Friday, December 11, 2009

Nursing Research Process in a Nutshell

  • Identification/formulation of research
    • problem anything that requires solution thru scientific investigation. -
    • Sources of problem :
§ – concepts (Ca, PTB, MI)
§ – literature, essays, books, journals
§ – Issues
§ E – experience
§ N – Nursing problems
§ T – theories

    • Characteristics of a research problem
§ – general applicability and use
§ Re – Researchable
§ F – Feasible and measurable
§ F – actors of a feasible research :
· time, money, experience of the researcher, instruments, population
§ I – importance to nursing profession
§ N – novelty/originality
· Plagiarism/illegal replication – unauthorized use of another’s literary work without any consent or permission
§ – significance to nursing

    • 2 types of research according to use
§ basic/pure research
· only the research benefits the research
· It is only for your personal necessity
· Answers your own question

§ Applied research
· problem solving
· Solving the problems of the patient.

    • Variable – subject to change
      • Kinds of variable
· Independent variable
o use this to stimulate a target population

· Dependent variable/Effectual variable
o results of the effects of the study

· Intervening Variable
o Comes between dependent and independent

o Example: orghanism variable, internal factor, sex, gender, color

· Extraneous Variable
o External infuences that can be changed

o Example: citizenship, educational status

· Dichotomous Variable
o 2 choices/ 2 results
o Example: Male/ Female

· Polychotomous Variable
o Multiple choices
o Example: Preferred foods – Chinese, Japanese, American. . . .

Examples:
“A comparative Study in the Income of Filipino Nurses Employed in P.G.H. and N.Y.G.H.”

Independent variable : PGH and NYGH (place of work)
Target population : Filipino nurses
Dependent variable : income

Research:
1. Identify the Problem

2. Purpose – objective using SMART (Systematic, Measurable, Attainable, Realistic, Time Bounded)

3. Define Terms
a. Conceptual Definition – dictionary definition
b. Operational Definition – defined in accordance on how the researcher used the word

4. Revision of Terms

· Review of related literature
o Purposes :
§ to have an update regarding your topic
§ to have a basis of theoretical and conceptual framework

o Main sources of literatures

§ Conceptual
· Formulated
· Authors
· Can be sold
· Books – general use

§ Research
· Researcher
· Research works only
· Future research purpose only

· Formulation of conceptual and theoretical framework
    • THEORY – relationship between concepts
    • CONCEPTUAL FRAMEWORK
      • diagrammatic and structural presentation of the problem hypothesis
    • Paradigm
      • actual structural presentation of your conceptual framework

  • Formulating hypothesis
    • 5 types of hypothesis
§ Null/statistical hypothesis
· shows no relationship or difference between an independent variable and dependent variable.
· ID = DV
· Eg. “There is no difference regarding professional opportunities of Filipino Nurses working in the Philippines from those working in USA.”

§ Simple/Operational hypothesis/Alternative hypothesis
· this shows relationship between a single independent variable from single dependent variable.
· Eg. “Filipinos Nurses working in USA has more professional opportunities than those working in the Philippines.

§ Complex hypothesis
· this shows a relationship between two or more independent variable from two or more dependent variable.
· Eg. “Filipino nurses who worked for 5yrs and passed the CGFNS, TORFL, TSE, NCLEX has greater opportunities in NY as compared to those inManila

§ Directional hypothesis
· specifies the direction of the relationship between variables
· Eg. “Filipino Nurses working in the USA has more professional opportunities than those working in the Phils.”

§ Non-directional
· only predicts the relationship, but has no specific direction between variables.
· Eg. “There is a big difference between a Filipino Nurses working in USA than those working in the Phils.”

  • Selecting research design
o Systematic controlled plan for finding the answer to a problem
o Roadmap, blueprint of the study
o Should have a proper resign design
o If improper research design, there will be improper collection of data

    • Purpose : key or tool for proper collection of data
    • Types
      • According to Application
        • Basic/ Pure
          • For personal knowledge, curiosity
        • Applied
          • Based on problem solving approach

      • According to Methods
        • Experimental
          • performing active manipulation, observe and record the result.

          • Types of Experimental Reseach
§ control
· divide grp into 2.
· Group a – control/comparison grp – will use the same soap everyday
· Group b – experimental grp – those who will use the sample soap
§ randomization
· using sample by chance.
· Choose randomly to avoid redundancy of result
§ Manipulation
· Performing intervention
§ Validation
· comparison of the effects
§ Quasi-experimental
· false experiment.
· No control sample.

