nursing research definitions. diers n “a systematic study of problems in patient care.”
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Nursing Research Definitions
Diers
“A systematic study of problems in patient care.”
Abdellah
“A systematic detailed attempt to discover or confirm facts that relate to a specific problem to improve the practice and profession of nursing.”
Polit and Hungler
“A systematic search for knowledge about issues of importance to nursing.”
Henderson
“A study of the problems in practice relating to the effects of nursing.”
Ways to “use” nursing research:--journal clubs
--critique research for patient care purposes
--explaining research to clients
--data collection for others
--reviewing methodology for IRB
--finding research problems
--using research results in patient care or education
Why do research?
Professionalism Accountability Social Relevance
Evolution of Nursing Research Education/Recruitment
Administration/Staffing
Practice
Methodology/Theory based research
Current Trends Health Promotion Nursing Decision Making Effectiveness of Nursing Intervention
in Selected Health Problems Prevention Case Studies/Qualitative Research Ethnographic Studies Compliance
Conferences for Research Priorities
#1 through 1994 HIV Long term care Low birth weight Symptom management Nursing informatics Technology Health Promotion
#2 through 1999 Develop and test community based
nursing models Assess effectiveness of nursing
interventions with HIV Develop and test approaches to
remediate cognitive impairment Assess coping with chronic illness Methods for promoting
immunocompetence
Epistemology
Sources of Human Knowledge
or “how we know what we know”
Sources of Knowledge
Tradition or tenacity Authority Experience Intuition Trial and Error Logical Reasoning
– Induction– Deduction
Scientific Method
Tradition/tenacity
Something we know because we have always known it.
Advantages:
Efficient, provides a foundation of truths Disadvantages:
Most traditions have not been evaluated for their value
Authority
We know a thing because some authoritative source says it is so
Authorities are not infallible, so always question authority--what is the evidence that this is true?
Experience
Our own experiences may be too limited to generalize from
Intuition
It just “ seems” right
Trial and error
Haphazard unsystematic inefficient usually unrecorded must make the same mistakes or
discoveries over and over again
Logical Reasoning Induction--developing generalizations
from specific observations
Induction
Specifics Generalizations
Deduction
Deduction--developing specific predictions from general principles
Scientific Method
The most advanced method of acquiring knowledge that humans have developed.
Scientific Method
Order Control Empiricism Generalization Theoretical Formulation
Order Systematic prescribed order in order to
have reproducibility and confidence in the results– problem identified– defined– predictions of oucome– information collected according to design– analysis – conclusion
Control
In trying to isolate relationships among phenomena, scientists must control phenomena and factors not under study.
Empiricism
Evidence rooted in objective reality and gathered directly or indirectly through the human senses.
Research is based in REALITY
Generalization
No research is ever done just to benefit the subjects, in order to have value it must be generalizable to a wider population.
Theoretical formulation
Theories are manner of organizing, integrating and deriving abstract conceptualization about the manner in which phenomena are interrelated.
LIMITS OF SCIENTIFIC METHOD
1. Values or ethics 2. Human complexity 3. Measurement problems 4. Control 5. Ethical considerations
PARADIGMS FOR NURSING RESEARCH ONTOLOGIC-What is the nature of reality? EPISTEMOLOGIC-What is the relationship
between the inquirer and that being studied?
AXIOLOGIC-What is the role of values in inquiry?
METHODOLOGIC-How should the inquirer obtain knowledge?
POSITIVIST PARADIGM
Nature is ordered and regular and can be predicted.
NATURALISTIC OR PHENOMENOLOGIC PARADIGM
Reality not fixed but exists within a context, many interpretations are possible. Nothing is absolutely true or false, only within a context.
QUANTITATIVE RESEARCH vs
QUALITATIVE RESEARCH
PURPOSES OF RESEARCH
Identification Description Exploration Explanation Prediction and Control
Types of Research by Utility
BASIC RESEARCH
APPLIED RESEARCH
COMMERCIAL DEVELOPMENT
RELATIONSHIPS
CAUSAL vs ASSOCIATIONAL
Requirements for causality
concomitant variation
temporal sequencing
absence of competing explanations
STEPS IN THE RESEARCH PROCESS(Quantitative Research)
CONCEPTUAL PHASE
1. Formulating and Delimiting the Problem
2. Reviewing the Literature 3. Developing a Theoretical
Framework 4. Identifying the Research Variables 5. Formulating Hypotheses
DESIGN AND PLANNING PHASE
6. Selecting a Research Design 7. Specifying the Population 8. Operationalizing the Variables 9. Conducting the Pilot
Study/Making Revisions
EMPIRICAL PHASE
10. Selecting the Sample 11. Collecting the Data 12. Organizing Data for
Analysis
ANALYTIC PHASE
13. Analyzing the Data 14. Interpreting the Results
DISSEMINATION PHASE
15. Communicating Results
STEPS IN THE RESEARCH PROCESS(Qualitative Research)
Circular and Flexible
1. Define/Clarify Broad Topic 2. Review of the Literature? 3. Identify Site/Setting 4. Obtain Access 5. Obtain and Test Equipment 6. Begin Data Collection/Analysis 7. Identify Themes/Categories 8. Triangulation/Saturation 9. Formulate Hypotheses/Theories 10. Communicate Findings
TERMINOLOGY CONCEPTS/CONSTRUCTS CONCEPTUAL FRAMEWORK OPERATIONAL DEFINITION VARIABLES DATA HYPOTHESIS (research or null/statistical) PROBLEM STATEMENT RESEARCH DESIGNS SAMPLE/POPULATION
Concepts/Constructs
Refined general or abstract idea
“good health”
“nursing care”
Conceptual Framework
A series of concepts or ideas connected by statements about the relationships that exist among them
Operational Definitions
Specifications of the specific and explicit operations which the researcher must perform in order to collect the required information
“Operationalizing the concept”
Variables
Something which varies An abstract entity which takes on
different values.
DATA
Pieces of information obtained in the course of the study
Hypothesis
Research--A statement of the expectations of the researcher concerning the relationships of the variables under study HR
Null or Statistical--states that there is no relationship among the variables HO
Problem Statement
A the research question or a statement about the purpose of the study.
Research Designs
Basic designs are experimental and non experimental (or descriptive)
Sample/Population
Sample--the subjects participating in the study
Population--the whole universe of possible subjects
Target population--the group to whom the researcher wishes to generalize the results of the study
RESEARCH REPORTS
ABSTRACT INTRODUCTION METHOD RESULTS DISCUSSION REFERENCES
Abstract
An abbreviated summary of the research problem, methodology, findings and significance.
INTRODUCTION
PURPOSE, RESEARCH QUESTIONS, HYPOTHESES
REVIEW OF THE LITERATURE THEORETICAL FRAMEWORK SIGNIFICANCE OF PROBLEM
METHOD
SUBJECTS RESEARCH DESIGN INSTRUMENTS AND DATA
COLLECTION STUDY PROCEDURES
RESULTS
STATISTICAL TESTS USED VALUE OF THE STATISTIC STATISTICAL SIGNIFICANCE THEMES (Qualitative Research)
DISCUSSION
INTERPRETATION IMPLICATIONS LIMITATIONS
REFERENCES
All of the literature used in writing the research article. Should contain mostly recent and primary sources.