, Birth Cohort Web site Includes sections on Questionnaires and Data Collection. Evaluation Center @ HSRI A "national technical assistance center for the evaluation of adult mental health systems change"; features information on evidence based practice. Framingham Heart Study From the National Heart Lung and Blood Institute. Health Performance Measurement in the Public Sector Edward B. Perrin, Jane S. Durch, and Susan M. Skillman, Editors; Panel on Performance Measures and Data for Public Health Performance Partnership Grants, National Research Council 192 pages, 1999; full text online from the National Academies Press. Health-Related Quality of Life From the National Center for Chronic Disease Prevention and Health Promotion. Includes a section on Methods and Measures. Health Related Research Instruments A collection of resources by Mary Bennett DNSc, RN, Assistant Dean, Indiana State University School of Nursing. - 56 - NRSG 395 9.2009 Healthy People 2010 & Environmental Health "A resource page compiled by the Public Health Foundation (PHF), with assistance from the Agency for Toxic Substances and Disease Registry (ATSDR), the National Center for Environmental Health (NCEH), the National Institute of Environmental Health Sciences (NIEHS), and the Office of Disease Prevention and Health Promotion (ODPHP)." HSTAT Free, electronic access to full-text of documents including: clinical practice guidelines, quick-reference guides for clinicians, consumer brochures, and evidence reports sponsored by a variety of government agencies. Hunger and Homelessness Report 2005 report [105 pages] and 2006 report, available online from the United States Conference of Mayors. Leading Health Indicators for Healthy People 2010: Final Report Carole A. Chrvala and Roger J. Bulger, Editors; Committee on Leading Health Indicators for Healthy People 2010; 86 pages, 1999; full text online from the National Academies Press. Managed Care Systems and Emerging Infections: Challenges and Opportunities for Strengthening Surveillance, Research, and Prevention, Workshop Summary Jonathan R. Davis, Editor; Based on a Workshop of the Forum on Emerging Infections, Institute of Medicine, 128 pages, 2000; full-text online from the National Academies Press. Medical Outcomes Study (MOS) Social Support Survey From the Rand Corporation; includes a description, the survey, and information on how to score the survey. National Public Health Performance Standards Program From the Centers for Disease Control and Prevention. Nursing Information & Data Set Evaluation Center - NIDSEC From the American Nurses Association. Site includes a link to addresses and contact information for the 12 ANA recognized languages for nursing. OASIS (the Outcome and Assessment Information Set) From the Centers for Medicare & Medicaid Services. Patient Outcomes Research: Examining the Effectiveness of Nursing Practice From a conference sponsored by the National Institute of Nursing Research in 1991; requires Adobe Acrobat Reader to view or print the multiple files. Population Index Online From Princeton; searchable database of articles on various population issues. Surveys and Data Collection Systems From the National Center for Health Statistics. Tips For Nominal Group Process From the Iowa State University Extension Service. - 57 - NRSG 395 9.2009 WISQARS™ ["wiskers"] "Web-based Injury Statistics Query and Reporting System is an interactive system that provides customized injury-related mortality data useful for research and for making informed public health decisions"; from the Centers for Disease Control and Prevention. DEMOGRAPHIC AND STATISTICAL RESOURCES American Cancer Society: Statistics Reports for previous years are also available. America's Children: Key National Indicators of Well-Being 2007. From the Federal Interagency Forum on Child and Family Statistics. Reports are available full-text online; some reports require Adobe Acrobat Reader. Atlas of United States Mortality From the National Center for Health Statistics. BLS projections to 2014 Selected items from the Bureau of Labor Statistics. Canadian Cancer Statistics From Health Canada. Cancer Mortality Maps & Graph Web Site From the National Cancer Institute. Child Health USA Online reports are available for 1999 to the present as full text online PDF documents from the Maternal and Child Health Bureau. Comprehensive Epidemiologic Data Resource (CEDR) From the Department of Energy. The Dartmouth Atlas of Health Care Designed to provide a graphical "accurate description of how medical resources are distributed and used in the United States". Data and Statistics From the Centers for Disease Control and Prevention. Directory of Health and Human Services Data Resources From the DHHS. FASTSTATS From the Centers for Disease Control and Prevention. A well organized site that provides access to statistics by topic, such as Men's Health, Women's Health, Allergies, and much more. Fedstats A gateway to statistics available through U.S. agencies. Forum on Child and Family Statistics The official web site of the Federal Interagency Forum on Child and Family Statistics; provides easy access to the Forum's reports, and national and state data on children and their families collected and published by various federal agencies. The