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  • UNDERSTANDING NURSING RESEARCH 7TH E
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,Understanding Nursing Research

Building an Evidence-Based Practice

SEVENTH EDITION



Susan K. Grove, PhD, RN, ANP-BC, GNP-BC
Professor Emerita, College of Nursing and Health Innovation, The University of Texas at Arlington,
Arlington, Texas
Adult Nurse Practitioner, WellMed Clinic, Grand Prairie, Texas


Jennifer R. Gray, PhD, RN, FAAN
Associate Dean, College of Natural and Health Sciences, Oklahoma Christian University, Oklahoma City,
Oklahoma
Professor Emerita, College of Nursing and Health Innovation, The University of Texas at Arlington,
Arlington, Texas




2

,Table of Contents

Cover image


Contents


Title page


Copyright


Contributors and Reviewers


Dedication


Preface
Learning resources to accompany understanding nursing research, 7th edition



Acknowledgments


Chapter 1: Introduction to Nursing Research and Its Importance in Building an Evidence-Based
Practice
What is nursing research?

What is evidence-based practice?

Historical development of research in nursing

Acquiring knowledge in nursing

Acquiring knowledge through nursing research

Purposes of research for implementing an evidence-based nursing practice

Understanding your role in nursing research

Determining the best research evidence for practice

Key Points



Chapter 2: Introduction to Quantitative Research
What is quantitative research?

Problem-solving and nursing processes: basis for understanding the quantitative research process

Identifying the steps of the quantitative research process

Reading research reports

Practice reading a quasi-experimental study

Key Points




3

,Chapter 3: Introduction to Qualitative Research
Identifying the steps of the qualitative research process

Qualitative research approaches

Sampling and recruitment

Data collection methods

Data management and analysis

Rigor in qualitative research

Key Points



Chapter 4: Examining Ethics in Nursing Research
Unethical research: 1930s through the 1980s

Ethical standards for research

Protecting human subjects

Understanding informed consent

Understanding institutional review

Current issues in research ethics

Key Points



Chapter 5: Examining Research Problems, Purposes, and Hypotheses
What are research problems and purposes?

Identifying the problem and purpose in quantitative and qualitative studies

Determining the significance of a study problem and purpose

Examining the feasibility of a study problem and purpose

Examining research objectives, questions, and hypotheses in research reports

Understanding study variables and research concepts

Key Points



Chapter 6: Understanding and Critically Appraising the Literature Review
Purpose of the literature review

Sources included in a literature review

Critically appraising literature reviews

Reviewing the literature

Key Points



Chapter 7: Understanding Theory and Research Frameworks
Understanding the elements of theory

Levels of theoretical thinking

Examples of critical appraisal of research frameworks

Key Points



Chapter 8: Clarifying Quantitative Research Designs
Identifying quantitative research designs in nursing studies



4

, Understanding concepts relevant to quantitative research designs

Examining the design validity of quantitative studies

Descriptive designs

Correlational designs

Elements of designs examining causality

Quasi-experimental designs

Experimental designs

Key Points



Chapter 9: Examining Populations and Samples in Research
Understanding the key concepts of sampling theory

Representativeness of a sample in quantitative research

Probability sampling methods

Nonprobability sampling methods commonly used in quantitative research

Sample size in quantitative studies

Sampling in qualitative research

Sample size in qualitative studies

Research settings

Key Points



Chapter 10: Clarifying Measurement and Data Collection in Quantitative Research
Concepts of measurement theory

Accuracy, precision, and error of physiological measures

Use of sensitivity, specificity, and likelihood ratios to determine the quality of diagnostic tests

Measurement strategies in nursing

Data collection process

Key Points



Chapter 11: Understanding Statistics in Research
Understanding theories and concepts of the statistical analysis process

Identifying the steps of the data analysis process

Statistics conducted to describe variables

Determining the appropriateness of inferential statistics in studies

Statistics conducted to examine relationships

Statistics conducted to predict outcomes

Statistics conducted to examine differences

Interpreting research outcomes

Key Points



Chapter 12: Critical Appraisal of Quantitative and Qualitative Research for Nursing Practice
Purpose of conducting critical appraisals of studies in nursing

Key principles for conducting intellectual critical appraisals of quantitative and qualitative studies




5

, Understanding the quantitative research critical appraisal process

Example of a critical appraisal of a quantitative study

Understanding the qualitative research critical appraisal process

Example of a critical appraisal of a qualitative study

Key Points



Chapter 13: Building an Evidence-Based Nursing Practice
Benefits and challenges related to evidence-based nursing practice

Developing clinical questions to search for existing research-based evidence for use in practice

Critically appraising research syntheses: systematic reviews and meta-analyses

Critically appraising meta-syntheses

Critically appraising mixed-methods systematic reviews

Models to promote evidence-based practice in nursing

Implementing evidence-based guidelines in practice

Introduction to evidence-based practice centers

Introduction to translational research

Key Points



Chapter 14: Introduction to Additional Research Methodologies in Nursing: Mixed Methods and
Outcomes Research
Mixed methods research and design