        • Non-experimental
o No manipulation is done. Only observation, describe and record down the result.
o Types of non-experimental research design base on time element
§ Retrospective (Ex Post Facto)
· Getting actual experience
· Studies a group of people after its occurrence, experience or facts.
· Experience of people in the past
§ Descriptive
· Observe, describe & record.
· Study of current events.
§ Prospective
· Study of research about future occurrence or future events.
§ Historical
· Past that is written, documented, published and recorded
· Primary Data
o Observe
o 1st hand information
o person himself
· Secondary Data
o 2nd Hand Information
· About the past using records, journals, books.
· Study of the dead people thru his written materials, facts

o according to data
§ quantitative
· data base on numerical interpretation, datas that are measurable, using your senses, data that are observable.
§ qualitative
· subjective data, feelings, perception, beliefs, culture, attitude

o Survey Research Design
§ Group
· Small
· Face to face
· Large – not good result
§ Methods
· Mailed survey
· Face to face
· Telephone survey

o According to Time Orientation
§ Cross Sectional
· Applicable to 2 or more identical group
· Short term
· For comparison
§ Longitudinal
· 1 group only
· with initial and follow up survey
· long term study
· for developmental study

  • Selecting your population and samples
    • sample
      • part of population, data is collected.
      • The recipient of the experimental treatment in experimental design or the individuals to be observed in a non-experimental design

    • Types of sampling
      • Probability - equal presentation/ chances in the population.
        • Simple random technique
          • Used a single/identical group.
          • Fish bowl technique
        • Stratified random sampling
          • You will first going to create a sub population from the whole population before doing randomization.
          • One population, you divide it.
        • Cluster random sampling
          • You will first create a sub area in a population before doing the randomization. In one population, you make it smaller
        • Systematic random sampling
          • choosing a sample every nth name in the population.
          • Multiple of 100 names
          • Sampling frame – list of names appearing as your population
      • Non-probability sampling – you are not choosing by chance.
        • Accidental/ convenience sampling
          • Base on the accessibility/availability of your sample.
          • Kung sino pinakamalapit syo, yun ang kukunin mo.
        • Purposive/judgmental sampling
          • base on the common knowledge or popular knowledge.
        • Snow-ball sampling
          • get sampling base on last referral
        • Quota Sampling
          • Setting criteria and getting samples fitting the criteria

  • Conducting pilot studies

  • Collecting data
    • types :
      • questionnaires – use of pen and paper method
        • dichotomous – divided into two. Eg. true orfalse. Yes or no
        • rating scale – poor 1, good 2, better 3, best 4
        • multiple choice
      • Interview – use of oral method of collection of data. Use of active listening
        • Structured – with checklist, formal talk, list of question
        • Unstructured – informal talk, no pattern, anything goes
      • records – pre existing data
      • observation – use of ocular method using your senses
        • participant observation
        • non-participant observation
        • Problems :
          • Hawthorne’s effects
            • The data you get from your sample is not accurate.
            • The sample has a problem
            • Solution : double blind research – they should not be conscious that they are being studied
          • Halo effect
            • The researcher has a problem.
            • He is manipulating the data collection.
            • It is affected by special feelings/treatment between the researcher and the sample.
  • Analysis of Data
    • part of research when the researcher is forming a body of knowledge out of data collected for the purpose of affirming or denying your hypothesis
    • Methods
      • Nominal method
        • get data by means of categories.
        • eg. male, female, income
      • Ordinal method – base on rank eg. mild, moderate, severe
      • Interval
        • base on the distance between 2 numerical values
        • eg. BP – 150/100 – 120/80, wt, circumference, ht
      • ratio – 3:10 children are malnourish

  • Interpretation of Data
    • 2 Methods
      • quantitative method – base on numerical or graphical standards
      • qualitative method – use of narrative words

  • Communicating your conclusion
    • Explaining the results of your work to the public
    • Conclusion – final answer to your research
    • Recommendation – suggestion to others
    • Dissemination of Information
      • Methods :
        • thesis/book – written form
        • symposia/symposium – oral presentation
        • publish – a lot will be able to read your research

Friday, November 20, 2009

Characteristics of Research


Introduction to Nursing Research

Characteristics of Research
The ability of research to find solutions to problems depends on its ability to generate valid knowledge through well established processes. Each of the definitions examined above has emphasized the systematic nature of research investigations. The use of such terms as systematic, organized, controlled, empirical, and objective (or unbiased) simply indicate that research is scientific i.e. it closely follows the methods of science. Gay’s (1981, p.6) definition of research as “the formal, systematic application of the scientific method to the study of problems” makes the connection between research and science obvious. Research therefore possesses the following characteristics (Best & Kahn, 1989; Trochim, 2002), many of which emphasize its scientific orientation.