Health and Well-Being of Children: A Portrait of States and the Nation 2005 From - 58 - NRSG 395 9.2009 the Maternal and Child Health Bureau. Health Canada An extensive resource from "the Federal department responsible for helping Canadians maintain and improve their health, while respecting individual choices and circumstances." Health United States Site also includes access to previous years, online, from 1993 forward. Health Data for All Ages From the National Center for Health Statistics. Includes detailed information on women's health. Injuries, Illnesses, and Fatalities (IIF) program From the Bureau of Labor Statistics. KIDS COUNT A project of the Annie E. Casey Foundation, a national and state-by-state effort to track the status of children in the United States; includes annual KIDSCOUNT Databook and other KIDSCOUNT publications. Life Tables From "Vital Statistics of the United States, Volume II, Mortality, Part A, Section 6 contains life tables. This section is also issued annually as a separate publication. The life tables provide life expectancy data"; requires Adobe Acrobat Reader for viewing. Mortality Tables From the National Center for Health Statistics. National Survey of America's Families Information from the Urban Institute. Occupational Injuries and Illnesses (Annual) From the U.S. Department of Labor. Population Profile of the United States From the U.S. Bureau of the Census. Population Projections for States by Age, Sex, Race, and Hispanic Origin From the U.S. Census Bureau. Population Studies Center From the University of Michigan; includes links to specific population data resources under "Data Pages". Profile of Older Americans Full text and graphics documents online from the Administration on Aging; reports are available from 1999 through the present. 65+ in the United States P23-209 Current Population Reports: Special Studies, December 2005; a 254 page full-text online report that requires Adobe Acrobat Reader to access. State & County QuickFacts: State and County Demographic and Economic Profiles Click on map areas for data related to those sites. Statistical Abstract of the United States Includes a section on State Rankings. - 59 - NRSG 395 9.2009 Statistics on the Aging Population From the Administration on Aging. Substance Abuse and Mental Health Statistics From SAMHSA. Surveillance, Epidemiology, and End Results (SEER) The major epidemiological resource from the National Cancer Institute. U.S. Bureau of the Census: Income Statistics and Poverty Statistics; Includes a link to HHS Poverty Guidelines. White House Social Statistics Briefing Room Includes graphs and charts on selected topics. AGENCIES, ORGANIZATIONS, AND ASSOCIATIONS Administration for Children and Families Agency for Toxic Substances and Disease Registry American Public Health Association American Social Health Association Association for Professionals in Infection Control & Epidemiology Center on Budget and Policy Priorities Centers for Disease Control and Prevention - CDC Centers for Disease Control's Behavioral Risk Factor Surveillance System DHHS Office of the Assistant Secretary for Planning and Evaluation Includes some full text reports on programs. Health Resources and Services Administration Interagency Council on Information Resources for Nursing Johns Hopkins Population Information Program Scroll down to view description of resources for this program. Designed to provide "health and family planning professionals and policy makers with authoritative, accurate, and up-to-date information."Includes access to the Popline bibliographic database. National Association for Public Health Statistics and Information Systems - 60 - NRSG 395 9.2009 National Center for Children in Poverty Includes reports such as: Reducing Disparities Beginning in Early Childhood, July 2007. National Center for Health Statistics National Prevention Information Network Sponsored by the Centers for Disease Control and Prevention, to promote HIV, STD, and Tuberculosis prevention. NANDA International (Formerly the North American Nursing Diagnosis Association) Office of Minority Health Resource Center Pharmaceutical Research and Manufacturers of America Members include approximately "100 U.S. companies that have a primary commitment to pharmaceutical research." Contains additional information on "Facts & Figures" and a "Medicines in Development Database." National Survey on Drug Use & Health Formerly called the National Household Survey on Drug Abuse (NHSDA). From SAMHSA; includes summary of findings from the older National Household Survey on Drug Abuse. State Public Interest Research Groups U.S. Food and Drug Administration - FDA JOURNALS Chronic Disease Notes and Reports Newsletter of the National Center for Chronic Disease Prevention and Health Promotion. HIV and AIDS in Canada HIV/AIDS Surveillance Reports Available online from the Centers for Disease Control and Prevention. MMWR: Morbidity & Mortality Weekly Report Available full text online, requires Adobe Acrobat Reader . MMWR: Morbidity and Mortality Weekly Report -- CDC Surveillance Summaries Available full text online, requires Adobe Acrobat Reader. Monthly Vital Statistics Reports through volume 46, and National Vital Statistics Reports effective with Vol. 47, No. 