Terms in this set (152)What is research systematic inquiry that uses disciplined methods to answer questions and solve problems Nursing Research systematic inquiry designed to develop trustworthy evidence about issues of importance to nurses and their clients Triple Aim Improve Health Source of Evidence Tradition National Institute of Nursing Research - MISSION Supports clinical and basic research to establish a scientific basis for the care of individuals across the life span. Paradigm A world view; a general perspective on the complexities of the real world, with certain assumptions about reality Positivist assumption Reality
exists. Constructivist Assumption Reality is multiple and subjective, constructed by individuals Research Method the technique used to structure a study and to gather, analyze and interpret information Quantitative Research Most often allied with positivist tradition Primary Numerical. Directed at description. Cause and effect Qualitative Research most often allied with the constructivist tradition. Constructivist. Primary word based. Holistic. Mixed Methods Uses a little bit of both Purposes of Research identification and description. exploration. explanation. prediction and control. descriptive research identify the nature and attributes of a nursing phenomena and sometimes the relationships among these phenomena Explanatory Research Provides a basis for conducting studies for the purposes of predicting and controlling patient outcomes Relationships among variables are clarified Predictive Research Estimate the probability of a specific outcome in a given situation Control Manipulate the situation to produce the desired outcome
Basic Research (Pure Research) Pursuit of knowledge for knowledge sake Applied Research An investigation that seeks to find solutions to practical problems. Role of Nurses in Research Continuum of participation, from producers of research to skilled consumers of research findings who use research evidence in their practice Evidence Bases Practice The use of the best available evidence in making patient care decisions, and such evidence typically comes from research conducted by nurses and other health care professionals" Research Utilization involves critical analysis and evaluation of research findings and then determining how these findings fit into clinical practice. Quality Improvement focuses on systems , processes, satisfaction, and cost outcomes, usually within a specific organization. PICOT Population What is PICOT Acronym to help nurses researcher remember the essentials components when developing clinical research questions. Clinical Research Questions - Aim to address a patient or population's physical, psychological, social, or financial problem; May also address risk reduction - ANSWERABLE by analyzing extant evidence PICOT abbreviation P- The Population of Interest; Problem T/F - Clinical Research became increasingly important in the 1960s. False - Not until 1980s T/F - Application of the positivist paradigm involves viewing reality as being driven by natural causes. True - T/F - Quantitative research is allied with the constructivist tradition. False T/F Quantitative research attempts to identify a phenomenon. False Which of the following would be the first step when personally investigating evidence for a specific nursing care problem? Asking answerable clinical questions. Which statement best describes qualitative research? SATA - Studies are conducted in natural setting. - Data are collected from a large number of subjects. - Data collected tend to be numeric - The research design is systematic and subjective.-
- Studies are conducted in natural setting. In caring for patients, it is important for the nurse to realize that evidence-base practice is Dependent on patient values and expectations A nurse wonders if patients who have abdominal surgery and who rock in a rocking chair have a reduced incidence of post operative paralytic ileus during hospitalization when compared with patients who receive standard nursing care following surgery?• Dissect this statement into a PICOT Question? • P = patients who have abdominal surgery • I = rock in a rocking chair • C = standard nursing care • O = reduced incidence of post operative paralytic ileus • T = during hospitalization Which of the following responses best identifies the population being studied in the following research question? "Do patients who use guided imagery during chemotherapy experience less nausea and vomiting than patients who practice relaxation techniques?" - A. Cancer patients - B. Patients who use guided imagery - C. Patients with nausea and vomiting - D. Chemotherapy patients - D. Chemotherapy patients Steps for Evidence Based Practice 1. Ask Question What is literature All written sources relevant to the topic that you have selected, including articles published in periodicals or journals etc. Primary Source Written by the person who originated or is responsible for generating the ideas published. secondary source summaries or quotes content from primary sources Peer Reviewed Article means that the author of the research report, clinical description, or theoretical explanation submitted a manuscript to a publication editor, who identified scholars familiar with the topic to review the manuscript Abstract Brief summary that quickly tells you if the article is research or clinically based. An abstract summarizes the purpose of the article. It also includes the major themes or findings and the implications for nursing practice. Introduction - The introduction contains more information about the purpose of the article. • There is usually brief supporting evidence as to why the topic is important. Literature Review The literature review offers an argument about what led the author to