Professional Documents
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Re + Search
To search again
To examine carefully
Definition of terms
Research French word Cerchier
- to seek or to search
prefix RE again
- signifies replication of search or to search
again
- an attempt to gain solution to problems.
- collection of data in a rigorously controlled
situation for the purpose of prediction or
explanation
What Is Research?
Systematic inquiry using disciplined
methods to solve problems
Nursing research
Systematic inquiry to develop knowledge
about issues of importance to the
nursing profession
Nursing Research
- involves a systematic search for knowledge
about issues of importance to the nursing
profession including nursing practice,
education, administration and informatics
includes the breadth and depth of the discipline of
nursing : the rehabilitative, therapeutic and preventive
aspect of nursing, as well as the preparation of
practitioners and personnel involved in the total
nursing sphere
Clinical Nursing Research
- Research designed to generate knowledge to guide
nursing practice
Research
diligent, systematic inquiry or study
U
L
T
I
M
A
T
E
G
O
A
L
Body of Knowledge
Identification
Description
Exploration
Explanation
Prediction
Control
Problem Solving
Research
Assess
Identify the
problem
Define purpose :
review literature
Make
inferences
Theorize about
facts and possible
relationships
Plan
Determines
information needs
germane to the
problem
Formulate problem,
framework,
hypothesis Define
variables
Select design,
sample, tools;
Plan analysis and
interpretation
Nursing Process
Problem Solving
Intervene
Gather, analyze,
synthesize and
interpret relevant
information;
propose
alternatives, select
best solution
Observe and
evaluate outcomes
of action
Evaluation
Research
Implement
planned study with
due consideration
for ethical
concerns
Report findings
precisely and
objectively, note
limitations,
implications for
practice and further
research
Acquisition thru
Tradition
Authority
Borrowing
Trial and error
Personal experience
Role modelling
Intuition
Reasoning
Tradition
*Based on truths, beliefs,
customs
and past trends
*Demands critical appraisal
before it can be accepted as
truth.
Authority
- Person with expertise and powers.
- Able to influence opinions and behavior.
* Not INFALLIBLE!
Borrowing
Other disciplines
Psychology
Sociology
Medicine
Education
Physiology
Etc.
Personal
experiences
Personally involved in event, situation
and circumstances.
Role
modelling
Mentorship, imitating the behavior of an
expert
Intuition
Insight, understanding of the situation or
event, that usually cannot be logically
explained
Gut feeling
Common
sense
WEAK
Trial and
error
Intuition
Authority
Research
STRONG
Reasoning
-Processing and organizing
ideas to reach conclusion
Types of Reasoning
Inductive reasoning
- specific to general
Deductive
Reasoning
- general to specific
CHARACTERISTICS OF RESEARCH
- involves gathering new or existing data for
new purpose from primary sources
- directed toward the solution of a problem
- involves carefully designed procedures,
always applying rigorous analysis
- emphasizes development of generalizations,
principles or theory helpful in predicting
future occurrences
Role of Nurses
Consumer
Producer
NEW
KNOWLEDGE
RESEARCH
NEW
TECHNOLOGY
SKILLS
IMPROVE PRACTICE
AND DELIVERY OF
SERVICE
TOOLS
BETTER
HEALTH
What Is a Paradigm?
A world view; a general perspective on the complexities
of the real world, with certain assumptions about
reality.
Key paradigms for nursing research:
GENERAL PURPOSE OF NR
TO ANSWER QUESTIONS OR SOLVE PROBLEMS
OF RELEVANCE TO THE NURSING PROFESSION
BASIC RESEARCH: To extend the base of
knowledge in a discipline or to refine a theory.