1, U.S., full text online. Series Reports (Rainbow Series) From the National Vital Statistics System. Many of these require Adobe Acrobat Reader to view and print. - 61 - NRSG 395 9.2009 Weekly Epidemiological Record From the World Health Organization; requires Adobe Acrobat Reader to access full-text online STATISTICS IN RESEARCH DASL: The Data and Story Library An "online library of datafiles and stories that illustrate the use of basic statistics methods." From StatLib, Department of Statistics at Carnegie Mellon University. DATAFERRET - formerly the Federal Electronic Research and Review Extraction Tool (FERRET) A unique data mining and extraction tool for accessing NCHS data sets. Allows you to select of "a databasket full of variables, and recode those variables as needed, and then develop and customize tables and charts." Dr. Stevens' Biostatistics and Epidemiology Page Introductory material by Dennis C. Stevens, MD, University of South Dakota School of Medicine. Electronic Statistics Textbook Provided as a public service by StatSoft, Inc. Epidemiology for the Uninitiated From the British Medical Journal, full text online publication. Fedstats: One Stop Shopping for Federal Statistics FedWorld A gateway to U.S. Government information from the Department of Commerce. Finding and Using Health Statistics: A Self-Study Course By Dan Melnick, PhD; from the National Library of Medicine. Globally Accessible Statistical Procedures A site "designed to make statistical routines easily available via the WWW". Health-Related Quality of Life From the National Center for Chronic Disease Prevention and Health Promotion. Includes a section on Methods and Measures. Healthy People 2010 web site and Healthy People 2010 2nd edition Includes Table of Contents and full-text online, and links to additional materials, including the Progress Reviews, which report on progress made so far for the 28 focus areas. HP2010 Information Access Project Provides preformulated searches of the PubMed database on specific Healthy People 2010 focus areas, using evidence-based strategies. Available online from the Partners in Information Access for the Public Health Workforce site. Statistical Resources on the Web: Health From the Documents Center, University of - 62 - NRSG 395 9.2009 Michigan. Statistics at Square One Ninth Edition, T D V Swinscow. Revised by M J Campbell, University of Southampton. Available online from BMJ Publishing Group Ltd. Supercourse: Epidemiology, the Internet and Global Health From the University of Pittsburgh. "This course (Executive Summary) is designed to provide an overview on epidemiology and the Internet for medical and health related students around the world." Includes online lectures on a wide variety of epidemiologic topics. University of British Columbia Clinical Significance Calculator and Bayesian Calculator. Using Geographic Methods to Understand Health Issues From the Agency for Healthcare Research and Quality. VassarStats: Statistical Computation Website Includes actual tests and programs that can be used interactively online. World Wide Web Virtual Library: Epidemiology A collection of links related to this topic, maintained by Stephen Shiboski, Associate Adjunct Professor of Biostatistics at University of California San Francisco. DEMOGRAPHIC AND STATISTICAL RESOURCES American Cancer Society: Statistics Reports for previous years are also available. America's Children: Key National Indicators of Well-Being 2007. From the Federal Interagency Forum on Child and Family Statistics. Reports are available full-text online; some reports require Adobe Acrobat Reader. Atlas of United States Mortality From the National Center for Health Statistics. BLS projections to 2014 Selected items from the Bureau of Labor Statistics. Canadian Cancer Statistics From Health Canada. Cancer Mortality Maps & Graph Web Site From the National Cancer Institute. Child Health USA Online reports are available for 1999 to the present as full text online PDF documents from the Maternal and Child Health Bureau. Comprehensive Epidemiologic Data Resource (CEDR) From the Department of Energy. The Dartmouth Atlas of Health Care Designed to provide a graphical "accurate description of how medical resources are distributed and used in the United States". Data and Statistics From the Centers for Disease Control and Prevention. - 63 - NRSG 395 9.2009 Directory of Health and Human Services Data Resources From the DHHS. FASTSTATS From the Centers for Disease Control and Prevention. A well organized site that provides access to statistics by topic, such as Men's Health, Women's Health, Allergies, and much more. Fedstats A gateway to statistics available through U.S. agencies. Forum on Child and Family Statistics The official web site of the Federal Interagency Forum on Child and Family Statistics; provides easy access to the Forum's reports, and national and state data on children and their families collected and published by various federal agencies. The Health and Well-Being of Children: A Portrait of States and the Nation 2005 From the Maternal and Child Health Bureau. Health Canada An extensive resource from "the Federal department responsible for helping Canadians maintain and improve their health, while respecting individual choices and