conduct a study or report on a clinical topic. Manuscript Narrative• The "middle section," or narrative, of an article differs according to the type of evidence-based article it is Purpose Statement Explains the focus or intent of a research study. It includes research questions or hypotheses—predictions made about the relationship or differences among study variables Method or Design Explains how a research study was organized and conducted to answer the research question or test the hypothesis. • This section explains the type of study that was conducted (e.g., Randomized Control Trial (RCT), case control study, descriptive study, or qualitative study) and the number of subjects or people who participated in the study. Analysis This section explains how the data collected in a study are analyzed. • The analysis section helps to determine whether a study was conducted in a way that allows you to trust the results and use them to inform practice appraise Critically and efficiently appraise or the information sources Search Efficiently search for research evidence • Search for and collect the most relevant and best evidence to answer clinical questions synthesize Interpret all the information that is appraised and form recommendations to translate the evidence into practice Adapt Adapt the information to the local context.Integrate with:- Your own clinical expertise and knowledge of clinical setting- Patient preferences and values- Evidence from qualitative research Implement Decide whether (and plan how) to implement the adapted evidence into practice or policy Evaluate Assess the effectiveness of implementation efforts Barriers to research and EBP Misperception or negative views about research and evidence-based practice Lack of knowledge about research methods and EBP strategies Low comfort level with library and search techniques and too many journals Lack of time to search for and appraise the evidence Organizational constraints, such as lack of administrative support or incentives Peer pressure to continue with practices steeped in tradition Facilitator to Research and EBP Support and encouragement from administer Organization capacity for changes that includes strong support at all levels of leadership UpToDate The UpToDate system is an evidence-based clinical resource. UpToDate combines evidence with clinical expertise to give you clinical answers you need. Professional Identity in Nursing a sense of oneself that is influenced by characteristics, norms, and values of the nursing discipline, resulting in an individual thinking, acting, and feeling like a nurse. Values and Ethics a set of core values and principles that guide conduct knowledge Analysis and application of information derived from nursing an other disciplines, experiences, critical reflection and scientific discovery. Leadership Inspiring self and others to transforms a shared vision into reality. Empowers other through support, motivation and direction. Professional Comportment A nurse's professional behavior demonstrated through words, actions and presence. Ethics ideal human behavior and ideals ways of being: distinguish btwn right and wrong Morals specific beliefs and behaviors based on personal judgment that are based on a person ethics Bioethics Ethics related to health care issues Nursing ethics ethics related to the nurse patient relationship where the nurse is the main care provider involved in the issue Moral Reasoning making decisions based on morals autonomy Is a person ability to make their own decisons Beneficence Actions done to benefit others Nonmaleficence Is the avoidance of actions that harm others, intentionally or unintentionally Veracity Being truthful, regardless of circumstances and not to deceive or mislead intentionally. Justice refers to fairness ANA Code of Ethics for Nurses (2015) A statement of ethical obligation and duties of every nurse A non-negotiable professional ethical standard An expression of our commitment to society The ICN Code of Ethics for Nurses (2012) Nurses have four fundamental responsibilities: to promote health, to prevent illness, to restore health and to alleviate suffering. The need for nursing is universal. Common Theme of ANA and ICN Codes Focus on the importance of nurses delivering compassionate patient care aimed at alleviating suffering; patient is the central focus of nurses' work • Applies to all nurses in all settings and roles; nonnegotiable ethical nursing standards with a focus on social values, people, relationships, and professional ideals • Share values of respect, privacy, equality, and advocacy Both codes illustrate idea of nurses' moral self-respect Nurses and people The nurse's primary professional responsibility is to people requiring nursing care. nurses and practice The nurse carries personal responsibility and accountability for nursing practice, and for maintaining competence by continual learning. Nurses and the Profession the nurse assumes the major role in determining & implementing acceptable standards of clinical nursing practice, management, research, & education nurses and co-workers The nurse sustains a collaborative and respectful relationship with co-workers in nursing and other fields. Nurse Leadership "The Nurse of the Future will influence the behavior of individuals or groups of individuals within their environment in a way that will facilitate the establishment and acquisition/achievement of shared goals" Comportment in Nursing Comportment is defined as a dignified manner or conduct. Professional comportment is critical in determining a nurse's effectiveness in relating, communicating, and collaborating with colleagues and members of the healthcare team. Comportment is a nurse's professional behavior, which is demonstrated through words, action, and presence.