Ex: Study to understand the near death
experiences of cardiac arrest patients
APPLIED RESEARCH: To find solutions to existing
problems
Ex: Study on the effectiveness of a diabetic
teaching program
Identification
Description
Exploration
Explanation
Prediction
Control
SCHOLARLY DONE
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Types of Research
According to Motive
According to Level of investi
gation
According to motive
Basic Research
- for knowledge sake
Applied Research
- practical research
- Needing immediate solution
Qualitative Research
Quantitative Research
Qualitative Research
Systematic
Subjective approach
Describe life experiences and
give meaning
Quantitative Research
Formal
Objective
Systematic process
Uses numericals to obtain info.
Describe, examine relationships, det.
Cause and effect between variables.
PHASES
OF
NURSING
RESEARCH
Hypothesis
Types of hypotheses
According to Direction
According to Complexity
General classification of hypotheses
Types of Hypothesis
Alternative
Directional
Simple
Null
Non-directional Complex
Alternative Hypothesis
There is a relationship
There is a significant differences
Age is significantly correlated with the length of
service among nurses in the PGH.
There is a significant difference on the self-care
abilities among adult patients with heart failure who
received the intervention from those who did not .
Null Hypothesis
No significant relationship
No significant differences
Age is not correlated with the length of
service among nurses in the PGH.
There is no significant difference on the self-care
abilities among adult patients with heart failure
who received the intervention from those who
did not .
Directional Hypothesis
Specifies the expected direction of relationship
The older the patient, the greater the risk she
or he will fall
The higher the attendance in review classes
the greater the chance to passing the board
exam.
Simple hypothesis
1 IV + 1 DV
Structured discharge plan and self care
abilities among adult patients with heart
failure
Complex hypothesis
2 or more IV and DV
Called as Multivariate
Home instruction program and the Quality
of Life and Functional health
performance among post MI patients.
METHODOLOGY
PLANNING
Plan
Hogwart school
Research Design
-blueprint for conducting a study that maximizes over
factors that could interfere with the validity of the
findings.
DESIGNS FOR DIFFERENT NSG. STUDIES
1. Descriptive design
2. Correlational design
3. Quasi experimental design
4. Experimental design
Is there a treatment ?
YES
NO
No
Descriptive design
Yes
No
Quasi-experimental
Single group?
No
Yes
Yes
Will randomly
Assigned control
Group be used?
No
Yes
Is the
sample
Correlational
design
Ramdomly
selected?
No
Algorithm for type of study design
Yes
Experimental
design
DESCRIPTIVE DESIGN
-To gain more info abt. Characteristics within a particular
field of study.
-Purpose : to provide picture of a situation that naturally
happens.
-It may be use for developing a theory, identifying problems
with current practice
TYPES OF DESCRIPTIVE
DESIGN
1. Typical Descriptive design
VARIABLE 1
VARIABLE 2
VARIABLE 3
Describe
Interpret Hypothesis
GROUP 2
VARIABLE 1
Describe
Interpret
Hypothesis
4. Longitudinal Design
-Examines the changes in the same subjects over an extended
period.
-Requires a long term commitment
- Mortality can be high and lead to decrease in validity of findings.
5. Cross sectional descriptive design
-Used to examine groups of subjects simultaneously in various
stage of development.
-Stages are part of the process that will progress across time.
6. Trend Design
-Examines changes in the general population in relation to a
particular phenomenon.
-Different sample of subjects are selected from the same
population at preset time interval and each selected time data are
collected from that a particular sample.
7. Case Study Design
-Involve intensive exploration of a single unit study, such as :
Person, family, group, community or institution, or a very
Small # of subjects who are examined intensively.
No
One group ?
No
Comparative
design
Yes
Typical
design
Yes
No
Data collected
Across time?
No
Cross sectional
design
Yes
Single unit of
Study?
No
Longitudinal
study
Yes
Case study
Cont.
No
Yes
Trend analysis
Repeated measures
Of each subjects?
Yes
Cross sectional design
No
Longitudinal
design
CORRELATIONAL DESIGN
-Examine relationships bet. Or among 2 or
more variables in a single group.
Types of correlational design :
1. Descriptive correlational design
- To examine the relationships that exist in a situation.