circumstances." Health United States Site also includes access to previous years, online, from 1993 forward. Health Data for All Ages From the National Center for Health Statistics. Includes detailed information on women's health. Injuries, Illnesses, and Fatalities (IIF) program From the Bureau of Labor Statistics. KIDS COUNT A project of the Annie E. Casey Foundation, a national and state-by-state effort to track the status of children in the United States; includes annual KIDSCOUNT Databook and other KIDSCOUNT publications. Life Tables From "Vital Statistics of the United States, Volume II, Mortality, Part A, Section 6 contains life tables. This section is also issued annually as a separate publication. The life tables provide life expectancy data"; requires Adobe Acrobat Reader for viewing. Mortality Tables From the National Center for Health Statistics. National Survey of America's Families Information from the Urban Institute. Occupational Injuries and Illnesses (Annual) From the U.S. Department of Labor. Population Profile of the United States From the U.S. Bureau of the Census. Population Projections for States by Age, Sex, Race, and Hispanic Origin from the U.S. Census Bureau. - 64 - NRSG 395 9.2009 Population Studies Center From the University of Michigan; includes links to specific population data resources under "Data Pages". Profile of Older Americans Full text and graphics documents online from the Administration on Aging; reports are available from 1999 through the present. 65+ in the United States P23-209 Current Population Reports: Special Studies, December 2005; a 254 page full-text online report that requires Adobe Acrobat Reader to access. State & County QuickFacts: State and County Demographic and Economic Profiles Click on map areas for data related to those sites. Statistical Abstract of the United States Includes a section on State Rankings. Statistics on the Aging Population From the Administration on Aging. Surveillance, Epidemiology, and End Results (SEER) The major epidemiological resource from the National Cancer Institute. U.S. Bureau of the Census: Income Statistics and Poverty Statistics; Includes a link to HHS Poverty Guidelines. White House Social Statistics Briefing Room Includes graphs and charts on selected topics. AGENCIES, ORGANIZATIONS, AND ASSOCIATIONS Administration for Children and Families Agency for Toxic Substances and Disease Registry American Public Health Association American Social Health Association Association for Professionals in Infection Control & Epidemiology Center on Budget and Policy Priorities Centers for Disease Control and Prevention - CDC Centers for Disease Control's Behavioral Risk Factor Surveillance System DHHS Office of the Assistant Secretary for Planning and Evaluation Includes some full text reports on programs. - 65 - NRSG 395 9.2009 Health Resources and Services Administration Interagency Council on Information Resources for Nursing Johns Hopkins Population Information Program Scroll down to view description of resources for this program. Designed to provide "health and family planning professionals and policy makers with authoritative, accurate, and up-to-date information." Includes access to the Popline bibliographic database. National Association for Public Health Statistics and Information Systems National Center for Children in Poverty Includes reports such as: Reducing Disparities Beginning in Early Childhood, July 2007. National Center for Health Statistics National Prevention Information Network Sponsored by the Centers for Disease Control and Prevention, to promote HIV, STD, and Tuberculosis prevention. NANDA International (Formerly the North American Nursing Diagnosis Association) Office of Minority Health Resource Center Pharmaceutical Research and Manufacturers of America Members include approximately "100 U.S. companies that have a primary commitment to pharmaceutical research." Contains additional information on "Facts & Figures" and a "Medicines in Development Database." National Survey on Drug Use & Health Formerly called the National Household Survey on Drug Abuse (NHSDA). From SAMHSA; includes summary of findings from the older National Household Survey on Drug Abuse. State Public Interest Research Groups U.S. Food and Drug Administration - FDA JOURNALS Chronic Disease Notes and Reports Newsletter of the National Center for Chronic Disease Prevention and Health Promotion. HIV and AIDS in Canada HIV/AIDS Surveillance Reports Available online from the Centers for Disease Control and Prevention. MMWR: Morbidity & Mortality Weekly Report Available full text online, requires Adobe - 66 - NRSG 395 9.2009 Acrobat Reader . MMWR: Morbidity and Mortality Weekly Report -- CDC Surveillance Summaries Available full text online, requires Adobe Acrobat Reader. Monthly Vital Statistics Reports through volume 46, and National Vital Statistics Reports effective with Vol. 47, No. 1, U.S., full text online. Series Reports (Rainbow Series) From the National Vital Statistics System. Many of these require Adobe Acrobat Reader to view and print. Weekly Epidemiological Record From the World Health Organization; requires Adobe Acrobat Reader to access full-text online. AGENCIES, ORGANIZATIONS, AND ASSOCIATIONS Association for Professionals in