Grove Chap 1 Nursing Research
pl pl pl pl
NursingplResearchpl-
plAplscien ficplprocessplthatplvalidatesplandplrefinesplexis ngplknowledgeplandplGenerateplNewplknowledgeplthat
pldirectlyplandplindirectlyplinfluencesplnursingplprac ce.plpgpl3
Researchpl-
plmeanspltopl"searchplagain"plorplexamineplcarefully.plItplisplapldeligent,plsystema cplinquiryplthatplvalidatesplandplr
efinesplexis ngplknowledgeplandpldevelopsplnewplknowledge.
Evidenceplbasedplprac cepl(EBP)pl-
plEBPplevolvesplfrompltheplintegra onplofpltheplBestplResearchplEvidence,plwithplClinicalplEvidenceplandplPa ent'sp
lneeds/values;pldeliveryplofplhigh-quality,plcost-effec veplcare.
Bestplresearchplevidencepl-
plBestplResearchplEvidenceplgeneratedplfrompltheplsynthesisplofplqualityplstudyplfindingspltopladdressplaplprac cepl
problem.plI.e.,plTeamplofplexpertsplsynthesizepltheplbestplresearchplevidencepltopldevelopplstandardizedplguideli
nesplforplclinicalplprac ce,plI.e.,plDevelopplEBPplguidelineplforpltheplproblemplofplHTN
Clinicalplexper sepl-
plClinicalplexperience,plcurrentplknowledgeplorplresearchplliteratureplandpleduca onalplprepara on.
JNC7pl-
plTheplSeventhplReportplofplTheplJointplNa onalplCommi eplonplPreven on,plDetec on,plEvalua onplandplTxplofpl
HighplBloodplPressure,plisplanplexampleplofpltheplextensiveplresearchplthatplisplneededpltopldevelopplsoundplempir
icalplknowledgeplforplsynthesisplintoplbestplresearchplevidenceplneededplforplprac ceplorpltheplmgmtplofplHTN.
Descrip on,plresearchplfocusedplonpl-
pliden fica onplandplunderstandingplofplaplnurisngplphenomena,plandplsome mespltheplrela onshipplamongplth
em,plResearchplfocusedplonpldescrip onsplinclude,plIDpltheplclusterplofplsymptomsplforplaplpar cularpldisease,pld
etermina onplofpltheplincidenceplofpldiseasepl(I.e.,plWestplNileplvirusplinplTexas).
Explana on,plresearchplfocusedplonpl-
plClarifiespltheplrela onshipplamongplvariablesplandplIden fiesplpossibleplreasonsplwhyplcertainpleventsploccur.plI.
, e.,plNursingplCharacteris csplandplStaffingplareplpoten alplpredictorsplofpltheplincidenceplofplMRSAplinfec onspla
ndplfalls.plThusplexplanatoryplresearchplcanplIDplrela onshipsplthatplcanplbepltheplbasisplforplfutureplresearchplfocu
sedplonplpredic onplandplcontrol.
Predic onpl-
plEs matespltheplprobabilityplofplaplspecificploutcomeplinplaplgivenplsitua on.plI.e.,plPredic onplofplbehaviorsplthat
plpromoteplhealthplandplpreventplillness
Controlpl-
plIfploneplcanplPredictpltheploutcomeplofplaplsitua on,pltheplnextplstepplispltoplcontrolplorplmanipulatepltheplsitua o
npltoplproduceplthepldesciredploutcome.plIe.,plEvidencedplbasedplguidelinesplforplIMplinjec onsplhelpsplcontrolpla
dequatepladministra onplofplmedica on,plminimalplptpldiscomfort,plandplnoplphysicalpldamagepltopltheplpa ent.
PurposeplofplEvidenceplBasedplNursingplPrac cepl-
plDescrip onpl(IDplnursingplphenomenapl&plrela onships),plPredic onplandplControl.
HistoricalplDevelopmentplofplResearchplinplnursingplbasedplonpl-plFlorenceplNigh ngale,plRNplResearchpl1900s-
1970's,plRNplResearchpl1980'splandpl1990s,plandplRNplresearchplinplthepl21plCentury.
FlorenceplNigh ngalepl-plFirstplnurseplresearcherpl1859
NursingplResearchplinpl1900s-1970pl-
plAJNplpublishedplinpl1900,plandplcaseplstudiesplstartedpltoplappear,plDoctoralplprogramplinplnursing,plimproveplqu
alityplofplcare
Caseplstudiespl-
plinpldepthplanalysisplandplsystema cpldescrip onplofploneplpa entplorplgroupplofplsimilarplpa entspltoplpromotepl
understandingplofplhealthplcareplinterven ons
Qualita veplResearchplinplthepl1980spl-
plSystema cpl&plinterac ve.plTheplfocusplonplqualita veplresearchplwasplholis cplwithpltheplintentpltopldiscoverpl
meaningplandplgainplinsightplandplunderstandingplrela vepltoplnursing.