Outcomes research

Key Points



Glossary


Index




6

,Contents
1 Introduction to Nursing Research and Its Importance in Building an Evidence-Based
Practice, 1
2 Introduction to Quantitative Research, 29
3 Introduction to Qualitative Research, 59
4 Examining Ethics in Nursing Research, 90
5 Examining Research Problems, Purposes, and Hypotheses, 119
6 Understanding and Critically Appraising the Literature Review, 150
7 Understanding Theory and Research Frameworks, 172
8 Clarifying Quantitative Research Designs, 191
9 Examining Populations and Samples in Research, 228
10 Clarifying Measurement and Data Collection in Quantitative Research, 259
11 Understanding Statistics in Research, 292
12 Critical Appraisal of Quantitative and Qualitative Research for Nursing Practice, 333
13 Building an Evidence-Based Nursing Practice, 387
14 Introduction to Additional Research Methodologies in Nursing: Mixed Methods and
Outcomes Research, 430
Glossary, 467




7

,Copyright


3251 Riverport Lane
St. Louis, Missouri 63043

UNDERSTANDING NURSING RESEARCH: BUILDING AN EVIDENCE-BASED PRACTICE,
SEVENTH EDITION
ISBN: 978-0-323-53205-1

Copyright © 2019 by Elsevier, Inc. All rights reserved.

No part of this publication may be reproduced or transmitted in any form or by any means,
electronic or mechanical, including photocopying, recording, or any information storage and
retrieval system, without permission in writing from the publisher. Details on how to seek
permission, further information about the Publisher’s permissions policies and our arrangements
with organizations such as the Copyright Clearance Center and the Copyright Licensing Agency,
can be found at our website: www.elsevier.com/permissions.

This book and the individual contributions contained in it are protected under copyright by the
Publisher (other than as may be noted herein).



Notices
Knowledge and best practice in this field are constantly changing. As new research and experience
broaden our understanding, changes in research methods, professional practices, or medical
treatment may become necessary.

Practitioners and researchers must always rely on their own experience and knowledge in
evaluating and using any information, methods, compounds, or experiments described herein. In
using such information or methods they should be mindful of their own safety and the safety of
others, including parties for whom they have a professional responsibility.

With respect to any drug or pharmaceutical products identified, readers are advised to check the
most current information provided (i) on procedures featured or (ii) by the manufacturer of each
product to be administered, to verify the recommended dose or formula, the method and duration
of administration, and contraindications. It is the responsibility of practitioners, relying on their
own experience and knowledge of their patients, to make diagnoses, to determine dosages and the
best treatment for each individual patient, and to take all appropriate safety precautions.

To the fullest extent of the law, neither the Publisher nor the authors, contributors, or editors,
assume any liability for any injury and/or damage to persons or property as a matter of products
liability, negligence or otherwise, or from any use or operation of any methods, products,
instructions, or ideas contained in the material herein.

Previous editions copyrighted 2015, 2011, 2007, 2003, 1999, and 1995.

Library of Congress Cataloging-in-Publication Control Number: 2018944739

Content Strategist: Lee Henderson



8

,Content Development Specialist: Laurel Shea
Publishing Services Manager: Julie Eddy
Senior Project Manager: Rachel E. McMullen
Design Direction: Renee Duenow

Printed in China
Last digit is the print number: 9 8 7 6 5 4 3 2 1




9

, Contributors and Reviewers
CONTRIBUTORS

Christy J. Bomer-Norton , PhD, RN, CNM, IBCLC Concord, Massachusetts

Kathryn M. Daniel , PhD, MS, BSN, BA Associate Professor, College of Nursing and Health
Innovation, The University of Texas at Arlington, Arlington, Texas

REVIEWERS

Sue Ellen Bingham , PhD, RN Professor of Nursing, Clayton State University, Morrow, Georgia

Sara L. Clutter , PhD, RN Professor of Nursing, Waynesburg University, Waynesburg,
Pennsylvania

Angela N. Cornelius , DNP, RN, CNE, CNL Associate Professor of Nursing, Central Methodist
University, Fayette, Missouri

Polly A. Hulme , PhD, CNP, RN Professor, College of Nursing, South Dakota State University,
Brookings, South Dakota

Tamara M. Kear , PhD, RN, CNS, CNN Associate Professor of Nursing, College of Nursing,
Villanova University, Villanova, Pennsylvania

Llynne C. Kiernan , DNP, MSN, RN-BC Assistant Professor of Nursing, Norwich University
School of Nursing, Northfield, Vermont

Kathleen S. Murtaugh , MSN, RN, CNA Assistant Professor, Saint Joseph College—St. Elizabeth
School of Nursing Cooperative Program, Rensselaer, Indiana

Michael Perlow , DNS, RN Professor of Nursing, School of Nursing and Health Professions,
Murray State University, Murray, Kentucky




10

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