Infection Control and Epidemiology, Inc. Centers for Disease Control and Prevention - CDC Council of Professional Associations on Federal Statistics Council of State and Territorial Epidemiologists International Clinical Epidemiology Network National Association for Public Health Statistics and Information Systems National Center for Health Statistics National Program of Cancer Registries Surveillance An online "tool providing three applications to visitors to PPHB's web site which allow them to access data on cancer, cardiovascular disease and the notifiable diseases over a range of years, and to customize the data for their specific needs" - from Health Canada. SAS Institute Inc.: Statistics and Operations Research Sigma Theta Tau International SPSS.com U.S. Census Bureau JOURNALS - 67 - NRSG 395 9.2009 MMWR: Morbidity & Mortality Weekly Report Available full text online, requires Adobe Acrobat Reader. MMWR: Morbidity and Mortality Weekly Report -- CDC Surveillance Summaries Available full text online, requires Adobe Acrobat Reader. Monthly Vital Statistics Reports through volume 46, and National Vital Statistics Reports effective with Vol. 47, No. 1., U.S., full text online. Weekly Epidemiological Record From the World Health Organization; requires Adobe Acrobat Reader to access full text online. OTHER RESOURCES WEEK 5 Click the Week Five link for the Power Points to support learning this week! WEEK SIX WEBSITES WEEK 6 CRITIQUING NURSING STUDIES AGREE Collaboration [Appraisal of Guidelines Research & Evaluation] An "international collaboration of researchers and policy makers who seek to improve the quality and effectiveness of clinical practice guidelines by establishing a shared framework for their development, reporting and assessment." Site includes an "electronic library for guideline developers", and AGREE Instrument Training Manual for analyzing guidelines. CASP appraisal tool for Diagnostic Test Studies Online tool available from the Critical Appraisal Skills Programme (CASP) from the National Health Service, UK. CASP appraisal tool for Single Case Control Study Research One of a selection of Resources available from the Critical Appraisal Skills Programme (CASP) from the National Health Service, UK. Categorical and Probabilistic Reasoning in Medical Diagnosis By Peter Szolovits, PhD, and Stephen G. Pauker, MD. A classic article, available online; from the server of the Clinical Decision Making Group at the MIT Laboratory for Computer Science. Cochrane Handbook for Systematic Reviews of Interventions 4.2.1 Full-text online from the Training Resources site of the Cochrane Collaboration. Comprehensive High Blood Pressure Care for Young Urban Black Men A Crossdisciplinary Program of Research, Patient Care and Teaching. A study from the School of Nursing, Johns Hopkins University demonstrating the research process. - 68 - NRSG 395 9.2009 Critical Thinking Indicators ™ From the consulting site of Rosalinda Alfaro-LeFevre, RN, MSN. Diagnosis - Sample scenarios, searches, completed worksheets and CATs for EvidenceBased Nursing From the Centre for Evidence Based Medicine, Mt. Sinai Hospital, Toronto. Evaluating Online Information A tutorial from the Health Sciences Library, University of North Carolina, Chapel Hill. Evidence Based Decision Making An extensive directory to web resources on evidencebased care; from the University of Southern California Health Sciences Center. Evidence Based Medicine: Finding the Best Clinical Literature From the Library of the Health Sciences Peoria, University of Illinois at Chicago. Site includes sections explaining aspects of evidence based medicine and provides an overview of the program PICOmaker "a free Palm OS-based application that lets users create and store queries in the PICO (Population, Intervention, Comparison, and Outcome) format for later reference. This application is intended to assist students and clinicians with evidence based practice" available from the Library, University of Alberta. Evidence-Based Medicine Toolkit From the University of Alberta. Includes "How to Use a Systematic Review about Therapy", and other critical resources. Improving Your Ability to Think Critically By Rosalinda Alfaro-LeFevre, RN, MSN. An online course from Nurse.com. Evaluating Internet Sites From the University of Albany Library. Levels of Evidence From the Centre for Evidence-Based Medicine, University Department of Psychiatry, Warneford Hospital, Headington, Oxford, UK. Mission Critical A collection of online tutorials related to critical thinking from San José State University. Questions for Critical Review of a Research Report A form from Columbia University School of Nursing. Reading Nursing Research to Critique a Study and to Summarize Findings for Use in Practice and Guidelines to a Research Article by Carol E. Smith, RN, PhD, University of Kansas School of Nursing. Research Forum: How to Critically Read a Journal Research Article By Thomas R. Lunsford, MSE, CO and Brenda Rae Lunsford, MS, MAPT; from the Journal of Prosthetics and Orthotics. Systematic Reviews - The Review Process From the The Joanna Briggs Institute For - 69 - NRSG 395 9.2009 Evidence Based Nursing & Midwifery. Systems to Rate the Strength of Scientific Evidence Evidence Report/Technology Assessment