16 Jun NKU NRP472 2019 February Full Course Latest (NO Journal Club Qualitative Research Review)
Question
NRP472 NURSING RESEARCH AND EVIDENCE BASED PRACTICE
Module 1 Discussion
Introduction to Evidence-Based Practice: Basic Concepts & Ethics
Part I: Introduction to EBP: Basic Concepts
Please read the attached article (Sacred Cow Gone to Pasture: A Systematic Review of EBP) and answer both questions:
Identify a sacred cow that you use in your practice. Now try to track back to identify its source. Was it a tradition (“This is the way it’s always been done”)? Authority (“Dr. So-and-so said so”)? Or systematic research (“An empirical study discovered this to be the case”)?
How do you think you might go about changing it?
Part II: Ethics
Please choose one of the following questions to answer. Choose the other two questions to respond to two peer’s postings.
If you knew a patient was being coerced into a study what would you do?
Researchers are offering $1000 to be in a drug trial study. Do you think this is ethical? Why or Why not?
You have been asked to participate in a study where group interviews will be conducted and confidential information is shared. Do you participate? Why or why not?
Instructions:
Make your initial post by 23:59 EST Wednesday.
Respond to two other classmates’ posts by 23:59 EST Sunday.
NRP472 NURSING RESEARCH AND EVIDENCE BASED PRACTICE
Module 2 Discussion
Primary Steps in Research
Here are 5 variables that could be either independent (IV) or dependent variables (DV):
Depression
Blood pressure
Spirituality
Compliance with medical regimen
Falls during hospitalization
For each variable listed write two questions: one using the variable as an IV and the other question using it as a DV. Evaluate each other’s question to see if you agree with them.
NRP472 NURSING RESEARCH AND EVIDENCE BASED PRACTICE
Module 3 Discussion
Rigor and Trustworthiness
1. Describe one research study that is from the quantitative paradigm and one study that is of the qualitative paradigm. You will need to go to the NKU Steely Library (online) to find examples of research studies.
2. Please choose one of the methods of determining trustworthiness and integrity of research discussed in the text and describe in detail. Provide an example of how it may be utilized. Provide an example of the chosen method. Be sure to include a reference(s) in APA format.
NRP472 NURSING RESEARCH AND EVIDENCE BASED PRACTICE
Module 4 Discussion
Design and Samples
Please choose one of the following questions to answer. Choose the other two questions to respond to two peer’s postings.
Choice 1: What are the comparative characteristics of quantitative and qualitative research? (outline the differences)
Choice 2: Provide an example of a quasi-experimental design from an article in your topic of interest. Explain how it was implemented.
Choice 3: Compare and contrast non-experimental, experimental, and quasi-experimental studies. Which type of study do you think is most important in your practice, and why?
NRP472 NURSING RESEARCH AND EVIDENCE BASED PRACTICE
Module 5 Discussion
Analysis
Read the article provided in the link below.
The Effects of an Online Theory-Based Bone Health program for Older Adults.pdfPreview the document
With your Discussion group, answer the following 2 questions.
1. Identify and describe the statistics used in the article
2. Are the statistical tests used appropriate based on the study aim, purpose, or hypothesis?
3. Is the population in the study considered to be a vulnerable population. Explain your rationale.
Use the link below to submit your Discussion responses.
NRP472 NURSING RESEARCH AND EVIDENCE BASED PRACTICE
Module 6 Discussion
Reading and Critiquing Research Articles
Choose a problem area in your practice and develop 2 research questions utilizing both the PICO(T) and PIO formats. You can submit your postings using the link below.
NRP472 NURSING RESEARCH AND EVIDENCE BASED PRACTICE
Module 1 Quiz
Question 1
The classic scientific method has its intellectual roots in which of the following?
Positivism
Empiricism
Determinism
Constructivism
Question 2
Which of the following is a hallmark of the scientific method?