1.       It addresses problems: research like most scientific investigations is motivated by the existence of problems.
2.      It is systematic: this means that research is carefully ordered in well-defined steps that are obvious to all. The procedures used in the investigation should be so well defined to make them amenable to verification by others.
3.      It is empirical: Research relies on objective observations of reality i.e. whatever notions the researcher has about any phenomenon or situation must be tested or compared against observations of true reality.
4.      It is Controlled: this means that “…research observations are tightly disciplined” (Kerlinger, 1975, p.11). In other words, all activities or possible outcomes in the research are accounted for in such a way that they are not affected by anything the researcher is not interested in.
5.      It is probabilistic: it is based on probabilities i.e. nothing is certain or absolute in research. Every finding or assertion is subject to change or total rejection in the light of new evidence.
6.      It is theoretical: it is concerned with developing, exploring or testing the theories or ideas we have about the world.
7.      It is nomothetic: it is interested in the general case rather than the individual. Even when a research studies the individual, it would want to generalise to more than the individual. This is particularly the case with behavioural researches.
8.     Research involves collecting fresh data (first hand or primary data) or using old data for new purposes.
9.      Research is carefully recorded and reported: every step or procedure that a researcher takes in the conduct of a research has to be documented because these documentations of procedures and results provide the evidence that researchers need to support the conclusions they reach. Similarly when the research is completed it must be reported i.e. made widely available and accessible to members of the scientific or educational community for public scrutiny.



History of Nursing Research

Introduction to Nursing Research


History of Nursing Research
·         Florence Nightingale
o   Reformer
o   Reactionary
o   Researcher
o   Crimean War: 1853-56
o   Collected data
o   Used statistics, graphs to present data
o   Based practice on research findings
·         Early 1900s – problems in nursing: education, staffing issues

Nursing Research 50s & 60s
·         Focus on Quantitative Research
·         Educational Studies
·         1952 Nursing Research published
·         ANA Sponsored Research Conferences
·         ANA Commission on Nursing Research
·         1960s Practice oriented research; first nursing research journals

Nursing Research 1970s
·         Standards for Clinical Practice Developed
·         1973 First Nursing Diagnosis Conference
·         Several Research Journals Started
·         1978 Initial focus on Qualitative Research
·         1982-83 Utilization Project (CURN)
·         1983 - ANA Center for Research for Nursing
·         1986 National Center for Nursing Research (NCNR)
o   Dr. Ada Sue Hinshaw, Director
·         Several Research Journals Started
·         Clinical Journal Publishing Research

 Nursing Research 1990s
·         1986 - National Center for Nursing Research (NIH); awards/grants to support nursing research & training
·         1989 Agency for Health Care Policy & Research (AHCPR) established
·         1993 National Institute or Nursing Research (NINR)
o   1995 Patricia Grady, PhD, RN
·         Focus on Outcomes Research
·         1994 The journal Qualitative Health Research began publication
·         1997 Canadian Health Services Research Foundation was established with federal funding
·         1999 AHCPR is renamed Agency for Health Care Research and Quality (AHRQ)
·         2000 NINR issued funding priorities for 2000-2004; annual funding exceeded $100 million
·         The Canadian Institute of Health Research was launched
·         The journal Biological Research for Nursing began publication

Why is Nursing Research Important?

Introduction to Nursing Research
Importance of Nursing Research
·         Nurses ask questions aimed at gaining new knowledge to improve patient care
·         Research-based (evidence based) practice = integrating research findings into clinical decision making
·         Accountability for care-related decisions;  research expands nursing practice
·         Reinforce identity of nursing as a profession – knowing/ understanding patients' health care experience

The Defintion of Nursing Research

Introduction to Nursing Research




What is Research?
·         To Search Again
·         Diligent & Systematic Inquiry
·         Discovery

It implies that the person has to search again, to take another more careful look, to find out more. Why?
·         Information may not be enough
·         Misleading information
·         Totally wrong

The Definition of Research
·         systematic, empirical, controlled & critical investigation of a hypothetical proposition related to natural phenomenon. (Kerlinger)
·         It is an activity which is meant to acquire better knowledge by “relearning what we already know through systematic observation and experimentation.” (Filipino anthropologist F. Landa Jocano)

·         Research is a systematic, objective and comprehensive investigation of certain phenomenon which involves accurate gathering and recording and critical analysis and interpretation of all facts about the phenomenon for theoretical or practical ends. (Best and Kahn, 1989)

The Definition of Nursing Research
·         A scientific process that validates and refines existing knowledge and generates new knowledge that directly and indirectly influences nursing practice.
·         A systematic search for and validation of knowledge about issues of importance to the nursing profession (Polit & Hungler).
·         Systematic, objective process of analyzing phenomena of importance to nursing.

Thursday, November 19, 2009

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