What Is Evidence-Based Practice?
The collection, interpretation, and integration of valid research evidence, combined with clinical expertise and an
... [Show More] understanding of patient and family values and preferences to inform clinical decision making.
Clinical Decision Making
Nurses are using best available evidence, combined with their clinical judgment and patient preferences to influence the nature and direction of health care delivery, and document outcomes related to the quality and cost effectiveness of patient care.
What is Quality Improvement?
The systematic use of data to monitor the outcomes of care processes as well as the use of improvement methods to design and test changes in practice, the aim of which is to continuously improve the quality and safety of health care systems.
Quantitative research
Uses research ques/hypo to describe phenomena, test relationships, assess differences, & seek to explain cause-&-effect relationships between variables, & test for effectiveness of interventions.
Use numeric data to describe and analyze the results summarized and analyzed using statistics.
Data collected from large # of subjects.
Uses questionnaires, equipment
Used for testing theories.
Uses objective approach
Efficiency, but may miss contextual details
Qualitative research
Aims to understand meaning of a human experience: grief, hope, loss.
Uses words rather than numeric data to describe experience.
Data collected from small # of subjects allowing for in-depth study of a phenomenon.
Generally conducted in natural settings.
Researcher as instrument
Data assist in generating theories.
Uses a subjective approach.
Information rich, but time consuming, lack of generalizability.
Research
qualitative, quantitative, or mixed
Systematic Research
a summation & assessment of a group of studies that used similar designs based on a focused clinical question
Meta-analysis
summarizes a number of studies focused on a topic using a specific statistical methodology to synthesize findings in order to draw conclusions.
Integrative review
a focused review & synthesis of lit without statistical analysis. Can include both qual & quant articles
Meta-synthesis
Synthesis of a no. of qual studies on a focused topic using specific qualitative methodology
Preliminary understanding
Familiarize self with the study. Skim abstract and article.
Comprehensive understanding
Understand research purpose/intent, clarify unfamiliar terms/concepts.
Analysis Understanding:
Understand parts, critique soundness.
Synthesis Understanding
Understand whole article & each step of RP
Critical reading requires four stages of understanding. What is the last stage?
o Analysis
o Preliminary (skimming)
o Synthesis
o Comprehensive
Answer: C
Rationale: Critical reading requires four stages of understanding: preliminary (skimming), comprehensive, analysis, and synthesis.
What is an assessment of a group of research studies that test a similar research question?
o Systematic review
o Meta-analysis
o Integrative review
o Meta-synthesis
Answer: A
Rationale: A systematic review is a summation and assessment of a group of research studies that test a similar research question. A meta-analysis summarizes a number of studies focused on a question/topic using a specific statistical methodology to synthesize the findings in order to draw conclusions about the area of focus. An integrative review is a focused review and synthesis of either research or theoretical literature on a particular area that follows specific steps of literature integration and synthesis without statistical analysis and can include both quantitative and qualitative articles. Both meta-synthesis and meta-summary are the synthesis of a number of qualitative research studies on a focused topic using specific qualitative methodology.
What Is Evidence-Based Practice?
The collection, interpretation, and integration of valid research evidence, combined with clinical expertise and an understanding of patient and family values and preferences to inform clinical decision making.
Clinical Decision Making
Nurses are using best available evidence, combined with their clinical judgment and patient preferences to influence the nature and direction of health care delivery, and document outcomes related to the quality and cost effectiveness of patient care.
What is Quality Improvement?
The systematic use of data to monitor the outcomes of care processes as well as the use of improvement methods to design and test changes in practice, the aim of which is to continuously improve the quality and safety of health care systems.
Quantitative research
Uses research ques/hypo to describe phenomena, test relationships, assess differences, & seek to explain cause-&-effect relationships between variables, & test for effectiveness of interventions.
Use numeric data to describe and analyze the results summarized and analyzed using statistics.
Data collected from large # of subjects.
Uses questionnaires, equipment
Used for testing theories.
Uses objective approach
Efficiency, but may miss contextual details
Qualitative research
Aims to understand meaning of a human experience: grief, hope, loss.
Uses words rather than numeric data to describe experience.
Data collected from small # of subjects allowing for in-depth study of a phenomenon.
Generally conducted in natural settings.
Researcher as instrument
Data assist in generating theories.
Uses a subjective approach.
Information rich, but time consuming, lack of generalizability.
Research
qualitative, quantitative, or mixed
Systematic Research
a summation & assessment of a group of studies that used similar designs based on a focused clinical question
Meta-analysis
summarizes a number of studies focused on a topic using a specific statistical methodology to synthesize findings in order to draw conclusions.
Integrative review
a focused review & synthesis of lit without statistical analysis. Can include both qual & quant articles
Meta-synthesis
Synthesis of a no. of qual studies on a focused topic using specific qualitative methodology
Preliminary understanding
Familiarize self with the study. Skim abstract and article.
Comprehensive understanding
Understand research purpose/intent, clarify unfamiliar terms/concepts.
Analysis Understanding:
Understand parts, critique soundness.
Synthesis Understanding
Understand whole article & each step of RP
Critical reading requires four stages of understanding. What is the last stage?
o Analysis
o Preliminary (skimming)
o Synthesis
o Comprehensive
Answer: C
Rationale: Critical reading requires four stages of understanding: preliminary (skimming), comprehensive, analysis, and synthesis.