Rigorous
Systematic
Flexible
Holistic
Question 3
When little is known about a phenomenon or the phenomenon is not clearly identified, the best type of research suited to uncover this is which of the following?
Identification
Prediction
Exploration
Description
Question 4
Evidenced-based nursing primarily uses which of the following to answer clinical questions?
Obtaining the newest research
Consulting an authority
Using intuition
Relying on experience
Question 5
Which of the following attributes is least characteristic of the traditional scientific method?
Emphasis on a holistic view of a phenomenon, studied in a rich context
Systematic measurement and observation of natural phenomena
Control over external factors
Testing of hunches deduced from theory or prior research
Question 6
Which of the following is a descriptive question that a qualitative researcher most likely would ask?
What is the nature of this phenomenon?
How frequently does this phenomenon occur?
What is the average duration of this phenomenon?
What is the average intensity of this phenomenon?
Question 7
A researcher wants to explore the process by which men make decisions about treatment for prostate cancer. The researcher’s paradigm is most likely which of the following?
Determinism
Empiricism
Constructivism
Positivism
Question 8
Which of the following groups would be best served by the development of a scientific base for nursing practice?
Practicing nurses
Nurses’ clients
Nursing administrators
Health care policymakers
Question 9
Which of the following research focuses is qualitative?
Weekend and night outcomes of patients admitted to a specific hospital system’s trauma departments
Needs of nursing students living with chronic illness
Trends in hospitalizations of patients with antibiotic-resistant tuberculosis
Predicting risks for serious complications with abdominal surgery
Question 10
An especially important goal for the nursing profession is to do which of the following?
Document the role nursing serves in society
Conduct research to better understand the context of nursing practice
Establish a solid base of evidence for practice through disciplined research
Establish research priorities
NRP472 NURSING RESEARCH AND EVIDENCE BASED PRACTICE
Module 2 Quiz
Question 1
Which of the following is the dependent variable (DV) in the research question, “Are serial 12-lead ECGs more accurate in diagnosing acute myocardial infarctions (MI) than a single initial 12-lead ECG?”
Accuracy in diagnosing an MI
Serial 12-lead ECGs
Single initial 12-lead ECG
Myocardial infarction
Question 2
In a research report, the statement of purpose is normally found where?
At the end of the introduction
At the beginning of the method section
In the first paragraph of the report
In the abstract
Question 3
A research hypothesis indicates the expected relationship between which of the following?
The independent variable and the dependent variable
The functional and causal nature of the variables
The statement of purpose and the research questions
Statistical testing and the null hypothesis
Question 4
The research question, “What is the decision-making process among intensive care unit nurses who decide to discuss spiritual issues with patients?” is which of the following?
Most likely to be addressed using a qualitative approach
Most likely to be addressed using a quantitative approach
Not researchable
Not appropriately worded
Question 5
Which of the following statements of purpose is least likely to demonstrate a bias on the part of the researcher?
Prove
Demonstrate
Show
Compare
Question 6
The hypothesis, “Women who jog regularly are more likely than those who do not to have amenorrhea” is which of the following?
Not testable
Null
Nondirectional
Directional
Question 7
Select the best description for the following: “Children who watch an average of 2 or more hours of television per day will have higher BMIs than children who watch less than 2 hours of TV per day.”
It is a directional hypothesis
It is a non-directional hypothesis
It is a non-directional research question
It is a directional research question
Question 8
If the problem statement from a proposed research study indicates the need to generate a theory relating to social processes (e.g., how persons within a social group interact with one another), the study design will most likely be which of the following?
Grounded theory
Quantitative study
Phenomenology
Ethnography
Question 9
The hypothesis, “A person’s emotional status is not affected by a relocation to a nursing home” is which of the following?
Not testable
Nondirectional
Null
Directional
Question 10
Which of the following statements of purpose is most likely to be from a qualitative study?
