NURS 231- Nursing Research and Collaborative Practice Questions and Correct Answe
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NUR 231
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NUR 231
What is nursing research a scientific process that validates and refines existing knowledge and generates new knowledge that directly and indirectly influences nursing practice.
How are nurses involved? -come up with ideas for clinical inquiry -collect research data -search for evidence to inform ...
NURS 231- Nursing Research and
Collaborative Practice Questions and
Correct Answers
What is nursing research ✅a scientific process that validates and refines existing
knowledge and generates new knowledge that directly and indirectly influences nursing
practice.
How are nurses involved? ✅-come up with ideas for clinical inquiry
-collect research data
-search for evidence to inform clinical practice
Who is mary seacole? ✅she was exposed at a very young age to both western
medicine from her father and african traditional medicine practices, she overcame
prejudices to provide health care
The research process ✅1. New idea or question
2. Burning question
3. What is the perspective or world view
4. Literature review
5. Research approach and research methods
6. Research ethics processes
7. Knowledge mobilization (disseminate the knowledge to people)
Edith montour ✅she was the first indigenous nurse and she advocated for indigenous
people and their health
Historical milestones in nursing research ✅hospital based learning
Moved into university degrees
Nursing canadian journals and research began
As more and more funding became available more research is being done
Purpose of research ✅advance knowledge, increase understanding, educate others,
inform practice
Quantitative research ✅the investigation of theory or phenomena using precise
measurement with controlled design
Qualitative research ✅seeks to understand or justify by exploring on human intentions,
motivations, perceptions and behaviors
,Evidence-based practice ✅clinical decision making that integrates the best available
research to inform clinical expertise and patient characteristics and preferences while
understanding the local circumstances and pertaining to them
Evidence based practice aims to: ✅-provide quality, cost effective care ensuring the
client meets their est outcomes and using new practices rather than saying "im doing it
this way because this is how it has alway been done"
Steps of ebp ✅cultivate a spirit of inquiry.
1. Ask the burning clinical question in picot (patient, intervention, comparison, outcome,
and time frame) format.
2. Search for an collect the most relevant best evidence.
3. Critically appraise the evidence.
4. Integrate the best evidence with one's clinical expertise and patient preferences and
values in making a practice decision or change.
5. Evaluate outcomes of the practice design or change based on evidence.
6. Disseminate the outcomes of the ebp decision or change.
Step 1: how do we arrive at a burning question? ✅problem focused triggers vs
knowledge focused triggers
Problem focused trigger ✅identification of clinical problem, wanting to improve quality
of care in a particular area, risk surveillance and for financial data
Knowledge focused trigger ✅new research or other literature leads to burning question
or a change in standards or guidelines may cause one to ask a new question that needs
researches help to solve
Foreground questions ✅questions focusing on specific knowledge to inform clinical
decisions or actions (answerable from scientific evidence)
Background questions ✅questions focusing on basic or general knowledge about a
condition and/or disorder, these questions could be answered by searching the web or
reading a textbook
Picot questions ✅p- population, characteristics of the group
I- intervention, the influence or exposure, such as a therapy used
C- comparison, does this intervention work better than this one for a particular outcome
O- outcome , what outcome or consequence interests us
T- time
S- setting
Intervention pico questions ✅question about clinical issues and illness
, Prognosis pico questions ✅question about progression of disease
Etiology pico question ✅question about origin of disease
Description pico questions ✅questions about prevalence and incidence
Diagnosis/assessment pico questions ✅question about the process of identifying the
cause of disease or injury
Meaning pico questions ✅questions on how one experiences a situation or why it must
be approached with different practice
Ps questions for ebp ✅context and experience questions are best answered by
qualitative research. A ps framework is used
Population or patient: how do you describe the population?age?gender? Specific
problem?
Situation: what do you want to know about the situation at hand
Step 2: searching for the best evidence ✅the best evidence is: methodologically
appropriate and sound, rigorous and clinically relevant for answering the questions
Databases to know for nursing research ✅-medline
-pubmed
-cinahl
-ebsco
Step 3: critique the evidence ✅-is it within the last 5 years
-who are the authors and what is their background? Are they educated and capable of
doing this research
-who was the article published for? Who is the target group?
-what type of info was used to create this article?
-how and where are they getting evidence
-what are their references like? Current and applicable?
-has this evidence been used or tested? With who and where?
Evidence ranked: ✅-systematic review is the highest level of evidence
-single randomized control trial
-single non randomized control trial
-single case control study
-single cross sectional study (survey)
-single in depth qualitative study
-expert opinions and case studies are the lowest quality of evidence
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