Number 47, prepared for the Agency for Healthcare Research and Quality, April 2002. Available in pdf format online from the Center for Regulatory Effectiveness and in html format from the HSTAT "Health Services/Technology Assessment Text" web site, "a searchable collection of large, full-text clinical practice guidelines, technology assessments and health information," from the National Library of Medicine. Toolkit for Promoting Evidence-Based Practice Order information from the University of Iowa's Department of Nursing Services and Patient Care, from the Evidence-Based Practice program. The Iowa Model of Evidence-Based Practice is also available. Translating Research Into Practice Fact Sheet available from the Agency for Healthcare Research and Quality. DEVELOPING AN EVIDENCE-BASED PRACTICE IN NURSING ACE Star Model of the Cycle of Knowledge Transformation © July 2004 Stevens; From the Academic Center for Evidence-Based Nursing, University of Texas Health Science Center at San Antonio. Includes a section on Terminology in Evidence Based Practice. ACP Guidelines Web site From the American College of Physicians. Clinical Statements/Guidelines From the American College of Cardiology. Clinical Practice Guidelines From the American Association of Clinical Endocrinologists. Clinical Practice Guidelines From the American Academy of Pediatrics. Clinical Practice Guidelines From the Office of Quality and Performance, Veterans Administration. Cochrane Handbook for Systematic Reviews of Interventions 4.2.1 Full-text online from the Training Resources site of the Cochrane Collaboration. The Community Guide Systematic reviews and evidence-based recommendations related to community health and preventive services; developed by the Task Force on Community Preventive Services. Diagnosis - Sample scenarios, searches, completed worksheets and CATs for EvidenceBased Nursing From the Centre for Evidence Based Medicine, Mt. Sinai Hospital, Toronto. - 70 - NRSG 395 9.2009 The Effectiveness Of Public Health Nursing: A Review Of Systematic Reviews A fulltext online document available from the School of Nursing and Midwifery, University of Dundee, Scotland. Evidence-based Decision-making and Nursing Practice A statement from the Canadian Nurses Association. Evidence-Based Guidelines Available for purchase from the University of Iowa Gerontological Nursing Interventions Research. Evidence Based Medicine: Finding the Best Clinical Literature From the Library of the Health Sciences Peoria, University of Illinois at Chicago. Site includes sections explaining aspects of evidence based medicine and provides an overview of the program PICOmaker "a free Palm OS-based application that lets users create and store queries in the PICO (Population, Intervention, Comparison, and Outcome) format for later reference. This application is intended to assist students and clinicians with evidence based practice" available from the Library, University of Alberta. Evidence-Based Medicine Toolkit From the University of Alberta. Includes "How to Use a Systematic Review about Therapy", and other critical resources. Evidence-Based Medicine: What it is and what it isn't An online article by David L Sackett, William MC Rosenberg, JA Muir Gray, R Brian Haynes, and W Scott Richardson. Evidence-Based Nursing Online syllabus from Syllabi For Practising EBM, Centre for Evidence-Based Medicine, University Health Network-Mt. Sinai Hospital, Toronto, Canada. Evidence Based Nursing A collection of resources and links to other web sites from the University of Minnesota Evidence Based Health Care Project. Evidence-Based Nursing Practice: Needs, Tools, Solutions NAHRS Online materials available from a Symposium Presented on Saturday, May 3, 2003 by the Nursing and Allied Health Resources Section of the Medical Library Association. Evidence-Based Practice Resources from the Department of Nursing Services and Patient Care, University of Iowa. Includes information on national conferences. Evidence-Based Practice: Acute Pain Management in the Elderly Online report of a study from The University of Iowa College of Nursing. EPC Reports and Evidence-based Practice Centers Information on the program from the Agency for Healthcare Research and Quality. Evidence-Based Practice Resource Area From the Oncology Nursing Society. Includes - 71 - NRSG 395 9.2009 the EBP Process Model and links to web based Resources. Follow the Evidence to Up-to-Date Practice Online continuing education module by Mary Krugman, RN, PhD, FAAN; from Nurse.com. Credit requires payment of a fee. Getting Evidence into Practice From Effective Health Care, Centre for Reviews and Dissemination, University of York, UK. Guide to Community Preventive Services: Systematic Reviews and Evidence-Based Recommendations From the Task Force on Community Preventive Services. Health Web: Evidence Based Health Care A directory to web resources maintained by Library of the Health Sciences at Peoria, University of Illinois at Chicago, and Library of the Health Sciences, University of Illinois at Chicago. Part of the larger HealthWeb subject directory. HerbMed An "interactive, electronic herbal database – provides hyperlinked access to the scientific data underlying the use of herbs for health. It is an evidence-based