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Chapter 3. Research and Evidence-Based Practice. Research: Substantiating the Science of Nursing. Research
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Chapter 3 Research and Evidence-Based Practice
Research: Substantiating the Science of Nursing • Research • Systematic method of exploring, describing, explaining, relating, or establishing existence of phenomenon, factors that causes changes in phenomenon, and how phenomenon influences other phenomenon (continued)
Research: Substantiating the Science of Nursing • Historical development • Nightingale • Set stage for research-guided practice • Teacher’s College at Columbia University • First educational doctoral program for nurses • Yale University • First Master of Nursing degree program (continued)
Research: Substantiating the Science of Nursing • Historical development • 1940s and 1950s • Organization and delivery of nursing services • Role of American Nurses Association (ANA) • Clinical nursing studies (continued)
Research: Substantiating the Science of Nursing • Historical development • 1950s and 1960s • Educational preparation of professional nurses • Establishment of nursing organizations • Nursing research publication (continued)
Research: Substantiating the Science of Nursing • Historical development • 1960s and 1970s • Development of models and theories • Clinical and educational studies • Increased enrollment in graduate programs (continued)
Research: Substantiating the Science of Nursing • Historical development • 1980s and 1990s • Clinical nursing research • Increase in scholarly publications • Increase in federal support • National Institute of Nursing Research (NINR)
Framework • Research process • Researcher, investigator, and scientist • Scientific approach • Subjects/study participants • Concepts/conceptualization • Constructs (continued)
Framework • Research process • Quantitative research • Qualitative research • Scientific method: • Hypothesis • Independent variables • Dependent variables (continued)
Framework • Research process • Qualitative analysis • Comprehending • Synthesizing • Theorizing • Recontextualizing (continued)
Framework • Research process • Types of research design: • Historical • Exploratory • Evaluative • Descriptive • Experimental • Quasi-experimental (continued)
Framework • Roles • Nurse scientist • Principal investigator • Research team member • Research consumer • Advocate for research clients (continued)
Framework • Rights • Safeguard rights of research participants • Informed consent • Full disclosure • Self-determination • Privacy (continued)
Framework • Rights • Anonymity • Fair treatment • Protection from discomfort and harm
Research Utilization • Instrumental • Conceptual • Symbolic
Barriers to Utilizing Nursing Research • Research itself • Practicing nurses • Organizational settings • Nursing profession
Nursing Students • Exposed to research according to program’s curriculum • Sources of research: • Primary • Secondary
Evidence-Based Practice • Best evidence available to guide clinical decision making • Best practice • Ideas and strategies that work to produce positive client outcomes or reduce costs (continued)
Evidence-Based Practice • Evidence reports include: • Statement • Analysis • Evidence • Recommendations (continued)
Evidence-Based Practice • Trends in nursing research: • Focus on evidence-based practice • Scientific knowledge base • Integrative reviews of nursing knowledge • Multidisciplinary collaboration • Dissemination of findings • Interest in outcomes research