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MODULE 1 -Research
chapter 1,2,3,5 + PPT
154
Nursing
Undergraduate 1
11/10/2010

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Term
Systematic inquiry that uses disciplined methods to answer quesstions and solve problems
Definition
research (define)
Term
Systematic inquiry to develop knowledge about issues of importance to the nursing profession
Definition
nursing research (define)
Term
the use of the best clinical evidence in making patient care decisions
Definition
evidence-based practice (define)
Term
what were the first two things studied in nursing research?
Definition
Educational preparation and clinical experience of nursing students
Term
What organization was the first to fund nursing research in the U.S.?
Definition
Sigma Theta Tau
Term
What was the focus of Nursing research in the 1950’s?
Definition
Who is a nurse and what does the nurse do, why they choose nursing, group views of nurses
Term
What was the focus of Nursing research in the 1950’s?
Definition
Nursing Research
Term
What was the focus of Nursing research in the 1960’s?
Definition
Practice-oriented research on clinical topics
Term
What belief ignited Nursing research further in the 1970’s?
Definition
Need for scientific base for practice
Term
What 2 major developments occurred in the 1980’s?
Definition
Development of Research Priorities, Methods for Research Utilization
Term
What major development occurred in the 1990’s?
Definition
Establishment of National Institute of Nursing Research (NINR) at National Institute of Health (NIH)
Term
developing generalizations from specific observations
Definition
inductive reasoning (define)
Term
developing specific predictions from general principles
Definition
deductive reasoning (define)
Term
why is the validity of reasoning limited?
Definition
Because it all depends on the accuracy of the information when you start
Term
the belief in reality as to understand it but the impossibility of total objectivity
Definition
postpositvist paradigm (define)
Term
what is another name for the positivist paradigm?
Definition
Logical positivism.
Term
What is another name for naturalistic paradigm?
Definition
Constructivist paradigm.
Term
How is reality defined in the naturalistic paradigm?
Definition
Reality is not fixed entity but a construction of individuals participating in the research. Reality exists within a context with any construction possible
Term
How is knowledge maximized in the naturalistic paradigm?
Definition
When the distance between the Inquirer and subject is minimized.
Term
The ability to generalize research findings to individuals other than those who participated in the study
Definition
generalizability (define)
Term
the view that quantitative research in the positive paradigm is very narrow and inflexible
Definition
Sedimented view
Term
what is Research utilization (RU)?
Definition
The use of study findings in a practical application unrelated to the original research
Term
What is Evidence-Based Practice (EBP)?
Definition
Basing clinical decisions on best possible evidence—  especially high-quality research
Term
what is indirect research utilization?
Definition
Changing in nurses thinking
Term
what is direct research utilization?
Definition
The direct use of findings in giving patient care
Term
what is a persuasive utilization?
Definition
Use of findings to persuade others in decision-making positions
Term
What is Conduct and Utilization of Research in Nursing (CURN) project?
Definition
Project to increase the use of research in daily practice and encourage collaborative research
Term
What did Conduct and Utilization of Research in Nursing (CURN) project show?
Definition
RU is feasible only if it was related to clinical practice
Term
what did Archie Cochrane propose?
Definition
Evidence Hierarchy for weighing evidence
Term
what did David Sackett do?
Definition
EBP pioneer
Term
Review evidence hierachy
Definition
review evidence hierarchy
Term
what is a systematic review?
Definition
Is like a literature review but is more a methodic scholarly inquiry that follows many of the same steps as other studies
Term
define meta-analysis?
Definition
A technique for integrating quantitative research findings statistically. Uses mulitple studies as a single unit of information and combines them
Term
define meta-synthesis?
Definition
Integrating qualitative findings on the specific topic that our interpretations from other narrative information, amplifies and interprets info
Term
What does the Stelter Model or research do?
Definition
Promotes EBP
Term
What does the IOWA model of EBP do?
Definition
Promotes quality care
Term
What is a critically apprasied topic?
Definition
Quick summary of a clinical questions and an apprasial of best evidence, beings with clinical bottom line
Term
what is a background question?
Definition
The foundational questions of a clinical issue, can be found in books
Term
What is a foreground question?
Definition
quetsions that can be answered based on current best research
Term
In PICO, what does the P stand for?
Definition
patient population
Term
In PICO, what does the I stand for?
Definition
intervention or area of intrest
Term
In PICO, what does the C stand for?
Definition
comparison intervenion/group
Term
In PICO, what does the O stand for?
Definition
outcome
Term
What does the M in PICOM stand for?
Definition
methodology
Term
What are the 3 fundamental ethical principiles of research?
Definition
Respect for people, benficence, justice
Term
What are problem focus triggers in EBP?
Definition
the identification of a clincial pratice problem in need of a solution
Term
What is knowledge focused trigger in EBP?
Definition
the reading of the research literature
Term
Define clinical practice guidelines?
