The flashcards below were created by user
kbryant86
on FreezingBlue Flashcards.
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EBP
practice based on the best available evidence, patient preferences, and clinical judgment
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research utilization
changing practice based on the results of a single research study
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theory
a set of concepts linked through propositions to provide an explanation of a phenomenon
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pyramid of evidence
ranking of evidence from strongest to weakest
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barriers
factors that limit or prevent change
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innovation
something new or novel
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model of diffusion of innovations
model to assist in understanding how new ideas come to be accepted practice
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early adopters
individuals who are the first to embrace an innovation
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laggards
individuals who are slow or fail to adopt an innovation
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research
systematic study that leads to new knowledge and/or solutions to problems or questions
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descriptive research
research concerned with providing accurate descriptions about phenomena
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explanatory research
research concerned with identifying relationships among phenomena
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predictive research
research that forecasts precise relationships between dimensions or phenomena or differences between groups
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basic research
research to gain knowledge for the sake of gaining knowledge
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applied research
research to discover knowledge that will solve a clinical problem
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quantitative research
research that uses numbers to obtain precise measurements
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qualitative rsch
rsch that uses words to describe human behaviors
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empirical evidence
verifiable by experiences through the five senses
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deductive reasoning
thinking that moves from the general to the specific
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Inductive reasoning
thinking that moves from specific to general
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abstract
the first section of a research article that provides an overview of the study
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introduction
part of a research article that states the problem and purpose
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review of literature
an unbiased, comprehension, synthesized description of relevant previously published studies
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theoretical framework
the structure of a study that links the theory concepts to the study variables
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methods sections
major portion of a research article describing the study design, sample, and data collection
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results section
Component of a research article that reports the met hods used to analyze data and characteristics of the sample
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discussion section
portion of the research article that interpret results and how finding extend the body of knowledge
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list of references
information for each article cited in a research report
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cycle of scientific development
a model of the scientific process
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Nazi experiment
an example of unethical research using human subjects during WWII
made POW's drink seawater, expose to mustard gas, high altitude experiments, given hypothermia, etc.
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Nuremberg Code
Ethical code for research that uses human subjects
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Tuskegee study
a study during which subjects were denied treatment so the effects of their disease could be studied
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Jewish Chronic Disease hospital study
an unethical injection of cancer to subjects without their consent
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willowbrook studies
an unethical study involving coercion of parents to allow their children to be involved in a study in exchange for admission to a long-term care facility
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model of EBP levels of collaboration
a model explaning how five levels are intertwined to contribute to EBP
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individual nurse level
practice changes that can be implemented by any individual nurse
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organizational lever
when nurses in an organization affect practice changes
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translational research model
provides specific strategies organizations can use to improve adoption of an evidence-based innovation
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regional leverl
when nurses from a large geographic area collaborate to change practice
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national level
ollboration among nurses among the country to affect practice changes
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declaration of Helsinki
an international standard providing physicians guidelines for conducting biomedical research
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informed consent
voluntary participation by research subjects who have been informed of possible risks and benefits
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Institutional review boards (IRB)
a committee that reviews research proposals to determine that research is ethical
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belmont report
a report outlining three major principles for the conduct of ethical research with human subjects
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respect for person
principle that individuals should be treated as autonomous and those with dimished autonomy are entitled to protection
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beneficence
the principle of doing good
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justice
the principle of equity or fairness in the distribution of burdens and benefits
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research imperative
an ethical rule stating that nurses should advance the body of knowledge
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therapeutic imperative
and ethical rule stating the nurses should preform actions to benefit the patient
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research problem
gap in knowledge that requires a solution
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case studies
a description of a single or novel event
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pilot
a small study to test a new intervention before testing with larger samples
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generalize
applying studies from a sample to wider population
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systematic review
a rigorous and systematic synthesis of research findings about a clinical problem
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research topic
a clinical problem of interest
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problem statement
describes the problem addressed in the study
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purpose statement
a statement indicating the aim of the study
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research question
an interrogatory statement describing the variables and population of the research study
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associative relationship
when one variable changes, so does the other variable
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covary
when change in one variable is associate with change in another variable
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casual relationship
when one variable determines the presence or change in another variable
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simple hypothesis
a hypothesis describing the relationship between two variables
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complex hypothesis
describes the relationship among three or more variables
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nondirectional hypothesis
statement of the relationship between two variables that does not predict the direction of the relationship
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directional hypothesis
describes the direction of a relationship between the variables
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null hypothesis
hypothesis stating that there is no relationship between the variables
"statistical hypothesis"
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statistical hypothesis
No relationship among the variable;
"Null hypothesis"
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research hypothesis
states that a relationship between two or more variables exists
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Hypothesis OR Empirical testing
objectively measurable data gathered through the five senses to confirm or refute a hypothesis
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Independent variable
variable that influences the dependent variable or outcome
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dependent variable
Is influenced by the independent variable
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Confounding / Extraneous variable
factors that interfere with the relationship between the independent and dependent variables
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PICO model
- Patient population
- Intervention of interest
- Comparison of interest
- Outcome of interest
Used to formulate EBP
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Secondary Source
Commentaries, summaries reviews or interpretations of primary sources.
