Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
130 Cards in this Set
- Front
- Back
Evidence-based practice (EBP)
|
practice based on:
the best available evidence patient preferences, and clinical judgement |
|
Research Utilization
|
changing practice based on the results of a single research study
|
|
Theory - ch. 1 and 5
|
a set of concepts linked through propositions to provide an explanation of a phenomenon
|
|
Pyramid of evidence
|
ranking of evidence from strongest to weakest
|
|
Barriers
|
factors that limit or prevent change
|
|
Innovation
|
something new or novel
|
|
Model of diffusion of innovations
|
model to assist in understanding how new ideas come to be accepted practice
|
|
Early adopters
|
individuals who are the first to embrace an innovation
|
|
Laggards
|
individuals who are slow or fail to adopt an innovation
|
|
Research
|
systematic study that leads to new knowledge and/or solutions to problems or questions
|
|
Descriptive Research
|
research concerned w providing accurate descriptions about phenomena
|
|
Explanatory Research
|
research concerned w identifying relationships among phenomena
|
|
Predictive research
|
research that forecasts precise relationships between dimensions of phenomena or differences between groups
|
|
Basic research aka Bench research
|
research to gain knowledge for the sake of gaining knowledge ~ may later be combined with other studies and become applicable to practical issues
|
|
Applied research
|
research to discover knowledge that will solve a clinical problem
|
|
Quantitative research
|
research that uses numbers to obtain precise measurements
|
|
qualitative research
|
research that uses words to describe human behaviors
|
|
Empirical evidence
|
verifiable by experience through the five senses
|
|
Deductive reasoning
|
thinking that moves from the general to the particular (specific)
|
|
Inductive reasoning
|
thinking that moves from the particular to the general
|
|
Abstract
|
the first section of a research article that provides an overview of the study
|
|
Introduction
|
Part of a research article that states the problem and purpose
|
|
Review of literature
|
an unbiased, comprehensive, synthesized, description of relevant previously published studies
|
|
Theoretical framework
|
the structure of a study that links the theory concepts
to the study variables ~often describes the relationships among general concepts and provides linkages to what is being measured in the study -> often w a model/diagram |
|
Methods section
|
major portion of the research article describing the study design, sample, and data collection
|
|
Results section
|
component of a research article that reports the methods used to analyze data and characteristics of the sample
|
|
Discussion section
|
portion of a research article that interprets results and how findings extend the body of knowledge
|
|
List of references
|
information for each article cited in a research report
|
|
Cycle of scientific development
|
a model of the scientific process
|
|
Nazi experiments
|
an example of unethical research using human subjects during WWII
|
|
Nuremberg Code
|
ethical code of conduct for research that uses human subjects
|
|
Tuskegee study
|
a study during which subjects were denied treatment so that the effects of the disease could be studied
|
|
Jewish Chronic Disease Hospital Study
|
an unethical injection of cancer cells to subjects w/o their consent
|
|
Willowbrook studies
|
an unethical study involving coercion of parents to allow their children to participate in the study in exchange for admission to a long-term care facility
|
|
Model of EBP levels of collaboration - ch. 2
|
a model explaining how five levels are intertwined to contribute to EBP
|
|
Individual nurse level - ch.2
1 of 5 levels of the model of EBP levels of collaboration |
practice changes that can be implemented by an individual nurse
|
|
Organizational Level - ch. 2
1 of 5 levels of the model of EBP levels of collaboration |
when nurses in an organization affect practice changes
|
|
Translational research model - ch. 2
|
provides specific strategies organizations can use to improve adoption of an evidence-based innovation
|
|
Regional level - ch. 2
1 of 5 levels of the model of EBP levels of collaboration |
when nurses from a large geographic area collaborate to change practice
|
|
National level - ch. 2
1 of 5 levels of the model of EBP levels of collaboration |
