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EBP Chapter 1;
Intro to nursing reseach in EBP environment
Question | Answer |
---|---|
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 nursing practice |
Clinical nursing research | research designed to guide nursing practice and to improve the health and quality of life and nurse's clients |
Research vs. EBP | research is the systematic finding of answers, while EBP is application |
Nurses using EBP | proof that actions are clinically appropriate, cost-effective, and result in positive outcomes for pts |
What are the ends of EBP research roles? | Consumers and producers |
Notes on Nursing (1859) | Florence Nightingale emphasized the effect of environment in the well-being of pts |
1950s | more advanced degrees of nursing cause research to become more widely important |
1960s | journals come out as the idea of practice-oriented research is higher in demand |
1970s | The final change of needing research for nursing care and teaching was made--it was imperative from this point on |
1980s | Nursing research foundations such as the National Center for Nursing Research are founded |
1989 | US government offically creates the Agency for Health Care Policy and Research, the first organization to support research directly affecting healthcare |
1993 | National Institute of Nursing Research is established. |
The priority for nursing research is | promotion of excellence in nursing science |
Nursing research priorities: | health promotion/dz. prevention, health promotion of vulnerable communities, pt safety, development of EBP, health promotion of elders, |
Nursing Research priorities | pt centered care and collaboration, EOL care, care implications of tests, capacity development of researchers, and nurse work environments |
Nursing practice should rely on | evidence from research |
Sources of evidence | tradition, authority, clinical experience, trial and error, intuition, logical reasoning, assembled information, disciplined resarch |
Inductive vs. Deductive | Inductive: general from specific Deductive: general to specific |
Paradigm | World view |
Positivism | Emphasizes rational and scientific, the idea that reality can be studied, that it is not random but has causes, looking for underlying causes |
Naturalistic | Countermovement to positivism, reality exists within context, there isn't a process to find absolute truth, there is not absolute truth |
Paradigm methods | quantitative and qualitative |
Quantitative | Positivist, works in data such as numbers and measurements, uses scientific method and empirical(sensual) evidence, seek to generalize findings |
Qualitative | Naturalistic, narrative and subjective, deal with emotions and phenomena that cannot be described ro measured with numbers, used when not much research of phenomena is available, observational, generalizability is challenging |
Cause probing | designed to illuminate the underlying causes of phenomena |
Types of research | Identification, description, exploration, prediction/control, explanation |
EBP research purposes | Treatment/Therapy/Intervention, Diagnosis and Assessment, prognosis, harm and etiology, meaning and processes |