information resource for professionals, researchers, and general public. HerbMed® is a project of the Alternative Medicine Foundation, Inc. This public site provides free access to 45 herbs (top 40 + 5 controversial herbs)." Access to the full system is available for purchase. Implementation Guide: Section II VA QUERI Research From the Health Services Research and Development Service of the Veterans Administration. Introduction to Evidence Based Medicine An online tutorial. Copyright © 2004 Duke University Medical Center Library and Health Sciences Library, University of North Carolina at Chapel Hill. Fourth Edition, November 2004. Knowledge Transfer Resources From CHSRF/CIHR Chair on Knowledge Transfer and Innovation; "contains documents on knowledge transfer, innovation, as well as on policy & management of health services." Knowledge Utilization Studies in Practice (KUSP) A project to develop "knowledge and research utilization theory that can be used to increase the use of research by nurses and other allied health professionals to improve patient and client health outcomes." Principal Investigator is Dr. Carole A. Estabrooks, from the University of Alberta, Edmonton, Alberta, Canada. Levels of Evidence From the Centre for Evidence-Based Medicine, University Department of Psychiatry, Warneford Hospital, Headington, Oxford, UK. Linking Research and Public Health Practice: A Review of CDC's Program of Centers for Research and Demonstration of Health Promotion and Disease Prevention Michael A. Stoto, Lawrence W. Green, and Linda A. Bailey, Editors; Committee to Review the CDC Centers for Research and Demonstration of Health Promotion and Disease Prevention, - 72 - NRSG 395 9.2009 Institute of Medicine, 120 pages, 1997. Full-text online book from the National Academies Press. MD Consult Extensive subscription based clinical site for evidence-based medicine. Nursing Best Practice Guidelines Project of the Registered Nurses Association of Ontario, Canada. Nursing Consult Extensive subscription based clinical site for evidence-based nursing. PIER: The Physicians' Information and Education Resource Authoritative, evidencebased guidance to improve clinical care. Available to American College of Physicians members only. Practice Guidelines From the American Psychiatric Association. Primary Care Clinical Practice Guidelines A site maintained by Peter Sam, MD, FAAFP, University of California, San Francisco. Producing an Evidence-Based Practice Report Online handout by Dr. James L. Leake, available from the Health Sciences Writing Centre, University of Toronto. Public Health Digital Library An "online gateway to public health resources and training opportunities." Available online from the Communications Team, Public Health - Seattle & King County. Includes a section on Evidence-based Websites. Qualitative research and evidence based medicine By Judith Green, and Nicky Britten; online article from BMJ 1998; 316:1230-1232, 18 April. Readiness of U.S. Nurses for Evidence-Based Practice: Many don’t understand or value research and have had little or no training to help them find evidence on which to base their practice By Diane S. Pravikoff PhD, RN, FAAN, Annelle B. Tanner EdD, RN, and Susan T. Pierce EdD, RN. An online article from the AJN: The American Journal of Nursing, September 2005, Volume 105, Number 9, pp. 40 - 51. An accompanying test can be taken for continuing education credit for a fee. The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC 7) Includes links to supporting resources and Quick Reference Card. SUMSearch Evidence based medicine search gateway for searching a variety of evidence based medicine databases, such as DARE and PubMed, and the National Guideline Clearinghouse™, with a single search. Available online from the University of Texas Health Science Center at San Antonio. Systems to Rate the Strength of Scientific Evidence Evidence Report/Technology Assessment Number 47, prepared for the Agency for Healthcare Research and Quality, April 2002. Available in pdf format full-text online from the Center for Regulatory Effectiveness and in html format from the HSTAT "Health Services/Technology - 73 - NRSG 395 9.2009 Assessment Text" web site, "a searchable collection of large, full-text clinical practice guidelines, technology assessments and health information," from the National Library of Medicine. Taking Action: Evidence Based Nursing Report - 2001 From the Foundation of Nursing Studies, full-text online. Toolkit for Promoting Evidence-Based Practice Order information from the University of Iowa's Department of Nursing Services and Patient Care, from the Evidence-Based Practice program. The Iowa Model of Evidence-Based Practice is also available. Translating Research Into Practice Fact Sheet available from the Agency for Healthcare Research and Quality. Users' Guides to Evidence-Based Practice Based on the series of articles "Users Guides to Evidence-based Medicine" and reproduced with permission from JAMA. Copyright 1993, American Medical Association, by the Canadian Centres for Health Evidence. Covers analysis of published articles from many different aspects. AGENCIES, ORGANIZATIONS, AND ASSOCIATIONS Agency for Healthcare Research and Quality From the U.S. Department of Health and Human