collaboration among nurses throughout the country to affect practice changes
e.g. AHRQ (agency for healthcare research and quality), NGC (national guideline clearinhouse), NINR (national institute of nursing research) |
|
International level - ch. 2
1 of 5 levels of the model of EBP levels of collaboration |
changes that result from collaboration among nurses from different countries
e.g. Cochrane collaboration, Joanna Briggs Institute |
|
Human Rights - ch. 2
|
freedoms to which all humans are entitled {life and liberty, freedom of thought and expression, and equality before the law}
|
|
Obligations - ch. 2
|
requirements to act in particular ways
when individuals have rights others have obligations |
|
Declaration of Helsinki - ch. 2
|
an international standard providing physicians guidelines for conducting biomedical research
|
|
Informed consent - ch. 2
|
voluntary participation by research subjects who have been informed of possible risks and benefits
|
|
Institutional review boards (IRBs) - ch. 2
|
a committee that reviews research proposals to determine that research is ethical
|
|
Belmont report - ch. 2
|
a report outlining three major principles (1. respect for persons 2. beneficence and 3. justice) for the conduct of ethical research with human subjects
|
|
Respect for persons - ch. 2
|
principle that individuals should be treated as autonomous and those with diminished autonomy are entitled to protection
|
|
Autonomous - ch. 2
|
having the ability to make decisions
|
|
Beneficence - ch. 2
|
the principle of doing good
|
|
Justice - ch. 2
|
the principle of equity or fairness in the distribution of burdens and benefits
|
|
Full review - ch. 2
|
an IRB conducts a full review if there is potential risk to human subjects
|
|
Expedited review - ch. 2
|
an IRB may conduct an expedited review if there is minimal risk to human subjects
|
|
Minimal risk - ch. 2
|
the probability and magnitude of risk are not greater than those encountered in daily life
|
|
Exempt - ch. 2
|
certain studies may be low enough risk not to require consent from individuals
|
|
Research imperative - ch. 2
|
an ethical rule stating that nurses should advance the body of knowledge
|
|
Therapeutic imperative - ch. 2
|
an ethical rule stating that nurses should perform actions that benefit the patient
|
|
Research problem - ch. 3
|
gap in knowledge that requires a solution
|
|
Case studies - ch. 3
|
a description of a single or novel event
|
|
Pilot - ch. 3
|
a small study to test a new intervention before testing with larger samples
|
|
Replication - ch. 3
|
repeated studies to obtain similar results
|
|
Generalize - ch. 3
|
applying findings from a sample to a wider population
|
|
Systematic reviews - ch. 3
|
a rigorous and systematic synthesis of research findings about a clinical problem
|
|
Research topic - ch. 3
|
a clinical problem of interest
|
|
Problem statement - ch. 3
|
describes the problem addressed in the study ~ derived from the research problem {scope of research problem, specific population of interest, independent/dependent variables, goal/Question study intends to answer}
|
|
Purpose statement - ch. 3
|
a statement indicating the aim of the study ~ derived from the problem statements
|
|
Research question - ch. 3
|
an interrogatory statement describing the variables and population of the research study ~ flows from the problem statement and study purpose
|
|
Hypotheses - ch. 3
|
formal statements of the expected or predicted relationship between two or more variables ~ derived from the problem statement/rsch question --> can be (1) associative vs. causal (2) simple vs. complex (3) nondirectional vs. directional (4) null vs. research
|
|
associative relationship - ch. 3
|
when one variable changes, the other variable changes ~ variables that occur or exist together in the real world
|
|
covary - ch. 3
|
when change in one variable is associated with change in another variable ~ when two variables covary in the same direction, a positive correlation results (p. 75)
|
|
Causal relationship - ch. 3
|
when one variable (the independent variable) determines the presence or change in another variable (the dependent variable)
|
|
Simple hypothesis - ch. 3
|
a hypothesis describing the relationship (associative or causal) between two variables
|
|
Complex hypothesis - ch. 3
|
describes the relationships (associative or causal) among three or more variables
|
|
Nondirectional hypothesis - ch. 3