Explore lived experiences of refugee women and children from Afghanistan living in the United States
Investigate the effectiveness of music therapy for decreasing pain in post-operative adolescents
Compare the effectiveness of effleurage to therapeutic touch in decreasing maternal anxiety during an un-medicated vaginal birth
Evaluate the relationship between insurance status and number of emergency department (ED) visits
NRP472 NURSING RESEARCH AND EVIDENCE BASED PRACTICE
Module 3 Quiz
Question 1
A nurse researcher studied women’s experience during the transition to menopause. Data were collected by interviewing 20 women in their 50s. The participants were also asked to maintain a daily diary for a month. Which form of triangulation was used in this study?
Data triangulation
Theory triangulation
Method triangulation
Investigator triangulation
Question 2
The maintenance of good, thorough documentation and a decision trail is especially critical during:
Member checks.
Negative case analyses.
Inquiry audits.
Thick description.
Question 3
A researcher randomized nursing home residents to a fall prevention intervention or to “usual care.” After outcome data are collected, control group members were offered the chance to receive the intervention. This control group strategy is called:
a “usual care” control group.
a wait-listed control group.
an alternative treatment control group.
an attention control group.
Question 4
The “Results” section of a quantitative research article summarizes results of the:
Statistical analyses.
Interpretation of study findings.
Measurement plan.
Study conclusions.
Question 5
A nurse researcher studied lapses in medication compliance among schizophrenic patients living in the community. In his journal article, the researcher reported that he had worked in psychiatric nursing for 15 years and had a nephew who was schizophrenic. Which quality-enhancing strategy is the researcher using?
Search for disconfirming evidence
Inquiry audit
Thick description
Researcher credibility
Question 6
A nurse researcher is studying how members of an immigrant community manage chronic health problems. The researcher spends 15 months in the field conducting interviews and making observations in the community. Which quality-enhancement strategy is described in this study?
Member checking
Reflexivity
Prolonged engagement
Audit trail maintenance
Question 7
Nurse researchers randomly assigned 50 participants to a 3-month smoking cessation intervention and 50 to be in the control group. At the end of the study, there were 40 in the intervention group and 32 in the control group. Which threat to internal validity would be especially salient in this study?
Maturation
Selection
Temporal ambiguity
Mortality
Question 8
Confidence intervals (CIs) address a key question relating to the appraisal of evidence for EBP. Which question do CIs address?
What is the cost of applying the evidence?
How precise is the estimate?
What is the magnitude of effects?
What is the quality of the evidence?
Question 9
In a study on patient’s fear of falling, a nurse researcher administered a questionnaire and asked about the participants’ educational attainment (1 = high school, 2 = some college, 3 = college degree, 4 = graduate degree). What is the level of measurement of the variable educational attainment?
Ratio
Ordinal
Nominal
Interval
Question 10
A researcher reported the age of onset of Alzheimer’s disease in a sample of residents in a memory care facility. What index of central tendency is likely to best communicate the information?
The average
The mean
The median
The mode
NRP472 NURSING RESEARCH AND EVIDENCE BASED PRACTICE
Module 4 Quiz
Question 1
One weakness associated with cause-probing correlational research is which of the following?
Problem of self-selection into groups
Difficulty in linking the research to a theoretical framework
Inability to generalize the findings beyond the sample
Artificiality of the settings in which it occurs
Question 2
Which of the following is the most effective method for controlling participant factors?
Using a homogeneous sample
Statistical control
Matching subjects
Randomization
Question 3
The nurse wishes to study the opinions of high school students concerning the availability of health care services at XYZ High School during the past school year. What research design best fits with the study objective?
Trend study
Cross-sectional study
Follow-up study
Longitudinal study
Question 4
The nurse plans a study comparing the occurrence of anxiety disorders in military personnel deployed overseas with those who served strictly within the borders of the United States. What research design should be selected for this study?
Nonexperimental
Experimental
Cohort
Quasi-Experimental
Question 5
Which of the following can reduce the statistical conclusion validity of a study?
