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42 Cards in this Set
- Front
- Back
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Research utilization
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use of findings from research to apply to un unrelated field
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3 types of RU
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1/ indirect
2/ direct 3/ persuasive |
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Evidence hierachies
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rank evidence sources according to their strength
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7 levels of evidence hierachies
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1/ systematic review of RCTs or quasiexperimetals
2/ Single RCT/ nonrandomized trial 3/ SV of correlational 4/ single correlational 5/ SV of descriptive/ qualitative/ physiologic 6/ Single descriptive/q/p 7/ opinions |
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Barriers to RU and EBP
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1/ quality and nature of researc
2/ nurse charateristics 3/ organizational factors |
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Differences between RU and EBP
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1/ RU starts with another research
2/ EBP start with a clinical question |
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Metaanalysis
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integrating quantitative statistically
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Metasynthesis
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qualitative findings then come up with a theory
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background questions
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foundational questions about issue, found in textbooks
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foreground questions
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answered based on best research evidence
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Appraising evidence
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1/ Evidence quality (valid)
2/ Magnitude of effects : results are clinically important 3/ Precision of estimates 4/ Peripheral effects: costs, other factors 5/ Finincial issue 6/ Clinical relevance 7/ actions based on the evidence appraisals |
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Two types of stimulus for EBP
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1/ problem - focused
2/ knowledge-focused |
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Clinical practice guidelines
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specific recommendations for evidence-based decision making
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Implementation potential
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1/ Tranferability
2/ Feasibility 3/ Cost-to-benefit ratio |
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Pilot test
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trial run in clinical to evaluate outcomes
1/ Develop an evaluatio plan 2/ Measure outcomes before intervene 3/ train staff 4/ try on several units 4/ evaluate the process and outcomes |
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Concepts - Phenomena
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abstractions of aspects.
E.g. pain, spirituality, resilience are concepts of human behavior and characteristic |
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Theory
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systematic, abstract explanation of some aspect of reality
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Conceptual Model
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deductive reasoning to make predictions about how phenomena would behave in the real world if the theory were true
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Conceptual definition
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abstract or theoretic meaning of the concepts
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operational definition
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operations that must perform to collect the required info.
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phases of a quantitative study
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1/ conceptual phase
2/ design and planning 3/ empirical 4/ analytic 5/ dissemination |
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phase 1 : conceptual
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1/ formulating and delimiting problem
2/ literature review 3/ undertake clinical fieldwork 4/ Define framework/conceptual definition 5/ Hypotheses |
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Phase 2: design and planning
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6/ select a research design
7/ develop protocols 8/ identify pop 9/ design sampling plan 10/ specify methods 11/ develop methods with safety 12/ finalize the research plan |
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Phase 3: empirical
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13/ collect date
14/ prep data for analysis |
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phase 4: analytic
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15/ analyse data
16/ interpret results |
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phase 5: dessemination
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17/ communicate findings
18/ utilize findings in practice |
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presentations at professional conference
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1/ oral
2/ poster sessions |
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Research journal articles
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summarize studies in professional journals
1/ peer review 2/ blind review |
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Introduction
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1/ central phenomena/concepts/variables
2/ Purpose, questions, hypothesis 3/ literature review 4/ theoretical/conceptual framework 5/ significance and need for study |
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Method
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1/ design
2/ sampling plan and description of participants 3/ methods, instruments 4/ procedures, including protecting the rights of sub 5/ analytic procedure and method |
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Results section
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presents findings
1/ names of statistical tests 2/ value of statistic 3/ significance 4/ precision and magnitude |
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Discussion
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1/ interpretation of results
2/ Clinical and research implications 3/ Study limitations and ramifications |
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Why are research so hard to read
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1/ Compactness
2/ jargon 3/ Objectivity: passive voice, impersonal 4/ Statistical info |
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Critique need to evaluate what aspects of the study
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1/ substantive - significance
2/ theoretical 3/ methodologic - methods 4/ interpretive - intepretation 5/ ethical 6/ stylistic - clearly written, grammatical and well-organized |
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interference
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conclusion drawn from the study evidence based on methods
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Scientific merit
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criteria to assess the quality of a study, include reliability and validity
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Reliability
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accuracy and consistency of info
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Validity
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soundness of study's evidence
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Bias
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influence that produces an error in an estimate or an inteference
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Research control
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holding constant influences on dependent variable so true relationship can be understood
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Masking
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concealing info from participants, data collectors, care providers, data analysts
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Generalizability
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assess the extent to which the finding can be applied to other groups and settings
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