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Nursing Diagnosis Research for Students

Nursing Diagnosis Research for Students. Chapter Five. Nursing Diagnosis Research for Students . Contributor Margaret Lunney. For Decades, All New Nursing Diagnoses have been Based On Research = Evidence-Based Nursing. The Importance of Research Support for Nursing Diagnosis.

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Nursing Diagnosis Research for Students

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  1. Nursing Diagnosis Researchfor Students Chapter Five

  2. Nursing Diagnosis Research for Students ContributorMargaret Lunney

  3. For Decades, All New Nursing Diagnoses have been Based On Research = Evidence-Based Nursing The Importance of Research Support for Nursing Diagnosis • Number and Types of Studies Vary for Individual Diagnoses • Additional Studies are Needed for All Nursing Diagnoses: • Meaning and Use with Variety of Populations • Use with Interventions and Outcomes • YOU can Help! • Conduct Your Own Nursing Diagnosis Research - Examples Follow

  4. Answers Research Questions Such as: Concept Analysis • What Meanings of the Concept are Described in the Literature? • How is This Concept Distinguished from Other Related Concepts? • What have Been the Uses for This Concept? • Instructions on How to Conduct a Concept Analysis(Walker and Avant 2005)

  5. Answer Research Questions Such as: Content Validation Studies • What is the Meaning of the Concept with a Specific Population? • What are the Defining Characteristics? • What are the Related Factors? • What are the Appropriate Uses for the Diagnosis(es)? • Subjects: • Nurses Who Work with People Experiencing the Diagnosis • People Who Experience the Diagnosis – Considered as the Best Type of Data

  6. In Clinical Studies, Answer Research Questions Such as: Construct and Criterion-Related Validity • How Does a Specific Diagnosis Differ from Other Related Diagnoses? • Does This Diagnosis Occur Under Certain Conditions? • What is the Frequency of Occurrence Under Certain Conditions? • How Consistently is the Diagnosis Used by Nurses? • What Factors Influence Occurrence of the Diagnosis? • To What Extent Do People with Risk Factors Experience the Diagnosis? • What are the Outcomes When Interventions are Provided for This Diagnosis?

  7. Answers Research Questions Such as: Consensus Validation • To What Extent Do Experienced Nurses Agree Regarding the Relevant Diagnoses for a Specific Population? • Which Nursing Diagnoses Should be Included in Standards of Care for a Specific Population? • Which Nursing Diagnoses Should be Available in the Front (Primary or Main) Screens of EHRs for a Specific Population? • Which Diagnoses Should Routinely be Used in a Specific Health Care Setting?

  8. In Clinical Studies, Answer Research Questions Such as: Sensitivity, Specificity and Predictive Values • Which Defining Characteristics can Reliably Predict a Diagnosis? • Which Defining Characteristics are Most Sensitive to Occurrence of a Diagnosis? • Which Defining Characteristics are Major (Most Commonly Prevalent) Defining Characteristics? • Which Defining Characteristics are Not Sensitive Enough to Predict a Diagnosis (Some Diagnoses have Too Many Defining Characteristics)?

  9. Answers Research Questions Such as: Accuracy of Nurses’ Diagnoses • How Accurate are Nurses with Specific Education, Experience, Types of Competencies, and So Forth? • What Factors Impact on Accuracy in Specific Settings? • What Factors in Three Categories Should be Modified or Mitigated to Positively Affect Accuracy? • The Situational Context • Types of Clinical Cases • Nurse Diagnosticians

  10. Answer Research Questions Such as: Implementation Studies • What are the Frequencies of Using Specific Diagnoses? • Under What Circumstances are Diagnoses Being Used? • Which Nursing Interventions are Being Used with Diagnoses? • What are the Effects on Patient Outcomes When Diagnoses and Interventions are Applied?

  11. Sources for Research Design • Books, Journals and Librarians • Teachers and Researchers

  12. Read Research Articles Getting Started as a Researcher Use Published Research as Models (e.g. Chapter in NANDA-I Book). • Develop Research Teams: • Colleagues • Administrators • Doctorally Prepared Nurses

  13. Getting Started as a Researcher • Reflect on Practice • Effort

  14. 1. Knowledge Development for Nursing2. Contribution to Quality-Based Nursing Care Rewards! • (Lunney 2008)

  15. References Lunney M. (2008) The need for international nursing diagnosis research and a theoretical framework. International Journal of Nursing Terminologies and Classifications 19(1), 28-34. Walker L, Avant K. (2005) Strategies for Theory Construction in Nursing, 4th edn. Norwalk, CT: Appleton and Lange.

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