Definition
an effort to distill a body of evidence into a usable form, they give specif recommendations for decision making
Term
Who is the AGREE group?
Definition
group that facicialtes the evualtion of clinical practice guidelines
Term
Define implementation potential (environmental readiness)?
Definition
Self Explanatory
Term
Define transferability?
Definition
whether it makes sense to implement the innovations in your practice setting
Term
Define feasability?
Definition
practicalites (i.e. the availablity of staff or money, organizational climate)
Term
Define cost to benefit ratio?
Definition
Not only the cost of implmenting, but the cost of not implementing it as well
Term
What do you call the people in a quantitative study?
Definition
Subjects
Term
what do you call the people in a qualitative study?
Definition
Informants
Term
what term is acceptable to both quantitative and qualitative studies?
Definition
Study participants
Term
what do you call abstraction in a quantitative and qualitative study?
Definition
Quantitative (concepts), qualitative (phenomena)
Term
define construct?
Definition
A mental representation inferred from situations or behavior
Term
what is the difference between a concept and construction?
Definition
Constructs are deliberately and systematically invented for a study to
Term
what is a theory?
Definition
Abstract explanation of some aspect of reality
Term
what is a theory made of?
Definition
Many concepts
Term
what are you supposed to do with the dependent variable?
Definition
Try to understand explain in regard to outcome
Term
what are you trying to do with the independent variable?
Definition
It corresponds to the intervention or exposure within EBP
Term
define a conceptual definition?
Definition
It presents the abstract or theoretical meaning of the concept being studied
Term
define the operational definition ?
Definition
It specifies the operation that researchers must perform to collect the required information
Term
define experimental research?
Definition
Researchers actively introducing interventions
Term
define nonexperimental research?
Definition
Research that just watches
Term
what is experimental research designed to test?
Definition
Casual relationships
Term
define a casual relationship?
Definition
Cause-and-effect
Term
define grounded theory?
Definition
Understand social processes that occur in a social setting
Term
in grounded theory, what is core variable?
Definition
What is central in explaining what is going on
Term
define phenomonemnolgy?
Definition
Concerned with the lived experiences humans
Term
Define ethnography?
Definition
Learning from members of a culture to understand their world view
Term
define intervention protocol?
Definition
Specifying exactly what intervention will entail and what the alternative condition would be
Term
defined population?
Definition
All and I do mean all the subjects with a defining characteristic
Term
define representativeness?
Definition
How typical or representative the sample is of the population
Term
define emegenent design?
Definition
A design that emerges during the course of data collection
Term
define saturation?
Definition
When the categories in the data become repetitive and redundant
Term
What was the first international code of ethics?
Definition
The Nuremburg Code
Term
What is the section of code set forth by the DHHS regarding ethics?
Definition
Title 45 Part 46
Term
What is the primary role of ethics committees
Definition
To protect human research participants
Term
What are the 3 main components of the Belmont report?
Definition
Beneficence, respect for human dignity and justice
Term
Define benficence?
Definition
Minimize harm and maximize benefits
Term
Define nonmaleficence?
Definition
Minimizing harm
Term
Define the principle of self determination?
Definition
prospect patients have the right to participate in a study wihtout risking penalty or different treatment
Term
Define full disclosure?
Definition
researcher has fully deescribed the nature of the study, right to refuse, risks and benefits, and researches duties and roles
Term
What are the two main problems with full disclosure?
Definition
creating biases of accuracy and sample recruitment (does high absenteeism relate to drug use)
Term
Define risk benefit assessment?
Definition
Whether the benefits of a participating in a study are in line with the costs
Term
Define minimal risk?
Definition
Risk is no greater than daily life or routine physical or psychological tests or procedures
Term
Define process consent?
Definition
mostly used in qualitative research, researches continually renegotiate consent
Term
Difference between anonymity and confidentiality?
Definition
Anonmity means PI can't link participants to data. Confidentiality means that it will not be pubilcally supported
Term
Define assent?
Definition
With children, who can not give consent, it means they still want to particpate.
Term
What US agency handles research misconduct?
Definition
The ORI (office of research integrity)
Term
Define fabrication?
Definition
making up data or study results and reporting them
Term
Define falsification?
Definition
inovlves mainpulating research material, equpiment, proceses, and changing or omitting data
Term
Define meta-analysis?
Definition
Information from various studies are used to develop a common metric (effect size)
Term
What is the purpose of effect size (common metric)?
Definition
Yields info about existence of relationship between variables and and estimate of its magnitude
Term
What are the three advantages of meta-analysis?
Definition
its power, objectivity and precision
Term
Who uses meta analysis and who uses metasynthesis?
Definition
Meta analysis (quantitative) metasynthesis (qualitative)
Term
why is a meta-anaylsis objective?
Definition
Because it relies on statistical formulas.
Term
Define the power of a meta analysis?