|
statement of the relationship between two variables that does not predict the direction/nature of the relationship ~ common in explanatory and descriptive studies --> descriptors {associated, correlated, or related} a rationale is included in the problem statement explaining why a directional relationship cannot be predicted between the variables
|
|
Directional hypothesis - ch. 3
|
describes the direction/nature of a relationship between two or more variables ~ descriptors {increase, decrease, less, more, smaller, greater} --> can also be categorized as associative or causal, simple or complex
|
|
Null hypothesis - ch. 3
|
a hypothesis stating that there is no rltshp between the variables ~ statistical testing is used to either accept or reject this statement AKA statistical hypothesis
|
|
Statistical hypothesis - ch .3
|
no relationship among the variables; null hypothesis
|
|
Research hypothesis - ch. 3
|
indicates that a relationship between two or more variables exists ~ can be described/categorized as associative or causal, simple or complex, nondirectional or directional
|
|
Hypothesis or empirical testing - ch. 3
|
objectively measurable data gathered through the five senses to confirm or refute a hypothesis ~ variables may be phenomena that can be directly measured or may be qualities/properties/characteristics of ppl, groups or objects that are measured indirectly using questionnaires and scales
|
|
Independent variable - ch. 3
|
variable that influences the dependent variable or outcome ~ the X variable, often the intervention/Tx changed by the researcher
|
|
Dependent variable - ch. 3
|
influenced by the independent variable ~ the Y variable,
|
|
Confounding or extraneous variable - ch. 3
|
factors that interfere with the relationship between the independent and dependent variables ~ Z variable
|
|
PICO model - ch. 3
|
Patient population or patient condition of interest
- P must be carefully delineated, specific Intervention of interest - consider factors that may influence the prognosis and exposure to risk factors Comparison of interest - can be comparison with another intervention/Tx or the standard of care (e.g. main alternative) Outcome of interest - desired accomplishment/measurement or improvement --> must be identified to evaluate the efficacy of intervention with comparison |
|
Indexes - ch. 4
|
a listing of electronic or print resources
|
|
Scientific literature publication cycle - ch. 4
|
a model describing how research becomes disseminated in publications
|
|
Primary sources - ch. 4
|
original information presented by the person or people responsible for creating it ~ in rsch world {journal articles, book chapters, dissertations, conference proceedings written by ppl involved in original rsch}
|
|
Secondary sources - ch. 4
|
commentaries, reviews, summaries, or interpretation of primary sources
|
|
Peer review - ch. 4
|
experts and editors rigorously evaluate the manuscript submitted for publication ~ AKA refereed judging --> process designed to ensure high quality of published works
|
|
Scholarly literature - ch. 4
|
works written and edited by professionals in the discipline for other colleagues ~ focus on narrow topics w/i the discipline, & often filled w discipline specific vocab
|
|
Trade literature - ch. 4
|
written for professionals in a discipline using a more casual tone than scholarly literature ~ contain info r/t professional development, products, practices or trends in the discipline
|
|
Popular literature - ch. 4
|
written to inform or entertain the general public ~ writing level is very basic
|
|
Periodical - ch. 4
|
a resource that is published on a set schedule ~ e.g. a journal or magazine
|
|
Journal - ch. 4
|
a scholarly or professional resource
|
|
Magazine - ch. 4
|
a resource targeted to the general reading audience
|
|
Narrative reviews - ch. 4
Different types of reviews |
based on common or uncommon elements of works w/o concern for research methods, designs or settings ~ most traditional type of review, frequently found in trade publications, writers judge which works to include, subjective
|
|
Integrative review - ch. 4
Different types of reviews |
scholarly papers that synthesize published studies to answer questions about phenomena of interest ~ typically found in peer-reviewed publications, do not need to include works with the same designs or research methods
|
|
Meta-Analyses - ch. 4
