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this is the systematic inquiry that uses disciplined methods to answer questions and solve problems, the ultimate goal is to develop, refine, and expand a body of knowledge |
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this is a systematic inquiry designed to develop trustworthy evidence about issues of importance to the nursing profession, including nursing practice education, administration and informatics |
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the use of the best clinical evidence in making patient care decisions, and such evidence typiclaly comes form research conducted by nurses and other health care professions. |
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National Institute of Nursing Research
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this helped put nursing research more into the mainstream of research activities enjoyed by other health disciplines. |
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acknowledge that certain types of evidence are superior to others |
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is the process of developing generalizations from speicific observations.
ex. a nurse may observe the anxious behavior of hospitalized children and conclude that children separation from their parents is stressful. |
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the process of developing specific predictions from general prinicples.
ex. if we assume that separtation anxiety occurs in hospitalized children then we might predict that children in a locla hospital whose parents do not room in will manifest symptoms of stress. |
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provide information on such issues as the rates of using various procedures or rates of infection and can serve as a guide in evaluating clinical practices. |
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Quality improvement and risk data |
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such as medication error reports, can be used to assess practices and determine the need for practice changes. |
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this is a world view, a general perspective on the complexities of the real world |
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this is a reflection of a broader cultural phenomenon that emphasizes the rational and the scientific. |
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this is a prinicple that is believed to be ture without proof or verification. |
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this refers to the positvists belief that phenomena are not haphazard or random, but rather have antecedent cause. |
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reality exists, there is a real world, inquirer is independent from those being researched, values and biases are to be held in check deductive process, fixed, outsider knowledge, measured, quantitative |
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reality is multiple and subjective, inquirer interacts with those being researched, subjectivity and values are inevitable and desirable, inductive process, flexible, narrative information, qualitative analysis |
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are the techniques researchers use to structure a study and to gather and analyze information relevant to the research question. |
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closely allied with postitivist tradition
- numeric information that results from some type of formal measurement and that is analyzed wiht statistical procedures.
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associated with naturalistic inquiry
- material that are narrative and subjective, emphasize the inherent depth of humans,thie ability to shape and create their own experiences, and the idea that turth is a composite of realities.
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this is also positvist, it entails a set of orderly , disciplined procedures used to acquire information. |
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Quantitative research gathers this, and it is rooted in objective reality and gathered directly or indirectly throught the senses rather than throught personal beliefs or hunches. |
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undertakes to extend the ase of knowledge in a discipline.
ex. a researcher may perform an indepth study to better understand normal grieving process, without having explict applications in mind
appropriate for discovering general principles of human behavior |
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focuses on finding solutions to existing problems. is designe dto indicate how theses principles can be used to solve problems in nursing practice |
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designed to illuminate the underlying causes of phenomena. |
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this represents a method of organizing and integrating ideas about phenomena and their interrelationsips. |
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is the use of finding from disciplined research in a practical application that is unrelated to the original research. the emphasis is on translating empirically derived knowledge into real world applications |
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Conduct and Utilization of Reseach in Nursing Project |
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the major objective of this was to increase the use of research finding in nurses daily practive by disseminating current research findings, facilitating organizational chages need to implement innovation, and encouraging collaborative clinical research. |
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aim to help providers make good decisions about health care by preparing, maintaining, and disseminating systematic reviews of the effects of health care interventions. |
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is a technique for integrating quantitative research findings statistically. findings from multiple studies on the same topic are combined and then all of the information is analyzed statistically in a manner similar to that in a usual study. |
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Critically appraised topics |
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this is a quick summary of a clinical questions and an appraisal of the best evidence, and it tuypically begins with a clinical bottom line |
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are foundational questions about a clinical issue. |
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are those that can be answered based on current best research evidence on diagnosing, assessing, or treating paitents |
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environmental readiness, and has to do with transferability, feasibility, cost to benefit ratio |
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issue concerns whether it makes sense to implement the innovation in you practice setting. |
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Concerns such practicalities as the availability of staff and resources andthe organizational climate. an important issue is whether nurses will have control over the innovation |
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a critical part of any decision to proceed with an EBP project is an carful asessment of the cost and benefits of the change |
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this is a trial run, ina clinical setting and to evaluate the outcome.
- Developing an evaluation plan
- measuring client outcomes before implementing the innovation
- training relevant staff in teh use of the new guidline
- trying to guideline out on one or more unitswiht a group of clients
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