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Essentials of Nursing Research,ninthedition,helpsstudentslearnhowtoreadand critiqueresearchreportsandtodevelopanappreciationofresearchasapathto enhancingnursingpractice.

Wecontinuetoenjoyupdatingthisbookwithimportantinnovationsinresearch methodsandwithnurseresearchers’useofemergingmethods.Feedbackfromourloyal adoptershasinspiredseveralimportantchangestothecontentandorganization Weare convincedthattheserevisionsintroduceimportantimprovements whileretaining manyfeaturesthathavemadethisbookaclassicbest-sellingtextbookthroughoutthe world.Thenintheditionofthisbook,itsstudyguide,anditsonlineresourceswillmake iteasierandmoresatisfyingfornursestopursueaprofessionalpathwaythat incorporatesthoughtfulappraisalsofevidence

LEGACYOF ESSENTIALS OF NURSING RESEARCH

Thisedition,likeitspredecessors,isfocusedontheart andscience ofresearch critique Thetextbookoffersguidancetostudentswhoarelearningtoappraiseresearch reportsanduseresearchfindingsinpractice.

Amongthebasicprinciplesthathelpedtoshapethisandearliereditionsofthisbook areasfollows:

1. Anassumptionthatcompetenceindoingandappraisingresearchiscriticaltothe nursingprofession

2. Aconvictionthatresearchinquiryisintellectuallyandprofessionallyrewardingto nurses

3 Anunswervingbeliefthatlearningaboutresearchmethodsneedbeneither intimidatingnordull

Consistentwiththeseprinciples,wehavetriedtopresentresearchfundamentalsina waythatbothfacilitatesunderstandingandarousescuriosityandinterest

NEWTOTHISEDITION

Inthepreviousedition,weseparatedchaptersonquantitativeandqualitativedesigns andmethodsintotwoseparateparts.Inthisedition,weorganizedthepartsby methodologiccontent.So,forexample,Part3inthiseditioncoversdesignsand methodsforquantitative,qualitative,andmixedmethodsresearch,andPart4isdevoted toanalysisandinterpretationinquantitativeandqualitativestudies.(Pleasesee“The Text”laterinthisprefaceformoreinformation)Wethinkthisneworganizationoffers greatercontinuityofmethodologicconceptsandwillfacilitatebetterunderstandingof keymethodologicdifferencesbetweenquantitativeandqualitativeresearch.Weare confidentthatthisneworganizationwillbettermeettheneedsofstudentsandfaculty.

ManageableTextforOne-SemesterCourse

Wehavestreamlinedthetexttomakeitmoremanageableforuseinaone-semester course Wereducedthelengthbyorganizingcontentdifferentlyandbykeeping essentialinformationinthetextwhilemovingbackground/advancedcontentonline, makingthisan18-chapterbookratherthantheprevious19chaptersintheeighth edition.

EnhancedAccessibility

Tomakethiseditionevenmoreuser-friendlythaninthepast,wehavemadea concertedefforttosimplifythepresentationofcomplextopics.Mostimportantly,we havereducedandsimplifiedthecoverageofstatisticalinformation.Weeliminatedthe chapteronmeasurement,optingtopresentashorter,moredigestiblesectiononthis topicinourchapteronquantitativedatacollection,whichissupplementedby informationinthechapteronstatisticalanalysis Inaddition,throughoutthebookwe haveusedmorestraightforward,conciselanguage.

NewContent

Inadditiontoupdatingthebookwithnewinformationonconventionalresearch methods,wehaveaddedcontentonthefollowingtopics:

Qualityimprovementprojects,describinghowtheyaredistinctfromresearchstudies andevidence-basedpractice(EBP)projects ThisnewcontentisfoundinChapter13

Clinicalsignificance,aseldom-mentionedbutimportanttopicthathasgained prominenceamongresearchersinotherhealthcarefieldsbuthasonlyrecently gainedtractionamongnurseresearchers ThisnewcontentisfoundinChapter15

THETEXT

Thecontentofthiseditionisasfollows:

Part1,OverviewofNursingResearchandItsRoleinEvidence-BasedPractice,

introducesfundamentalconceptsinnursingresearch Chapter1summarizesthe backgroundofnursingresearch,discussesthephilosophicalunderpinningsof qualitativeresearchversusquantitativeresearch,anddescribesmajorpurposesof nursingresearch.Chapter2offersguidanceonusingresearchtobuildanevidencebasedpractice.Chapter3introducesreaderstokeyresearchtermsandpresentsan overviewofstepsintheresearchprocessforbothquantitativeandqualitativestudies Chapter4focusesonresearchjournalarticles,explainingwhattheyareandhowto readthem.Chapter5discussesethicsinnursingstudies.

Part2,PreliminaryStepsinQuantitativeandQualitativeResearch,furthersets thestageforlearningabouttheresearchprocessbyconsideringaspectsofastudy’s conceptualization Chapter6focusesonthedevelopmentofresearchquestionsand theformulationofresearchhypotheses.Chapter7discusseshowtoretrieveresearch evidence(especiallyinelectronicbibliographicdatabases)andtheroleofresearch literaturereviews.Chapter8presentsinformationabouttheoreticalandconceptual frameworks.