Different types of reviews |
scholarly papers that combine results of studies into a measurable format and statistically estimate the effects of proposed interventions ~ include works that are similar or identical for a statistical comparison, useful when large randomized trials are not feasible
|
|
Systematic reviews - ch. 4
Different types of reviews |
a rigorous, methodical synthesis of research findings about a clinical problem ~ combines methods of narrative, integrative and meta-analyses, scientific tool used to summarize and communicate the results and implications of otherwise unmanageable quantities of research
|
|
Call number - ch. 4
|
unique number assigned to items in a library by subject and author name
|
|
Print index - ch. 4
|
printed listing of electronic or print resources
|
|
CINAHL - ch. 4
|
Cumulative Index to Nursing and Allied Health Literature; database for nursing and health-related literature
|
|
Electronic indexes - ch. 4
|
electronic listing of electronic or print resources
|
|
Keyword - ch. 4
|
a significant word from a title or document used as an index to content
|
|
Grey Literature - ch. 4
|
unpublished reports, conference papers, and grant proposals ~ often indicative of upcoming hot topics in the field
|
|
Record - ch. 4
|
basic building block of print and electronic information sources
|
|
Search field - ch. 4
|
where each piece of info contained in the record is entered ~ what makes electronic searching possible
|
|
Subject headings - ch. 4
|
a set of controlled vocabulary used to classify materials
|
|
Interlibrary loan - ch. 4
|
lending of items through a network of libraries
|
|
Citation chasing - ch. 4
|
using a reference list to identify sources of evidence
|
|
recall - ch. 4
|
the broad "catch" or retrieved records
|
|
Precision - ch. 4
|
a search strategy that narrows the parameters of the search
|
|
Boolean operators - ch. 4
|
words, such as and, or, or not, specify the relationship among search terms
|
|
Truncation - ch. 4
|
a search strategy that uses a symbol at the end of a group of letters forming the root search term ~ e.g. nurs*
|
|
Wildcards - ch. 4
|
symbols substituted for one or more letters in a search term
|
|
Nesting - ch. 4
|
a strategy best used when a search contains two or more boolean operators ~ aka grouping
|
|
stopwords - ch. 4
|
words such as a, the, an, for, the this, to and in, that are so commonly used that they can hinder accurate record retrieval
|
|
Controlled vocabularies - ch. 4
|
standardized hierarchical lists that represent major subjects w/i a database
|
|
Subject searching - ch. 4
|
searching databases using controlled vocabulary ~ unless otherwise noted, only records that match exactly to the terms as they were entered will be displayed
|
|
Exploding - ch. 4
|
technique for searching subject headings that identifies all records indexed to that term ~ including terms in a related, narrower category
|
|
Qualification - ch. 4
|
limiting fields of search, commonly using limits such as author, title or subject ~ designates which fields are to be searched in the record
|
|
Positional operators - ch. 4
|
specify the number of words that can appear between search terms ~ commonly used are adj (adjacent), near, same ~ adj and near can be grouped w a number to specify the number of words that can appear between such terms, same designates that the search terms are found in the same field of the record as the title or the abstrac
|
|
Plagiarism - ch. 4
|
the use of another's work without giving proper credit
|
|
Metaparadigm - ch. 5
|
four broad concepts core to nursing: person, environment, health and nursing
|
|
Concepts - ch. 5
|
words or phrases that convey a unique idea that is relevant to a theory
|
|
Proposition - ch. 5
|
a statement about the relationship between two or more concepts
|
|
Construct - ch. 5
|
a word or phrase used to communicate a specific key idea to others ~ a property that is neither directly nor indirectly observed e.g. social support
|
|
Conceptual Definitions - ch. 5
|
definitions of concepts contained in a theory that sound like dictionary definitions ~ definitions of concepts contained in the theory that is being used
|
|
Operational definitions - ch. 5
|
explicitly state how the variable will be measured or operationalized
|
|
Empirical indicators - ch. 5
|
measures of the variables being studied
|
|
Model - ch. 5
|
pictorial representation of concepts and their interrelationships
|