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24 Cards in this Set
- Front
- Back
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Research (process) |
asystematic process of inquiry to developgeneralizable knowledge
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Establishinga Core foundation of Knowledge
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•Bestpractice
•Evidence-basedpractice •Qualityof care •Whateveryou call it, it must be grounded in research •Whatexamples can you think of where care has changed as a result of research? |
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•IOMand RWJ Foundation-8 research priorities for nursing practice and nursingeducation
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deliverymodels, reimbursement, care trends, nurse residencies, funding for nursingeducation
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Barriersto Nursing Research
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•Levels/preparationof nursing education
57%-ADN / diploma •Averageage of the practicing nurse is 47 (probably did not have a research class •Researchseen as mysterious •Negativeattitudes toward research •However,it is a nursing responsibility |
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Posing Forceful ClinicalQuestions
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•Important to ask the “rightquestion”•
•Background Questions – coreknowledge(does not need access to researchdata bases, a strong foundation of fundamental knowledge available intextbooks)• •Foreground Questions – EBPdirected(address scientific knowledge relatedto diagnosis and treatment) |
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background question |
coreknowledge(does not need access to researchdata bases, a strong foundation of fundamental knowledge available intextbooks)•
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foreground question |
EBPdirected(address scientific knowledge relatedto diagnosis and treatment)
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EBP |
isdefined as a research-based, decision-making process utilized to guide thedelivery of holistic patient care by nurses.
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ContinuousQuality Improvement (CPI)
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•Plan-Do-Check-Act
•TransformingCare at the Bedside (TCAB) •Situation-Background-Assessment-Recommendation(SBAR) •ElectronicMedical Records (EMR) |
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Empirics
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•establishedby experimentation or practice (data, results), formal research process
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Aesthetics
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•(emotion) factsand information that reflects the art and beauty around us (data are evaluatedwithin the context/situation from whence it was gathered)
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Ethical
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•bringsin right or wrong (takes into account the values and desire of the patient
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Personal
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•enthusiasticcontributors into the plan of care
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levels of evidence |
–ONSPutting Evidence into Practice (PEP)–UnitedStates Prevention Service Task Force –TurningResearch into Practice (TRIP)
–JoannaBriggs Institute FAME |
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level 1 |
meta-analysis |
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level 2 |
experimental designs (randomized controlled trials) |
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level 3 |
well designed quasi-experimental design (not randomized or no control group) |
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level 4 |
well designed nonexperiemental design |
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level 5 |
case reports, clinical expertise, expert opinion |
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Vanhook
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•“it’simperative that nurses feel empowered to question nursing practice and haveavailable the resources to support the search for evidence to guide patientcare”
•Anenvironment supportive of autonomy and investigation |
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EBP outcome |
thequest for best information-process of changing practice from the results of one research study(research utilization)
embracingwhat has already been done nurseexperiences patientpreferences |
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IOM |
•Bedside/frontlinenurses will be evaluated on involvement.
•Nursesare encouraged to utilize their full education and knowledge •Nursesare to be key participants in the redesigning of healthcare •90%of all patient care is to be evidence-based by 2020 |
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basic research |
•isresearch to gain knowledge for knowledge’s sake
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applied research |
•researchdirectly impacts practice
Mostnursing research |