Variable 1
Description of variable
Interpretation of meaning
---------------------Examine relationship
Variable 2
Description of variable
Development of hypothesis
Value of
IV
Value of
IV
Predicted value
of DV
QUASI - EXPERIMENTAL
- Examine the causality ( Effects of IV to DV )
O
Observation/ Measure
Treatment
Observation ( Measure )
Control group
x
x
0
0
Groups
Treatment
Study group
Measure
(post )
0
Control group
------
EXPERIMENTAL DESIGN
- provide the greatest amount of control .
- 3 elements :
1. Control of experimental situation
2. Manipulation of the IV
3. Random sampling
Level of
Relaxation
Level of Distraction
Distraction
No
Distraction
Relaxation
No relaxation
Ex. Factorial
design
GROUP
Study group with
pre-test
DATA COLLECTION
BEFORE
AFTER
X
X
X
Study group
without pre-test
Control with pretest
Control w/o
pre-test
x
X
SAMPLING
TECHNIQUE
Sampling
-selecting a group of people, events, behaviors or
other elements with which to conduct a study.
Sample
-represents the people in population
Sampling plan
-process of making the selections
Element
-Individual unit of population
Subjects- if the element is a person
Population referred as target population; entire set of
Individuals who met the sampling criteria.
SAMPLING
Types of Sampling :
1. Probability Random sampling with equal chance to be
included in the study.
a. Simple Random Sampling most basic
- elements are selected at random
ex. : Use of table numbers
06 22 15 80 45 33 34 18 12 11
10 55 57 33 31 21 28 22 13 19
07 43 45 46 39 41 56 89 90 98
23 20 40 51 63 56 17 09 52 99
88 78 81 66 72 95 85 58 82 08
c. Cluster sampling
- sampling frame is developed ( includes a list of all states, cities,
institutions or organizations ) which elements of the identified
population would be linked.
d. Systematic sampling
- can be conducted when an ordered list of all members of the
population is available.
- every kth individual on the list, using a starting point selected
randomly.
2. Non probability sampling method :
-Not every element of population has an opportunity for
selection in the sample.
-Increase the possibilities of samples that are not representative.
a. Convenience sampling ( accidental sampling )
-poor approach, little opportunity to control biases; subjects
are included in the study because they happened to be in the
right place at the rigth time till reached the sample size
b. Quota sampling
- a replicate the proportions of sub groups present in the population.
- technique is similar to that used in stratified random sampling.
- It requires researcher to identify subgroups in target population
important in achieving representativeness in their area being
studied.
c. Purposive sampling
-judgemental sampling involves conscious selection
by the researcher of certain subjects or elements to include in
the study. ( Sampling criteria )
d. Network sampling
- locating samples difficult or impossible to
obtain in other ways.
- Taken advantage in social networks and with friends having
common characteristics.
Random Assignment:
- Assign subjects to treatment or control groups
randomly can be either be probability or non-probability sampling
technique.
N ( population )
________
1+ N ( e ) ( margin of error )
VALIDITY
- Determination whether the study provides a convincing test of the
framework propositions.
4 types of validity
1.
2.
3.
4.
Statistical validity
Internal validity
Construct validity
External validity
2
10
5
3
8
TYPES OF ERRORS:
TYPE I
Occurs when it is incorrectly concluded that a
relationship / differences
exist bet. variables/grps.
When reality it does not.
TYPE II
Error occurs when it is
concluded that no
significant
relationship/differences
exist bet. Variables or
grps. When in reality it
does.
1.
2.
3.
4.
5.
6.
7.
INTERNAL VALIDITY:
- Is the extent to which the effects detected in the study are time
reflection of reality rather than the results of the effects of
extraneous variables.
Example of Internal validity:
1.
2.
3.
4.
5.
6.
7.
8.
9.
CONSTRUCT VALIDITY
- Examines the fitness between the conceptual definition and the
operational definition.