Ways to develop Leadership Skills in Schools Be engaged Goals of the Magnet Program Promote quality in an environment that supports professional nursing practice Identifies excellence in delivery of nursing services to patients Provide mechanism for dissemination of best practices in nursing services Characteristics of Magnet Nursing High- Quality patient Care Clinical Autonomy and responsibility Participatory Decision making Strong nurse leaders Community Involvement Two-Way communication with Staff Opportunity and encouragement of professional development Benefits of Magnet Designation Improved quality patient outcomes Enhanced Organizational Culture Improved nurse recruitment and retention Enhanced safety outcomes Enhanced competitive advantage Essentials of Magnetism Opportunities to work with other competent nurses Good Nurses Physician Nurse Autonomy and Accountability Supportive Nurse Manager-Supervior Control over nursing practice and practice environment 14 Forces of Magnetism 1. Quality of nursing leadership New Vision for Magnet Magnet Facilites will Shape future changes that are important to the nursing profession and to quality patient care outcomes Serve as models of knowledge and expertise for the delivery of nursing care globally Strive for discovery and innovation Lead Healthcare reformation Page 16-32 AN Definition of Nursing Nursing is the protection, promotion and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response and advocacy in the care of individuals, families, communities and populations. Who are Nurses Care
Providers Specialty RN Certification Its taking an Exam, practicing as an RN for 2 full yrs, 2000 Hrs of clinical practice within the specialty and continuing education Nurse Practitioners Educated to provide direct patient care within a specialty. Need to pass National Certification Exam and Apply for APN Status Clinical Nurse Specialist Educated to be a specialized clinical expert. Need to pass National Certification Exam and Apply for APN Status CRNA Educated to provide anesthesia and related care before and after surgery. Must have acute care. Need to pass National Certification Exam and Apply for APN Status Certified Nurse Midwife Educated to provide care to low risk women during pregnancy, childbirth and post-partum period. Need to pass National Certification Exam and Apply for APN Status DNP Is a clinical/practice doctorate that prepares nurses to be practice experts who will translate evidence based research into practice setting AACN Suggested to Replace has recommended the Doctorate of Nursing Practice as the educational preparation for APNs, replacing the masters degree State Nurse Practice Act has not (the legal determinate of a nurse's scope of practice) have not changed their requirements What is the purpose of evidence-based practice (EBP)? Aiding in clinical practice to provide the highest quality and safest health care to achieve the best patient outcomes Which terms are components of evidence-based practice? Clinical expertise Which examples of patient needs or values could be considered in evidence-based practice (EBP)? Health promotion Which areas comprise the appraisal of articles for evidence-based practice? Impact What needs to be identified to formulate the question in "Ask the question" step of the 5 "A"s? Clinical problem What is the correct order for the 5 "A"s of developing evidence-based practice? Ask What role do nurses assume to ensure patient needs and values are addressed in evidence-based practice (EBP)? Advocate Clinical expertise is a combination of which elements? Experience Which is an important reason for nurses to use evidence-based practice (EBP)? To promote quality and safe patient care What is important about sharing evidence-based practice (EBP) findings among health care professionals? Encourage positive changes in practice What is important about the audit process in the development of evidence-based practice (EBP)? Determining the effectiveness of practice change Why is input from all stakeholders important in the development of evidence-based practice? Ensures use of clinical expertise Which type of data did Florence Nightingale collect during the Crimean War? Morbidity and mortality rates Which individual or organization is credited with the creation of the concept of evidence-based practice (EBP)? Archie Cochrane Which areas were the focuses of nursing research in the 1980s? Clinical research Which goal was emphasized in health care following the publication of the Institute of Medicine's (IOM) Crossing the Chasm: A New Health System for the 21st Century? Quality and safety In the 2006 American Association of Colleges of Nursing (AACN) position statement on research, the organization stated that it must achieve which goals? Create a research culture What is the mission of the National Institute of Nursing Research (NINR)? To promote and improve the health of individuals, families, communities, and populations A nurse with a BSN may have which roles in nursing research? Collect data A nurse with which level of education would have a role of coordinating research teams? PhD Which activities apply to MSN-prepared nurses in research? Utilize EBP in clinical practice Although qualitative studies were being conducted earlier in history, during which era did publication of these studies start occurring with increased frequency? 