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Chapter 1 Introduction to Nursing Research in an Evidence-Based Practice Environment. Question. Tell whether the following statement is true or false: Nursing research is systematic inquiry using disciplined methods to solve problems. Answer. False
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Chapter 1Introduction to Nursing Research in an Evidence-Based Practice Environment
Question Tell whether the following statement is true or false: Nursing research is systematic inquiry using disciplined methods to solve problems.
Answer False Research is systematic inquiry using disciplined methods to solve problems. Nursing research is systematic inquiry to develop knowledge about issues of importance to the nursing profession.
What Is Research? • Systematicinquiry using disciplined methods to solve problems Nursing research • Systematic inquiry to develop knowledge about issues of importance to the nursing profession
Consumer–Producer Continuum • Consumers: nurses who read and evaluate research reports or summaries • Producers: nurses who design and undertake research studies
Question Tell whether the following statement is true or false: Producers of research design and undertake studies.
Answer True Knowledge of nursing research enhances the professional practice of both consumers of research (who read and evaluate studies) and producers of research (who design and undertake studies).
Contemporary Emphasis • Evidence-based practice projects • Replications • Research integration through systematic review • Multisite and interdisciplinary studies • Expanded dissemination efforts • Increased focus on health disparities
Sources of Evidence for Nursing Practice • Tradition • Authority • Clinical experience, trial and error, intuition • Logical reasoning (inductive and deductive)
What Is a Paradigm? A world view; a general perspective on the complexities of the real world, with certain assumptions about reality Key paradigms for nursing research: • Positivist paradigm • Naturalistic paradigm
What Is the Nature of Reality? • Positivist assumption: Reality exists; there is a real world driven by natural causes. • Naturalistic assumption: Reality is multiple and subjective, constructed by individuals.
Question What occurs in the positivist paradigm? • Reality is not fixed. • Reality is fixed. • Associated with qualitative research • Subjective, narrative materials
Answer B Positivist paradigm reality is fixed and is associated with quantitative research. Constructivist paradigm reality is not fixed and is associated with qualitative research and subjective, narrative materials.
How Is Knowledge Obtained? Positivist Constructivist Fixed design Flexible design Discrete, specific concepts Holistic Deductive processes Inductive processes Control over context Context-bound Verification of hunches Emerging interpretations Quantitative information Qualitative information Seeks generalizations Seeks patterns
Research • Basic: extending information for sake of knowledge • Applied: discovering solutions to immediate problems
Key Evidence-Based Practice • Treatment/therapy/intervention • Assessment and diagnosis • Prognosis • Harm and etiology • Meaning and process