Text books, systematic reviews, biographies and general magazines.
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Primary Source
Original information by the person responsible for creating it.
Journal articles, book chapters, dissertations or conference proceedings
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Peer Review
Research papers published as primary sources undergo rigorous evaluation by editors
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Scholarly, Trade and Popular Literature
Literature that is specific to one topic. ie. Magazine for ER nurses. Can be very scholarly to very general information.
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Narrative Reviews
Based on common/uncommon elements of works without concern for research methods, designs or settings.
The ROL section is a narrative review.
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Integrated Reviews
Papers that synthesize published studies to answer questions about an interest/phenomena
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Meta-Analyses
Combine results of studies into a measurable format and statistically estimate the effects of proposed interventions. Include published and unpublished works.
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Systematic Reviews
A combination of Narrative, Integrated and Meta-Analyses. Good for when evidence is needed quickly.
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Grey Literature
Yet to be published works.
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Boolean Operators
and, or or not. words used to link search terms
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Metaparadigm
- 4 concepts to nursing:
- Person, environment, health and nursing
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Conceptual definitions
Concepts in a theory that sound like dictionary definitions
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Operational definitions
Explicitly state how the variable will be measured
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Empirical indicators
measures of the variables being studied
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Annotated ROL
Separately describes each study
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Integrated ROL
Author summarizes multiple papers within text
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Causality
The relationship between cause and effect or the independent variable has the ability to produce a specific effect on the dependent variable.
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Probability
The chance that an event will occur
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Control
Researchers ability to manipulate, regulate or statistically adjust for extraneous variables
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Extraneous variable
Factors that interfere with the relationship between independent and dependent variables
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Bias
Extraneous variables influence the relationship between IV and DV
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Between Groups
Study design where two groups of subjects can be compared
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Within-Groups
Comparisons are made upon subjects at 2+ times during research
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Study validity
Accepting results as logical based on evidence presented
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Internal validity
The degree to which one can conclude that the IV produced changes to the DV
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External validity
The degree which the results can be generalized to other subjects, settings and times.
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Retrospective Designs
- AKA: Ex post facto
- used in epidemiological studies, chart audits, historical interviews
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Cross-Sectional Designs
A snap-shot of data about IV and DV at one point of time
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Cohort Comparison
Using multiple groups (cohorts) in a nonexperimental cross-sectional design
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Longitudinal Designs
Gathering data about subjects at more than one point in time.
AKA: Prospective design
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Panel Designs
Longitudinal design with the same subjects at multiple time points.
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Trend studies
Long. design with different samples across time
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Follow-up Study
Long design used to follow subjects into the future
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Crossover designs
Experimental design using 2+ treatments
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Hawthorne Effect
Subjects altered behavior to please experimenter
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Reactivity
The influence of participating in a study on the responses of subjects
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Effects of Selection (Population representation)
Threats to external validity when the sample does not represent the population
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Experimental Design
Design involving random assignment to groups and manipulation of the IV
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Quasi-experimental Design
The manipulation of the IV but lacking either random assignment or a control group
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Non-experimental Design
Research design that lacks manipulation of the IV and random assignment
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Translational research
Research for the purpose of linking research findings to the point of care
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Community-based Participatory Action Research
Active involvement of community members throughout the research process
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Health Services Research
Research involving phenomena related to the delivery of health care
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