graded A+
improvements will be needed in nurses skill in locating, understanding, critically
appraising and using relevant study results
continued focus on EBP
systematic reviews rigorously integrate research information on a topic so that
conclusions about the state of evidence can be reached
ongoing growth of research synthesis
burden of serious harms from diagnostic error in the USA
research synthesis
research is relevant to patients and patients play a role in setting research
priorities
patient centeredness
How study results can be applied to individual patients or subgroups of patient
applicability
small studies designed to solve local problems are increasing. mechanisms are
being developed to ensure that evidence from local projects becomes available to
others facing similar problems
local research and quality improvement efforts (small local studies)
Research must be sensitive to the beliefs, life experiences, barriers, and values of
racially, culturally, and linguistically diverse populations
focus on health disparities
research findings must meet the test of being clinically significant and patients
have taken center stage in efforts to define clinical significance
clinical significance
What are the knowledge sources for nursing practice?
,tradition and "experts"
clinical experience
trial and error
disciplined research
source of knowledge that comes from an authority, a person with specialized
expertise. experts are not infallible especially if their expertise is based primarily
on personal experience or outdated information
tradition and "experts"
Has limitations as a source of evidence for practice because each nurses
experience is too narrow to be generally useful and is often biases
clinical experience
alternatives tried successively until a solution to a problem is found, tends to be
haphazard and solutions may be idiosyncratic
trial and error
The best method of acquiring reliable knowledge
disciplined research
a general perspective on the world's complexities
paradigm
rational and scientific paradigm
positivist paradigm
reality based upon context
constructivist paradigm
Using orderly procedures to gather primarily quantitative information, is
a positivist paradigm
scientific method
Evidence gathered by quantitative researchers that is rooted in objective reality
and gathered through the senses rather than through personal beliefs
, empirical evidence
numeric information that results from some type of formal measurement and is
analyzed statistically
quantitative
goal in which quantitative researchers strive to go beyond the specifics of a
situation to generalize findings to individuals not taking part in the study,
generalizability
what kind of research is positive paradigm?
quantitative
what kind of research is constructivist paradigm?
qualitative
deductive processes (hypothesis testing)
emphasis on discrete, specific concepts
focus on the objective and quantifiable
outsider knowledge (external, separate researcher)
fixed, prespecified research design
controls over context
large, representative samples
measured information
statistical analysis
seeks generalizations
quantitative research
inductive processes (hypothesis generation)
emphasis on the entirety of phenomenon; holistic
focus on the subjective and non quantifiable