Midterm 1 Notes Summary Research in Nursing
Midterm 1 Notes Summary Research in Nursing
Phenomena: can be defined as occurrences, circumstances, or facts that are perceptible by the senses
Nurses study research to determine best outcomes for patients, ↑knowledge base for nursing practice and scientific
knowledge. It allows practice to change over time and to maintain societal relevance.
International perspectives: global research community is possible. Cross-cultural and cross-national studies could be
implemented but requires networks, databases, websites, funding and respect for cultural perspectives. International
Council of Nursing (ICN) dedicated to global nursing research.
Canadian Institute for Health Research (CIHR) Priorities: To enhance patient experiences and outcomes through health
innovation; health and wellness of indigenous peoples; healthier future through preventative action, improve quality life
for persons living with chronic conditions
Knowledge development
↓Nursing knowledge
Context: personal, social, and political environment in which a phenomenon of interest occurs
Qualitative Research: used to explore personal meanings, and context of an experience, culture, human patterns and
processes. Data usually consists of words or text.
Quantitative Research: used to explore research questions or test hypotheses that describe phenomena, test
relationships, assess differences, and try to explain cause-and-effect interactions among the variables being studied. Data
usually consists of numbers and statistical formulas.
Mixed Methods Research: researchers design and implement a study and then analyze the data using both qualitative
and quantitative methods. Commonly used in program evaluation, organizational studies and policy development. Form
of triangulation.
Inductive reasoning: start with details of experience and move to general picture; identification of a particular set of
instances that belong to and can be identified as part of a larger set.
Deductive reasoning: start with general picture and move to a specific direction; uses two or more concepts
Concept: image or symbolic representation of an abstract idea; major components of theory and convey the abstract
ideas within a theory
Theory: set of interrelated concepts that serve the purpose of explaining or predicting phenomena. Blueprint or a
written or diagrammatic depiction of both the concepts that compose a theory and how they are related.
Hypothesis: micro theory. Tentative statement of relationship between two or more variables that can be empirically
testes. Best guess or prediction about what one expects to find about the variable outlined in the study.
Conceptual framework: structure of concepts, theories, or both that is used to construct a map for the study. Presents a
theory that explains why the phenomenon being studied exists. Generally, a conceptual framework is constructed from a
review of the literature or is developed as part of a qualitative research project.
Theoretical frameworks: a structure of concepts, theories or both that is used to construct a map for the study; based on
a philosophical or theorized belief or understanding of why the phenomenon under study exists.
Frameworks act to clarify concepts, identify and state the underlying assumptions of a study, specify relationships
among and between concepts, and to be a visual symbolic representation of the concepts in a framework.
1. Identify concepts
2. Clarify unfamiliar terms
3. Question assumptions
4. Assess the study for validity
5. Preliminary understanding: skim abstract and articly
6. Comprehensive understanding: understand authors intent, review unfamiliar terms, understand terms in relation
to context.
7. Analysis understanding: understand parts, critique soundness of study
8. Synthesis understanding put together and make sense of the study
Title
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X factor: independent variable (IV) that has presumed effect on DV; manipulated or not
Y factor: dependent variable (DV) that has a presumed effect that varies with a change in the independent
variable; not manipulated
Extraneous/confounding interferes with the relation of the IV and DV
Population: is either specified or implied in the research question. Researcher or reader will have an initial idea of the
composition of the study population from the outset
Study purpose: aim or gial the researcher hopes to achieve; suggests the type of design to be used; implies the level of
evidence to be obtained (discover, explore, or describe versus compare, test the effectiveness of, etc.)
Hypothesis: Formal statement of the expected relationship(s) between two or more variables in a specified population
that suggests an answer to the research question; statement that predicts the outcomes of a study. Should include the
variables to the tested, population to be studied, design to be used, and outcomes to be predicted. Types include:
Relationship statement:
Systematic reviews: special kind of literature review that uses rigorous (stronger) methods to identify, critically appraise
and synthesize primary studies. Known as evidence studies. Provide best available objective evidence on a topic.
Consumer can filter this evidence through own evidence-informed practice lens.
Meta-analysis:
Quantitative: statistical analysis that combines the results of multiple scientific studies. When the treatment
effect is consistent from one study to the next, meta-analysis can be used to identify this common effect.
Metasynthesis:
Qualitative: an intentional and coherent approach to analyzing data across qualitative studies. It is a process that
enables researchers to identify a specific research question and then search for, select, appraise, summarize, and
combine qualitative evidence to address the research question.