Outcomesplresearchplinpl1980s-1990spl-plAgencyplforplHealthcareplPolicyplandplResearchpl(AHCPR)
pl pl pl pl
NursingplResearchpl-
plAplscien ficplprocessplthatplvalidatesplandplrefinesplexis ngplknowledgeplandplGenerateplNewplknowledgeplthat
pldirectlyplandplindirectlyplinfluencesplnursingplprac ce.plpgpl3
Researchpl-
plmeanspltopl"searchplagain"plorplexamineplcarefully.plItplisplapldeligent,plsystema cplinquiryplthatplvalidatesplandplr
efinesplexis ngplknowledgeplandpldevelopsplnewplknowledge.
Evidenceplbasedplprac cepl(EBP)pl-
plEBPplevolvesplfrompltheplintegra onplofpltheplBestplResearchplEvidence,plwithplClinicalplEvidenceplandplPa ent'sp
lneeds/values;pldeliveryplofplhigh-quality,plcost-effec veplcare.
Bestplresearchplevidencepl-
plBestplResearchplEvidenceplgeneratedplfrompltheplsynthesisplofplqualityplstudyplfindingspltopladdressplaplprac cepl
problem.plI.e.,plTeamplofplexpertsplsynthesizepltheplbestplresearchplevidencepltopldevelopplstandardizedplguideli
nesplforplclinicalplprac ce,plI.e.,plDevelopplEBPplguidelineplforpltheplproblemplofplHTN
Clinicalplexper sepl-
plClinicalplexperience,plcurrentplknowledgeplorplresearchplliteratureplandpleduca onalplprepara on.
JNC7pl-
plTheplSeventhplReportplofplTheplJointplNa onalplCommi eplonplPreven on,plDetec on,plEvalua onplandplTxplofpl
HighplBloodplPressure,plisplanplexampleplofpltheplextensiveplresearchplthatplisplneededpltopldevelopplsoundplempir
icalplknowledgeplforplsynthesisplintoplbestplresearchplevidenceplneededplforplprac ceplorpltheplmgmtplofplHTN.
Descrip on,plresearchplfocusedplonpl-
pliden fica onplandplunderstandingplofplaplnurisngplphenomena,plandplsome mespltheplrela onshipplamongplth
em,plResearchplfocusedplonpldescrip onsplinclude,plIDpltheplclusterplofplsymptomsplforplaplpar cularpldisease,pld
etermina onplofpltheplincidenceplofpldiseasepl(I.e.,plWestplNileplvirusplinplTexas).
Explana on,plresearchplfocusedplonpl-
plClarifiespltheplrela onshipplamongplvariablesplandplIden fiesplpossibleplreasonsplwhyplcertainpleventsploccur.plI.
, e.,plNursingplCharacteris csplandplStaffingplareplpoten alplpredictorsplofpltheplincidenceplofplMRSAplinfec onspla
ndplfalls.plThusplexplanatoryplresearchplcanplIDplrela onshipsplthatplcanplbepltheplbasisplforplfutureplresearchplfocu
sedplonplpredic onplandplcontrol.
Predic onpl-
plEs matespltheplprobabilityplofplaplspecificploutcomeplinplaplgivenplsitua on.plI.e.,plPredic onplofplbehaviorsplthat
plpromoteplhealthplandplpreventplillness
Controlpl-
plIfploneplcanplPredictpltheploutcomeplofplaplsitua on,pltheplnextplstepplispltoplcontrolplorplmanipulatepltheplsitua o
npltoplproduceplthepldesciredploutcome.plIe.,plEvidencedplbasedplguidelinesplforplIMplinjec onsplhelpsplcontrolpla
dequatepladministra onplofplmedica on,plminimalplptpldiscomfort,plandplnoplphysicalpldamagepltopltheplpa ent.
PurposeplofplEvidenceplBasedplNursingplPrac cepl-
plDescrip onpl(IDplnursingplphenomenapl&plrela onships),plPredic onplandplControl.
HistoricalplDevelopmentplofplResearchplinplnursingplbasedplonpl-plFlorenceplNigh ngale,plRNplResearchpl1900s-
1970's,plRNplResearchpl1980'splandpl1990s,plandplRNplresearchplinplthepl21plCentury.
FlorenceplNigh ngalepl-plFirstplnurseplresearcherpl1859
NursingplResearchplinpl1900s-1970pl-
plAJNplpublishedplinpl1900,plandplcaseplstudiesplstartedpltoplappear,plDoctoralplprogramplinplnursing,plimproveplqu
alityplofplcare
Caseplstudiespl-
plinpldepthplanalysisplandplsystema cpldescrip onplofploneplpa entplorplgroupplofplsimilarplpa entspltoplpromotepl
understandingplofplhealthplcareplinterven ons
Qualita veplResearchplinplthepl1980spl-
plSystema cpl&plinterac ve.plTheplfocusplonplqualita veplresearchplwasplholis cplwithpltheplintentpltopldiscoverpl
meaningplandplgainplinsightplandplunderstandingplrela vepltoplnursing.
Outcomesplresearchplinpl1980s-1990spl-plAgencyplforplHealthcareplPolicyplandplResearchpl(AHCPR)