1980s Florence Nightingale's studies focused on which outcome? Creating a healthy environment for patients The federal government began to support the evolution of nursing research by creating which organization? Division of Nursing in the Surgeon General's Office How does the National Institute of Nursing Research (NINR) currently support nursing research? It conducts nursing research Which similarity exists between the missions of the National Institute of Nursing Research (NINR) and the Agency for Health care Research and Quality (AHRQ) Use of research evidence How did the Joint Commission have an impact on nursing research in 2002? By adding the use of evidence-based practice (EBP) to its accreditation Which nursing role can be performed by nurses at all education levels? Utilizing EBP in a clinical setting Which research roles did Florence Nightingale perform in her studies? Collected data Which nursing research role would be exclusively held by a PhD-prepared nurse? Lead nursing research team From where are problems identified for nursing research studies? Clinical practice Which statement defines a sample in a research a study? Subset of the target population What is the purpose of reviewing literature? To identify gaps in knowledge Through which ways is nursing knowledge acquired? Authority Which term is a competency based on Quality Safety and Education for Nurses Initiatives Evidence-based practice (EBP) Empirical knowledge in nursing focuses on which areas? Control Prediction Estimates the probability of an outcome Control Group Manipulates the situation to reach a desired outcome Description Identifies and encourages understanding of various phenomena Explanation Links information together to identify relationships among data Which component of the scientific research process identifies the goals of the research study? Purpose Why is random sampling used? To ensure each member of the target population has an equal chance of selection How do theoretical frameworks support nursing research studies? To test a theory or create a new theory Hospital policies and procedures may contain which type of nursing knowledge based on customs? Traditions Which action exemplifies the development of empirical evidence in nursing research? Determining the incidence of HIV among Caucasian males Which QSEN competency includes evidence from nursing research, patient preferences, and clinical expertise? Evidence-based practice (EBP) Which statement describes the concepts of knowledge in nursing practice? The quality of knowledge determine the quality of nursing practice Which are the components of the scientific research process ? Control Which component of nursing validated and refines existing knowledge and generates new knowledge that influences practice Research Level of hierarchy Level 1 - Systemic review and meta analysis. Level 2 - RCT or Experimental Study Level 3 - Quasi-Experimental Level 4- Mixed Methods systematic review and Qualitative Meta- synthesis Level 5 - Descriptive Correlational, Predictive correlational and cohort studies Level 6 - Descriptive Study and Qualitative Study Level 7 - Opinions of expert committees and authorities American Association of Colleges of Nursing (AACN) National voice for baccalaureate- & higher-degree nursing education programs Establishes quality standards for baccalaureate- & graduate-degree nursing education, assists in implementation of those standards American Nurses Association (ANA) The national professional membership association of nurses that works for the improvement of health standards and the availability of healthcare services, fosters high professional standards for the nursing profession, and advances the economic and general welfare of nurses NSNA (national student nurses association) advocate for nursing student rights, and take collective and responsible action on social and political issues AONE (American Organization of Nurse Executives) ?? 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Reimbursement: Worker's Compensation, Tricare, Dis…21 terms eclax33 Ther Ex Exam 192 terms mosmi02 What is the major purpose of the National Institute for nursing research NINR )?Mission. The mission of the National Institute of Nursing Research (NINR) is to promote and improve the health of individuals, families, and communities.
What is the purpose of the National League for Nursing quizlet?The NLN is an organization open to all people interested in nursing, including nurses, nonnurses, and agencies. Established in 1952, its objective is to foster the development and improvement of all nursing services and nursing education.
What is the primary purpose of nursing research quizlet?What is nursing research used for? To validate and refine existing knowledge and also generate new knowledge that directly and indirectly influences nursing practice.
How does the National Institute of Nursing Research NINR currently support nursing research quizlet?"The NINR is a major source of federal funding for nursing research." "The NINR supports education in research methods." "The NINR supports education in research career development." "The NINR establishes National Nursing Research Agenda."
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What is the major purpose of the National Institute for nursing research Ninr )? Quizlet?
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