Right to self-determination
Right to privacy and dignity
Right to anonymity and confidentiality
Right to fair treatment
Right to protection from discomfort and harm
Respect for persons: treat individuals as autonomous agents. Do not use a person as a means to an end. Allow people to
choose for themselves. Give extra protection to those with limited autonomy. Includes informed consent, respect for
privacy, respect for vulnerable persons.
Beneficence: acts of kindness or charity that go beyond duty. Obligations derived from beneficence include do no harm,
prevent harm, prevent evil, promote good. Includes sound research design, competent investigators, favourable risk-
benefit ratio, privacy and confidentiality.
Justice: treat people fairly. Fair sharing of burdens and benefits of research. Distinguish procedural justice from
distributive (society as a whole) justice. Includes equitable selection of subjects and respect for vulnerable persons.
Informed consent: ongoing process of communication and mutual understanding. Shared responsibility for protection.
Not a piece of paper, moment in time or a legal contract.
Research Ethics Board (REB) role: to assess fair recruitment, evaluate inclusion and exclusion criteria, investigator-
subject relationship, maximize autonomy, additional protections, assess risk vs benefit, and assessing consent forms and
process.
Special considerations: vulnerable subjects such as children, prisoners, mentally disabled persons, economically
disadvantaged, educationally disadvantaged, subtle vulnerability like language, culture, pregnancy, students, substance
abuse and health status.
Scientific fraud and misconduct: fraudulent studies increase risk to ass. Misconduct and unauthorized studies increase
risk as well and can harm subjects. Basing clinical practice on false data can be dangerous and nurses are obligated to
report if they witness any.
Qualitative Methods:
Grounded theory: inductive from a base of observations of the world as it is living by a group of people. Used to
construct theory where no theory exists or when existing theory fails to explain a set of circumstances.
o Uses a systematic set of procedures to arrive at a theory about basic social processes in groups.
o Research question: based on a basic social process
o Researcher: “grounds” the emerging theory in the data, and reflects contextual values, not his/her values
o Sample selection: purposive, people who experience the basic social process
o Data: interview transcripts, observation notes, memos
o Data analysis: constant comparative analysis done during collection and analysis in cyclical pattern
along with theoretical sampling.
o Results: theory grounded in the data
Case study: method to investigate a contemporary phenomenon over time to provide an in-depth description of
essential dimensions and processes of the phenomenon.
o Research question: evolves over time and recreates itself as the study progresses
o Researcher: perspective is reflected in the questions used to investigate the case study
o Sample selection: purposive, some choose most common cases, others the most unusual cases
o Data: interviews, observation, document review
o Data analysis: collection and analysis done simultaneously in cycles – iterative process
o Results: thematic case-specific narrative
Historical Method: systematic compilation of data and the critical presentation, evaluation and interpretation of
facts regarding people, events, and occurrences of the pars. Systematic compilation of data to describe some
past event. Foundation based on philosophy, art and science.
o Research question: embedded in the description of the phenomenon studied
o Researcher: interpretation free of bias, clear
o Sample selection: primary and secondary data sources (documents, witnesses, objects)
o Data: records, books, documents, artifacts, eyewitness accounts
o Data analysis: analyze authenticity, patterns
o Results: historical narrative
Orientational qualitative inquiry: an ideology directs the inquiry and research process.
Metasynthesis: somewhat comparable to a quantitative meta-analysis. Systematic review of qualitative research. Uses
comparative analysis and interpretative synthesis of findings. Seeks to retain essence and unique contribution of each
study included. Builds a critical mass of qualitative research evidence that is relevant to practice.
Triangulation: the expansion of research strategies in a single study or multiple studies to enhance diversity, enrich
understanding and accomplish certain goals.
Data triangulation: a variety of data sources, different times, settings and groups
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Participants – who
Observations – what
Measurements of time – when
Selection of subjections – where
Role of investigator
Design purpose: plan control; must consider objectivity, accuracy, feasibility, control, homogenous sample, constancy,
manipulation, randomization.
Internal validity: asks is it’s the IV (or something else) that caused or resulted in the change in the DC. Threats to internal
validity include history, selection, maturation, testing, mortality, instrumentation.
External validity: questions the conditions under which the findings can be generalized. Deals with the ability to
generalize the findings outside the study. Threats include selection effects (who), relative effects (where-how),
measurement effects (how-when-what)
Critiquing criteria:
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Meta-analysis: a strict scientific process that synthesizes the findings from several separate studies in a specific area and
statistically summarizes the findings to obtain a precise measure of the effect.
Secondary analysis: researcher reanalyzes the data from an experimental or nonexperimental study for a completely
different purpose
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