Low attrition
Low maturation
Low power
Low generalizability
Question 6
To study the effects of Healing Touch; what is the best choice to minimize confounding variables?
Offer another activity that gives similar time and attention to control group participants.
Offer to enroll only individuals who do not have any medical conditions.
Offer all participants a Healing Touch session when data collection is completed.
Offer a small payment for participants’ time.
Question 7
An important function of a rigorous research design in a quantitative study is to have control over which of the following?
Mediating variables
Confounding variables
Carryover variables
Outcome variables
Question 8
When addressing control of confounding variables, which of the following best describes the question to be answered by the researcher?
When will the data on the variables be collected?
Where will data collection occur?
What other variables may influence the results?
Who needs to know sensitive information about the research details?
Question 9
What study design flaw may lead to a failure to achieve statistical significance?
Cross-sectional data collection
Small sample size
Adequate exposure to the intervention
Variables precisely defined
Question 10
Studies that collect data at one point in time are called which of the following?
Time series
Cross-sectional studies
Crossover studies
Longitudinal studies
NRP472 NURSING RESEARCH AND EVIDENCE BASED PRACTICE
Module 5 Quiz
Question 1
A researcher at a school of nursing decides to investigate the correlation between a pre- admission HESI examination, high school GPA, and SAT scores as a predictor of success in completing first year study. These admission variables will be reviewed again with grades achieved after the first year is completed. This use of data is known as which of the following?
Known-groups technique
Concurrent validity
Predictive validity
Construct validation
Question 2
Which aspect of reliability does the “Cronbach’s alpha” indicate?
Internal consistency of the measure items within one measure
Equivalence of two separate forms of a measure
The extent of expert agreement ensuring adequate content coverage
Measurement stability performance over time
Question 3
A nurse researcher is evaluating a revised self-esteem questionnaire to determine whether all of the items on the questionnaire actually effectively measure self-esteem. Which aspect of reliability is she evaluating?
Stability
Internal consistency
Equivalence
Validity
Question 4
If the coefficient alpha for a stress scale was computed to be .80, the scale would be which of the following?
Of unacceptably low reliability
More reliable than a scale with an alpha of .50
Of indeterminate reliability until the scale’s test–retest reliability was assessed
A valid indicator of stress
Question 5
Which of the following is an example of an ordinal measurement?
Score on the HESI preadmission or first year examination for nursing
Levels of education (associate’s degree, bachelor’s degree, master’s degree)
Gender (male or female)
Milligrams of a medication dosage
Question 6
One source of measurement error in social-psychological scales is which of the following?
Nonresponse bias
Attrition bias
Response-set bias
Selection bias
Question 7
Which of the following is an example of a nominal measurement?
Hand dominance (right or left )
Age in years
Grams of carbohydrate intake
Emotional intelligence quotients
Question 8
The type of validity that employs primarily judgment in its assessment is which of the following?
Content
Concurrent
Predictive
Construct
Question 9
The aspect of reliability for which interobserver reliability is appropriate is which of the following?
Specificity
Equivalence
Stability
Internal consistency
Question 10
The level of measurement that classifies and ranks people in terms of the degree to which they possess the attribute of interest is which of the following?
Ratio
Interval
Ordinal
Nominal
NRP472 NURSING RESEARCH AND EVIDENCE BASED PRACTICE
Module 6 Quiz
Question 1
Which is a major source of ideas for research problems?
Journal clubs
Nursing code of ethics
Nurses’ personal clinical experience
Evidence hierarchies
Question 2
“For the thousands of patients on chemotherapy, nausea and vomiting are common side effects. To date, interventions have been only moderately successful in reducing these effects. New interventions that can reduce or prevent these side effects need to be identified to improve the quality of life of these patients.” Which does this best represent?
A hypothesis
You Answered
A research question
A statement of purpose
A problem statement
Question 3
“This study aimed to understand the experience of living with a colostomy among patients who had surgery for colon cancer” is a:
research question.
portion of a problem statement.
statement of purpose.
hypothesis.