What is an assessment of a group of research studies that test a similar research question?
o Systematic review
o Meta-analysis
o Integrative review
o Meta-synthesis
Answer: A
Rationale: A systematic review is a summation and assessment of a group of research studies that test a similar research question. A meta-analysis summarizes a number of studies focused on a question/topic using a specific statistical methodology to synthesize the findings in order to draw conclusions about the area of focus. An integrative review is a focused review and synthesis of either research or theoretical literature on a particular area that follows specific steps of literature integration and synthesis without statistical analysis and can include both quantitative and qualitative articles. Both meta-synthesis and meta-summary are the synthesis of a number of qualitative research studies on a focused topic using specific qualitative methodology.
What Is Evidence-Based Practice?
The collection, interpretation, and integration of valid research evidence, combined with clinical expertise and an understanding of patient and family values and preferences to inform clinical decision making.
Clinical Decision Making
Nurses are using best available evidence, combined with their clinical judgment and patient preferences to influence the nature and direction of health care delivery, and document outcomes related to the quality and cost effectiveness of patient care.
What is Quality Improvement?
The systematic use of data to monitor the outcomes of care processes as well as the use of improvement methods to design and test changes in practice, the aim of which is to continuously improve the quality and safety of health care systems.
Quantitative research
Uses research ques/hypo to describe phenomena, test relationships, assess differences, & seek to explain cause-&-effect relationships between variables, & test for effectiveness of interventions.
Use numeric data to describe and analyze the results summarized and analyzed using statistics.
Data collected from large # of subjects.
Uses questionnaires, equipment
Used for testing theories.
Uses objective approach
Efficiency, but may miss contextual details
Qualitative research
Aims to understand meaning of a human experience: grief, hope, loss.
Uses words rather than numeric data to describe experience.
Data collected from small # of subjects allowing for in-depth study of a phenomenon.
Generally conducted in natural settings.
Researcher as instrument
Data assist in generating theories.
Uses a subjective approach.
Information rich, but time consuming, lack of generalizability.
Research
qualitative, quantitative, or mixed
Systematic Research
a summation & assessment of a group of studies that used similar designs based on a focused clinical question
Meta-analysis
summarizes a number of studies focused on a topic using a specific statistical methodology to synthesize findings in order to draw conclusions.
Integrative review
a focused review & synthesis of lit without statistical analysis. Can include both qual & quant articles
Meta-synthesis
Synthesis of a no. of qual studies on a focused topic using specific qualitative methodology
Preliminary understanding
Familiarize self with the study. Skim abstract and article.
Comprehensive understanding
Understand research purpose/intent, clarify unfamiliar terms/concepts.
Analysis Understanding:
Understand parts, critique soundness.
Synthesis Understanding
Understand whole article & each step of RP
Critical reading requires four stages of understanding. What is the last stage?
o Analysis
o Preliminary (skimming)
o Synthesis
o Comprehensive
Answer: C
Rationale: Critical reading requires four stages of understanding: preliminary (skimming), comprehensive, analysis, and synthesis.
What is an assessment of a group of research studies that test a similar research question?
o Systematic review
o Meta-analysis
o Integrative review
o Meta-synthesis
Answer: A
Rationale: A systematic review is a summation and assessment of a group of research studies that test a similar research question. A meta-analysis summarizes a number of studies focused on a question/topic using a specific statistical methodology to synthesize the findings in order to draw conclusions about the area of focus. An integrative review is a focused review and synthesis of either research or theoretical literature on a particular area that follows specific steps of literature integration and synthesis without statistical analysis and can include both quantitative and qualitative articles. Both meta-synthesis and meta-summary are the synthesis of a number of qualitative research studies on a focused topic using specific qualitative methodology.
What Is Evidence-Based Practice?
The collection, interpretation, and integration of valid research evidence, combined with clinical expertise and an understanding of patient and family values and preferences to inform clinical decision making.
Clinical Decision Making
Nurses are using best available evidence, combined with their clinical judgment and patient preferences to influence the nature and direction of health care delivery, and document outcomes related to the quality and cost effectiveness of patient care.
What is Quality Improvement?
The systematic use of data to monitor the outcomes of care processes as well as the use of improvement methods to design and test changes in practice, the aim of which is to continuously improve the quality and safety of health care systems.
Quantitative research
Uses research ques/hypo to describe phenomena, test relationships, assess differences, & seek to explain cause-&-effect relationships between variables, & test for effectiveness of interventions.
Use numeric data to describe and analyze the results summarized and analyzed using statistics.
Data collected from large # of subjects.
Uses questionnaires, equipment
Used for testing theories.
Uses objective approach
Efficiency, but may miss contextual details
Qualitative research
Aims to understand meaning of a human experience: grief, hope, loss.
Uses words rather than numeric data to describe experience.
Data collected from small # of subjects allowing for in-depth study of a phenomenon.
Generally conducted in natural settings.
Researcher as instrument
Data assist in generating theories.
Uses a subjective approach.
Information rich, but time consuming, lack of generalizability.
Research
qualitative, quantitative, or mixed
Systematic Research
a summation & assessment of a group of studies that used similar designs based on a focused clinical question
Meta-analysis
summarizes a number of studies focused on a topic using a specific statistical methodology to synthesize findings in order to draw conclusions.
Integrative review
a focused review & synthesis of lit without statistical analysis. Can include both qual & quant articles
Meta-synthesis
Synthesis of a no. of qual studies on a focused topic using specific qualitative methodology
Preliminary understanding
Familiarize self with the study. Skim abstract and article.
Comprehensive understanding
Understand research purpose/intent, clarify unfamiliar terms/concepts.
Analysis Understanding:
Understand parts, critique soundness. [Show Less]