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any information a particpant relates will not be made public or available to others without the participan'ts concent |
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the use of some form of substantiation in makin clinical decisions |
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a prediction of the relationship among two or more variables |
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the degree of conistency with which an instrument measures a concept or variable |
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the degree to which an instrument measures what it is supposed to measure |
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· A way to identify new knowledge, improve professional education and practice, and use resources effectively |
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ANA revised Standards of Nursing Practice in 2003 to include research standards |
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Ø American Association of Critical Care Nurses, Oncology Nursing Society, and Sigma Theta Tau International support nursing research. |
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· Outcomes Management Research |
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o Designed to assess and document the effectiveness of health care services and interventions o A response of the health care industry to demands from policy makers, insurers, and public o See Box 5-4 page 61 in P and P for examples of Nursing-sensitive outcome measures |
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o The foundation of research o The most reliable and objective means of acquiring and conducting research |
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· Nursing and Scientific Approach |
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o Nursing research provides a way for nursing questions and problems to be studied in broader contexto Quantitative o Qualitative |
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RESEARCH PROCESS · Five steps on the research process |
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o Identify problem. o Design studyo Conduct study o Analyze datao Use the findings |
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QUALITY AND PERFORMANCE IMPROVEMENT |
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- Every health care organization gathers data on health outcome measures as a way to gauge their quality of care
- Quality Improvement
- Performance Management
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EVIDENCED-BASED PRACTICE A CASE FOR EVIDENCE A response to societal forces |
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· The public has broader access to information regarding health care issues including the incidences of medical errors within health care facilities. |
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- A problem-solving approach to practice
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- The use of evidenced-based practice (EBP) allows nurses to structure how to make accurate, timely, and appropriate clinical decisions. EBP is a problem-solving approach to clinical practice.
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· Steps of Evidence-Based Practiceo Five steps: |
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§ Ask the clinical question:· 1)Identify a patient population, 2) identify the intervention of interest, 3) identify the usual standard of care or current intervention, and 4) identify what result you wish to achieve. § Collect the best evidence-available data bases§ Critique the evidence-often the most challenging aspect§ Integrate the evidence- The evidence can be used to make new policy and procedures, guide clinical practice, and/or develop new teaching, assessment, or documentation tools. § Evaluate the practice decision or change |
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occurs when even the researcher cannot link the subject to the data |
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way to identify new kowledge, imrpove professional education and practice and use resources effectively |
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Quantitative nursing research |
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the investigiation of nursing phenomena that lend themselves to precise measurement and quantification |
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consists of an orderly series of phases or steps that allow the researcher to move from asking the reaseearch question to finding the answer |
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