1. Inadequate pre-operational explication of constructs- conceptual/
operation definition conflicts
1. Mono-operation bias one method of measurements
2. Mono method bias same method of recording
3. Hypothesis guessing with in experimental conditions knowing
the hypothesis
4. Evaluation apprehension subjects wanted to be seen as competent and psychologically healthy
5. Experimenter expectancies
6. Confounding constructs and levels of constructs intensity of
variables.
7. Interaction of different treatment receiving more than one tx
10. Restricted generalizability across constructsimpact of the findings on the constructs than
problem statement.
EXTERNAL VALIDITY
1. Interaction of selection and
treatment
2. Interaction of setting and
treatment
3. Interaction of history and
treatment
Experience
Congruity with sample characteristics
Unremarkable appearance
Personality
Availability
Training of data collectors
Structured interview
Unstructured interview
Focused group interview
Life histories
Critical incidents
Diaries
Points to consider :
1. Interview schedule
2. Questionnaires
( Open ended / Close
ended )
PHYSICAL
TRAINING
PROGRAM
CONTROL GRP
MALE
(GENDER)
FEMALE
NO PHYSICAL
TRAINING
PROGRAM
STUDY GRP
PILOT STUDY
Purposes :
1.
2.
3.
4.
5.
Pre-testing
- The collection of data before the experimental intervention
-sometimes referred as baseline data
-The trial administration of a newly developed instrument
to indentify flaws or assesse time requirements.
Triangulation
-The use of multiple methods or perspectives to collect and
interpret data about some phenomenon, to converge on an
accurate representation of reality.
2. Tabular presentation :
Table 1: Sex distribution of subjects
SEX
Female
N
20
%
50%
Male
20
50%
Total
40
100%
3. TABLE HEADINGS
SEX
Female
N
20
%
50%
Male
20
50%
Total
40
100%
Telegraphic
Avoid many characters in length
4. BODY OF A TABLE :
Contains all the data
If the cell cannot be fulfilled because data are not applicable,
leave it blank, or use dash if not obtained or reported.
SIZE OF THE TABLES :
-Avoid sideways ( inconvenient )
-Fit with the width of the journal page or column if you count
characters ( letters, numbers or spaces )
CONTROL
Male
STUDY
Female Male
TOTAL
Female Male
Female
Single
Married
14
13
Widowed
Separated
13
10
12
25
20
Total
23
22
45
GRAPHS :
-Type of illustration other than table ( typeset ), is a
photographed from art work.
A GOOD GRAPHS ARE :
augments rather than duplicates the text
Conveys essential facts
Omits visually distracting detail
Easy to read ( elements : type, lines, labels, symbols )
Easy to understand
Consistent
Carefully planned and prepared
BAR GRAPH
Used when the independent variable is categorical
LINE GRAPH:
Used to show relation between two quantitative variables.
The IV plotted in x axis and the DV on the y axis
SCATTER GRAPHS:
Consist of single dots plotted.
Meaningful cluster of dots imply correlations.
BIBLIOGRAPHY
Books :
Burns , N and Groove, S .(1995). Understanding the
Nursing research. 3rd edition, WB. Saunders, Philadelphia.
pp.90-95
Journals :
Carlson, B.,Riegel, B., & Kane, J. (1985). Adherence to
health care regimen among elderly women. Advance Journal
Nursing. Vol. 99 ( 11).
THESES/DISSERTATIONS:
Balabagno, A. (1999). Functional health performance
Outcome of compliance to home instruction program after
MI. Unpublished Dissertation. University of the Philippines,
Manila. College of Nursing.
APPENDICES :
Have a coding, arrange according to category and of order
Of use.
Ex:
A1 - A4 - Instruments
B1 B4 - The intervention
C1 - C7 - Graphical presentation of variables
D1 - D6 - Communication letters
Documentation - Pictures
OTHER PARTS :
1. Title Page
2. Certificate of acceptance of thesis
3. Approval sheet
4. Acknowledgement
5. Dedication
6. Abstract
7. Table of Contents
8. List of tables
9. List of figures
10. List of appendices