Glenn Neu Nursing Research Week 2 Ppt1

Front 1

what is nursing research?

Back 1

Systematic inquiry designed to develop trustworthy evidence about issues important to the nursing profession including

Front 2

in the "Consumer-Producer Continuum" of nursing research, who is the consumer?

Back 2

The person who reads research reports to develop new skills, searches for relevant findings that affect practice.

Front 3

Who is the producer?

Back 3

The people who actively participate in designing and implementing studies

Front 4

name 5 activites that a nurse can take part in for research

Back 4

1. Participate in journal club
2. Solve clinical problems, decide clinical issues based on research
3. Collaborate in developing an idea for a clinical research project
4. Review a proposed research plan for feasibility
5. Participate in data collection

Front 5

what are the future directions for nursing research?

Back 5

Increased federal funding was nearly 140 million in 2006

Heightened focus on EBP

Greater emphasis on systematic reviews (rigorous synthesis on a common or strongly related research question.)

Multidisciplinary collaboration

Dissemination of findings

Increased focus on cultural issues; visibility

Front 6

what have been some of the Sources of Evidence for Nursing Practice?

Back 6

Tradition and authority

Clinical experiences, trial and error, intuition

Logical reasoning
Inductive and deductive reasoning

Front 7

what is inductive reasoning?

give an example

Back 7

developing generalizations from specific observations

ex: seeing one kid get anxioud and assuming that ALL (generally) kids get anxious when seperated.

Hint 7

developing general from specific

Front 8

what is deductive reasoning? give an example

Back 8

developing specific predictions from general principles. ex: we know that seperation anxiety occurs in hospitalized kids (in general) so we might predict that a (specific) hospitalized child may get anxious with separation.

Hint 8

developing specific from general

Front 9

what is deductive reasoning?give an example

Back 9

developing specific predictions from general principles. ex: we assume that seperation anxiety occurs in all hospitalized children (general) then we might predict for kids in he hospital we work (specific)

Front 10

re: sources of evidence, what is "Assembled information?"

Back 10

bench-marking; cost data; quality improvement and risk data

Front 11

what is "Disciplined research?"

Back 11

cumulative findings

Front 12

what is a Paradigm?

Back 12

General perspective of the real world

Front 13

what is the "positivist" paradigm?

Back 13

there is reality that is believed to be true without proof or verification. Findings not influenced by researcher.

Front 14

what is the "Naturalistic" paradigm?

Back 14

reality is not a fixed entity but a construction of individuals participating in research. Findings are from the inquirer and participants.

Front 15

which paradigm is quantative?

Back 15

positivist

Front 16

which paradigm is qualitative?

Back 16

naturalistic

Front 17

how does positivist work for quantitative?

Back 17

Use deductive reasoning to generate a prediction.

You focus on Empirical evidence

Control

focus on numerics

Objective

Generalizability

Front 18

how does naturalistic work for qualitative?

Back 18

Use inductive reasoning

Knowledge is maximized when
distance between inquirer and participant is minimized

This is a flexible process. Procedures evolve and change according to new discoveries and new needs.
Subjective

Front 19

whatdo both paradigms have in common?

Back 19

Ultimate goals

External evidence

Reliance on human cooperation

Ethical constraints

All have some degree of Fallibility - limitations

Front 20

what is the goal of basic research?

Back 20

discover general principles of human behavior.

Front 21

what is the goal of applied research?

Back 21

find solution to existing problems; tends to be of greater use for EBP

Front 22

what is the definition of EBP?

Back 22

The conscientious use of current best evidence in making clinical decisions about patients care (Sackett et al., 2000)

Front 23

what do we do in "research utilization?"

Back 23

Start – How can I use this innovation?

Use of findings

Translating empirically derived knowledge into real-world applications

CURN (Conduct and Utilization of Research in Nursing)

Front 24

what do we do in EBP?

Back 24

Start –What does the evidence say is the best approach for solving this problem?

Cochrane Collaboration – effort to make research summaries of research
trials available.

Front 25

what are some barriers to research utilization?

Back 25

Quality and nature of the research

Characteristics of the nurse

Organizational factors

Front 26

what is "diffusion of innovations?"

Back 26

It happens in stages:
(1) knowledge, awareness of innovation for use in practice;
(2) persuasion – form an opinion;
(3) decision stage – adopt or reject;
(4) implementation – use innovation to change practice;
(5) confirmation – adopt or reject.

Front 27

what is the Iowa model?

Back 27

An algorithm to follow for research utilization to address a problem. The process is initiated by a problem or knowledge trigger; identify relevant research literature

Front 28

what are the indivdual efforts in the steps of EBP?

Back 28

Clinical question are answerable with research evidence.

Searching for & collecting relevant evidence.

Appraising & synthesizing evidence

Integrating evidence with own clinical experience, patient preferences, local context

Assessing the effectiveness of the decision.

Front 29

first part of implementing in EBP:

Back 29

Making the decision for implementation
Transferability
Feasibility
Cost/benefit ratio
Developing Evidence-based Guidelines: adopt in its entirety, adopt only certain recommendations, adopt guidelines by making necessary changes based on organizational needs.

Front 30

second part of implementing

Back 30

Implementing and evaluating the innovation

Evaluation plan: outcomes to be met, number of patients to involve in pilot, when and how to collect outcome information (before and after).

Staff training

Front 31

some consideratins with EBP and a pilot:

Back 31

Trying guidelines on one or more units or with a group of patients

Evaluating pilot. How was the pilot received? Extent guidelines were followed, implementation problems, how were client outcomes affected? What are the costs?

Evaluation time usually 6 to 12 months