Services, this site offers online full-text guidelines and reports dealing with a wide variety of health issues, from costs to treatment of specific disorders, and links to other relevant web resources. Features separate sections on Evidence-based Practice, Outcomes & Effectiveness. American Association of Critical-Care Nurses Association for Women's Health, Obstetrics, and Neonatal Nursing - AWHONN Center for Quality Assessment and Improvement in Mental Health Center for the Advancement of Evidence-Based Practice An "innovative enterprise that fosters EBP for the purpose of improving healthcare through a culture of best practice" based at the College of Nursing & Healthcare Innovation, Arizona State University. Centers for Education and Research on Therapeutics - CERTS Established by AHRQ. Includes the following sites: University of Arizona Arizona CERT and the Duke Center for Education and Research on Therapeutics - CERT which includes Heart Failure — Resources for Patients featuring a brochure, video and patient tips. Centre for Evidence-Based Child Health At the Institute of Child Health and Great Ormond Street Hospital for Children NHS Trust, London, UK. Centre for Evidence Based Nursing University of York, UK. - 74 - NRSG 395 9.2009 Centre for Health Evidence Includes the Users' Guides to Evidence-Based Practice Based on the series of articles "Users Guides to Evidence-based Medicine" and reproduced with permission from JAMA. Copyright 1993, American Medical Association, by the Canadian Centres for Health Evidence. Covers analysis of published articles from many different aspects. Centre for Reviews and Dissemination At the University of York, UK; includes Database of Abstracts of Reviews of Effectiveness (DARE) from the NHS Centre for Reviews and Dissemination and other databases. Cochrane Collaboration "Preparing, maintaining and promoting the accessibility of systematic reviews of the effects of health care interventions."Includes Abstracts of Cochrane Reviews. Evidence-Based Medicine Resource Center From the New York Academy of Medicine Library and American College of Physicians, New York Chapter; includes a bibliography, fact sheets, and more. Evidence-based Practice Centers Links to institutions and universities participating in a project currently funded by the Agency for Healthcare Research and Quality. Foundation of Nursing Studies "Dedicated to supporting nurses to put nursing research into practice to improve patient care." The Joanna Briggs Institute For Evidence Based Nursing & Midwifery An international research collaboration based at the Royal Adelaide Hospital and the Adelaide University, Australia. Includes Best Practice and Changing Practice Information Sheets, many available free to non-members. National Association for Healthcare Quality National Guideline Clearinghouse and information about the Clearinghouse. National Quality Measures Clearinghouse™ - NQMC "Sponsored by the Agency for Healthcare Research and Quality, U.S. Department of Health and Human Services." A "public repository for evidence-based quality measures and measure sets." Includes links to related sites, and QualityTools web site. Ovid Technologies Commercial company for advanced bibliographic databases. US Preventive Services Task Force A panel that "conducts rigorous, impartial assessments of the scientific evidence for the effectiveness of a broad range of clinical preventive services, including screening, counseling, and preventive medications. Its recommendations are considered the "gold standard" for clinical preventive services." - 75 - NRSG 395 9.2009 JOURNALS Applied Nursing Research Full-text articles are available to personal subscribers starting from 2003 to the present; tables of contents, abstracts and PDFs are available from 2000 to the present. Access to tables of contents and abstracts is complimentary. Bandolier Journal Open full-text access; from the UK. Clinical Evidence A site from BMJ publishing promoting "best available evidence for effective health care". Site includes several open-access Site Tools and other resources organized by specific disorder that require subscription. Effective Clinical Practice From the American College of Physicians. All items are available full-text online. Equip - Education and Quality in General Practice Includes EQUIP Magazine, a collection of audits; UK. Evidence-Based Medicine Selected items are available open access full-text. Produced by BMJ Publishing Group Ltd. Evidence-Based Nursing Full online access is available by subscription; selected items are open-access online. Produced by BMJ Publishing Group Ltd. Health Evidence Bulletins-Wales Full-text online. Journal of Clinical Nursing Tables of contents and abstracts are available online; full-text access requires subscription. Selected items related to nursing research "Information Points" are open access online. Worldviews on Evidence-Based Nursing A peer-reviewed journal from The Honor Society of Nursing, Sigma Theta Tau International Honor Society of Nursing and Blackwell Publishing Ltd. Full access requires subscription. Sample items are available online. Replaces online knowledge synthesis journal. OTHER RESOURCES WEEK 6 Click the Week Six link for the Power Points to support learning this week! - 76 -