Question 4
In a statement of purpose, the researcher often communicates information beyond the substantive content of a study through:
the scope of the problem.
operational definitions of the research variables.
predicted relationships among variables.
the choice of verbs about what will be done in the study.
Question 5
A researcher’s statement of purpose indicates that the goal of the study is to understand the lived experiences of family members caring for a terminally ill child with cancer. What type of study is this?
Ethnographic
Grounded theory
Phenomenological
Experimental
Question 6
Which verb for a statement of purpose is least likely to suggest a bias on the part of the researcher?
Demonstrate
Compare
Prove
Show
Question 7
Which verb used in a statement of purpose is most likely to signify that the study is quantitative?
Explore
Discover
Understand
Evaluate
Question 8
Which is most likely to be a statement of purpose for a quantitative study?
The purpose was to explore the lived experiences of refugee women from Syria in need of health care.
The purpose was to assess the effectiveness of music for decreasing agitation in nursing home residents.
The purpose was to describe the experiences of people with untreated obstructive sleep apnea.
The purpose was to describe processes of families in managing the care of children with chronic illnesses at home.
Question 9
In the following research question, what would correspond to the C component in the PICO scheme? “What is the relationship between pregnant women’s smoking behavior and infant birth weight?”
Pregnancy status
Smoking
Not smoking
Infant birth weight
Question 10
“Women who jog regularly are more likely to have amenorrhea than those who do not jog regularly” is an example of which type of hypothesis?
Directional
Nondirectional
Null
Complex
NRP472 NURSING RESEARCH AND EVIDENCE BASED PRACTICE
Journal Club Step 1 Critiquing the Research Process/Quantitative
Assignment Objectives:
Critique study objectives, questions, and hypotheses in research reports.
Demonstrate knowledge of methods to gather and organize information for a study.
Identify research problems generated from the practice setting.
Critique research problems and the purpose of a study.
Critique literature reviews for relevance, currency, and multidisciplinary sources.
Group Instructions
The class has been divided into 3 Journal Club groups who are to work together on written assignments for the next 3 weeks.
Each group should determine a leader who will collect the responses and put them into a single “Word” document to submit for grading. Note the group leader may be different each week.
The groups should divide the number of questions equally among members. The group leader may be exempt from developing responses if there are enough members to do the analysis work.
This assignment will also be used as a basis from which each student will write his or her final “Individual Research Critique” which is due near the end of this term.
Both the directions for the assignment and a template to use for compiling and submitting the group responses are provided in the links below.
NRP472 NURSING RESEARCH AND EVIDENCE BASED PRACTICE
Journal Club Qualitative Research Review
Overview: Critiquing the Research Process/Qualitative
This week the Journal Clubs will critique a qualitative research article. Each Journal Club (group) will answer the critique questions and submit a group response in a scholarly format. Each group will address each component thoroughly from the content of the article and provide the rationale for each of the statements. If a research component is not addressed in the article, you must decide and explain whether or not this is justified.
Assignment Student Learning Outcomes:
Identify major research traditions of qualitative research
Describe the domain(s) of inquiry for qualitative research.
Analyze the design features from an assigned qualitative research study.
Qualitative Study Review
(Refer to Chapter 11 & 16 on Qualitative Research)
Access the group article listed for your group. The groups are the same as last time.
Read the article carefully, and then use the assignment rubric to critique each component of the research study.
Do not use the abstract for any of the critique components.
Answer the questions in “Critiquing the Qualitative Research Design” in the link below.
Provide an explanation of your answer and include examples or content from the study to support your response.
NRP472 NURSING RESEARCH AND EVIDENCE BASED PRACTICE
GROUP PEER EVALUATION
Fill out an evaluation for your group. Be sure to put your group number after your name. Submit the form via Canvas. For the group, indicate the degree to which you agree with the statements on the left, using a scale of the points designated in the first column. Total the numbers of points in each column.
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