Definition
The probability of detecting a true relationship
Term
define precision in a meta analysi?
Definition
Draws conclusions on how big an effect an intervention has
Term
what is the prerequisite to using statistical integration?
Definition
The research question, hypothesis, independent variables and independent variables are similar
Term
if they are only a few studies, do they merit systematic review?
Definition
No you need more for an average.
Term
If the same hypothesis is tested and the results are highly conflicting, do they merit to review?
Definition
No.
Term
What is the first step in a meta-analysis?
Definition
Finding a problem statement or research question.
Term
Define statistical heterogeneity?
Definition
If the results are highly variable that meta-analysis may be inappropriate.
Term
Define grey literature?
Definition
Studies with limited distribution i.e. dissertation unpublished reports and so on
Term
define publication bias?
Definition
the tendency for published studies to systematically alter present statistically significant findings
Term
what is the purpose of the AHRQ (agency for healthcare research and quality)?
Definition
Evaluate study quality.
Term
What is the most critical element in all studies for analysis?
Definition
The sample size.
Term
Extraction and coding of information should be completed by how many people?
Definition
At least two.
Term
Can mean differences in studies be averaged in?
Definition
No.
Term
Define a sensitivity analysis?
Definition
a test to see how sensitive the results of an analysis are to changes in the way analysis was done.
Term
What model would you use would heterogeneity is low?
Definition
Fixed effects model.
Term
What model do you use when heterogeneity is more varied?
Definition
Random effects model.
Term
Define subgroup analysis?
Definition
Splitting effect size information for studies into distinct categorical groups
Term
what is a failsafe number?
Definition
Estimation of the number of studies with effect size of zero that would be needed to reverse the conclusion.
Term
Define a pooled effect estimate?
Definition
Weighted average of the effects estimated in primary studies.
Term
How does a forest plot display the results of the study?
Definition
It displays it in confidence intervals.
Term
What does the width of a confidence interval indicate?
Definition
A confidence interval width will indicate the power of the study.
Term
What does the blob in the middle of a confidence interval represent?
Definition
Estimate of intervention
Term
what is a vertical line in a meta-analysis?
Definition
The odds ratio.
Term
What is the purpose of a funnel plot?
Definition
The purpose is to show publication bias
Term
Noblit and Hare, Paterson et al, and Sanelowski are people who have approach to measure what?
Definition
metasynthesis
Term
define the Noblit and hare approach?
Definition
Performing a preanalysis, deciding how they are related and making a final synthesis
Term
Define meta-data-analysis?
Definition
anaylzing processed data
Term
Define meta-method?
Definition
Study of methodolic rigor of stidues including in metasynthesis
Term
Define meta theory?
Definition
Analysis of theoretical underpinning on which studies are grouned
Term
Who uses meta-data-anaylsi, meta-method, and meta theory?
Definition
Paterson et. al
Term
Define the Sandelowski and Barroso approach?
Definition
Finding are synopses of qualitative data without conceptual reframing and synthesis are more interprative data
Term
What does I stand for in IMRAD?
Definition
Introduction
Term
What does M stand for in IMRAD?
Definition
Methods
Term
What does R stand for in IMRAD?
Definition
Research
Term
What does AD stand for in IMRAD?
Definition
and discussion
Term
How long should a title be?
Definition
15 or fewer words
Term
What three things should be in a quantitative journal title?
Definition
Independent and dependent variable and population
Term
How long should an abstract be?
Definition
100 to 150 words
Term
Define a statistical test?
Definition
Procedure for testing hypothesis in estimating the probability of results
Term
define statistically significant?
Definition
Findings are probably true and can be replicated with a new sample.
Term
Define inference?
Definition
An attempt to generalize or come to conclusions based on limited information
Term
define liability?
Definition
The accuracy and consistency of information you study.
Term
Define statistical probability?
Definition
Probability that the same results would be obtained with a new sample of subjects
Term
define validity?
Definition
Are the methods really measuring the abstract concepts they are supposed to measure or are they measuring something else.
Term
Trustworthiness and credibility do with which study?
Definition
Qualitative.
Term
Define triangulation?
Definition
The use of multiple sources to talk to you about what the truth is.
Term
Define bias?
Definition
Influence produces an error in an estimate
Term
Define random bias?
Definition
Luck of the draw.
Term
Define a systematic bias?
Definition
When a bias a uniform, such as using a scale that is actually two pounds over.
Term
Define research control?
Definition
Holding a constant influence on the dependent variable so that the relationship between independent and dependent variables can be seen
Term
Define confounding (extraneous) variables?
Definition
Refer to page 108.
Term
Define masking?
Definition
tool used to prvent bias from awareness, concel info from people to enhance objectivity
Term
Define reflexivity?
Definition
process of reflecting critically on the self, and analyzing and making note of personal values that could influence data interpretation
Term
Define thick description?
Definition
rich and complete descritption of the research setting and of observed actions and processess.
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