Research - answer-A systematic inquiry using disciplined methods to solve problems.
Nursing Research - answer-A systematic inquiry to develop knowledge about issues of importance to the nursing profession.
Consumers of Research - answer-Nurses who read and evaluate research reports or summari...
Positivist Paradigm-Reality of Nature (aka Modernism) - answer-•Positivist
assumption: Reality exists; there is a real world driven by natural causes. Reality is
fixed and is associated with quantitative research
Naturalistic Paradigm-Reality of Nature (aka Constructivist) - answer-Naturalistic
assumption: Reality is multiple and subjective, constructed by individuals. Reality is
not fixed and is associated with qualitative research and subjective, narrative
materials.
Obtaining Knowledge-Positivist - answer-Fixed design
Discrete, specific concepts
Deductive processes
Control over context
Verification of hunches
Quantitative information
Seeks generalizations
Basic Research - answer-Extending information for the sake of knowledge.
, Applied Research - answer-Discovering solutions to immediate problems.
Research Utilization (RU) - answer-The use of study findings in a practical
application unrelated to the original research.
Emphasis is on translating new knowledge into real-world applications.
Evidence-based Practice (EBP) - answer-Basing clinical decisions on best possible
evidence—especially high-quality research.
Broader concept than Research Utilization; Integrates research findings with other
factors such as clinical expertise & patient values. Key ingredient is effort to
personalize best evidence to specific patient need within a particular clinical
context.
Knowledge Translation - answer-Both RU & EBP comprise knowledge translation.
This is a movement focused on system level efforts to bridge the gap between
knowledge generation and use. It is meant to enhance systematic change in clinical
practice.
Resources for EBP - answer-•Systematic reviews
•Clinical practice guidelines
•Care bundles
•Other preappraised evidence
•Clinical decision support tools
Systematic reviews - answer-Synthesis of multiple studies. Considered Level I in the
evidence hierarchy. Summary of the best evidence at the time the review is written.
2 forms of SR: a) meta-analysis—statistical method of integrating quantitative
studies; b) meta-synthesis—approach used to integrate qualitative research
findings. (Ex. AHA Management of HF)
Meta-analysis (a systematic review) - answer-Statistical method of integrating
quantitative studies.
Meta-synthesis (a systematic review) - answer-Approach used to integrate
qualitative research findings.
Clinical practice guidelines - answer-Usually based on systematic reviews and give
specific recommendations for evidence based decision making. (Ex. ACLS
Guidelines)
Care Bundles - answer-Concept developed by Institute for Healthcare Improvement
(IHI). Encompasses a set of interventions to treat or prevent a specific event or
cluster of symptoms. (Ex. Sepsis bundle)
Other preappraised evidence - answer-Synopsis of reviews or single study; Agency
for Healthcare Research & Quality (AHRQ) Innovation Exchange; Practice alerts from
professional organizations
Clinical Decision Support Tools - answer-Designed to assist in the organization of
information, guide assessment, and apply appropriate interventions. (Ex. Skin
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