Part3,DesignsandMethodsforQuantitativeandQualitativeNursingResearch, presentsmaterialonthedesignandconductofalltypesofnursingstudies.Chapter9 describesfundamentaldesignprinciplesanddiscussesmanyspecificaspectsof quantitativeresearchdesign,includingeffortstoenhancerigor.Chapter10 introducesthetopicsofsamplinganddatacollectioninquantitativestudies. Conceptsrelatingtoqualityinmeasurements reliabilityandvalidity are introducedinthischapter.Chapter11describesthevariousqualitativeresearch traditionsthathavecontributedtothegrowthofconstructivistinquiryandpresents thebasicsofqualitativedesign.Chapter12coverssamplinganddatacollection methodsusedinqualitativeresearch,describinghowthesedifferfromapproaches usedinquantitativestudies Chapter13emphasizesmixedmethodsresearch,butthe chapteralsodiscussesotherspecialtypesofresearchsuchassurveys,outcomes research,andqualityimprovementprojects

Part4,AnalysisandInterpretationinQuantitativeandQualitativeResearch, presentstoolsformakingsenseofresearchdata.Chapter14reviewsmethodsof statisticalanalysis Thechapterassumesnopriorinstructioninstatisticsandfocuses primarilyonhelpingreaderstounderstandwhystatisticsareuseful,whattestmight beappropriateinagivensituation,andwhatstatisticalinformationinaresearch articlemeans.Chapter15discussesapproachestointerpretingstatisticalresults, includinginterpretationslinkedtoassessmentsofclinicalsignificance.Chapter16 discussesqualitativeanalysis,withanemphasisonethnographic,phenomenologic, andgroundedtheorystudies.Chapter17elaboratesoncriteriaforappraising trustworthinessandintegrityinqualitativestudies Finally,Chapter18describes systematicreviews,includinghowtounderstandandappraisebothmeta-analyses andmetasyntheses.

Attheendofthebook,weofferstudentsadditionalcritiquingsupport Inthe appendices,weofferfull-lengthresearcharticles twoquantitative,one qualitative,andonemixedmethods thatstudentscanread,analyze,andcritique. Studentscanmodeltheircritiquesonthefullcritiquesoftwoofthosestudies providedorcomparetheirworktotheonesprovided.Aglossaryattheendof thebookprovidesadditionalsupportforthoseneedingtolookupthemeaningofa methodologicterm.

FEATURESOFTHETEXT

Wehaveretainedmanyoftheclassicfeaturesthatweresuccessfullyusedinprevious editionstoassistthoselearningtoreadandapplyevidencefromnursingresearch:

Clear,User-FriendlyStyle.Ourwritingstyleiseasilydigestibleandnonintimidating andwehaveworkedevenharderinthiseditiontowriteclearlyandsimply Conceptsareintroducedcarefully,difficultideasarepresentedthoughtfully,and readersareassumedtohavenopriorknowledgeoftechnicalterms

CritiquingGuidelines.Eachchapterincludesguidelinesforconductingacritiqueof variousaspectsofaresearchreport.Theguidelinessectionsprovidealistof questionsthatwalkstudentsthroughastudy,drawingattentiontoaspectsofthe studythatareamenabletoappraisalbyresearchconsumers.

ResearchExamplesandCriticalThinkingExercises.Eachchapterconcludeswith oneortwoactualresearchexamplesdesignedtohighlightcriticalpointsmadeinthe chapterandtosharpenthereader’scriticalthinkingskills.Inaddition,manyresearch examplesareusedtoillustratekeypointsinthetextandtostimulatestudents’ thinkingaboutareasofresearchinquiry.Wehavechosenmanyinternational examplestocommunicatetostudentsthatnursingresearchisgrowinginimportance worldwide.SomeoftheCriticalThinkingExercisesfocusonthefull-lengtharticles inAppendixA(aquantitativestudy)andAppendixB(aqualitativestudy).

TipsforStudents.Thetextbookisfilledwithpracticalguidanceandtipsonhowto translatetheabstractnotionsofresearchmethodsintomoreconcreteapplications.In thesetips,wehavepaidspecialattentiontohelpingstudents read researchreports, whichareoftendauntingtothosewithoutspecializedresearchtraining

Graphics.Colorfulgraphics intheformofsupportivetables,figures,andexamples reinforcethetextandoffervisualstimulation

ChapterObjectives.Learningobjectivesareidentifiedinthechapteropenertofocus students’attentiononcriticalcontent.

KeyTerms.Eachchapteropenerincludesalistofnewterms,andwehavemadethe listmorefocusedandlessdauntingbyincludingonly key newterms.Inthetext,new termsaredefinedincontext(andbolded)whenusedforthefirsttime;termsoflesser

importanceareitalicized.Keytermsarealsodefinedinourglossary.

BulletedSummaryPoints.Asuccinctlistofsummarypointsthatfocusonsalient chaptercontentisprovidedattheendofeachchapter.

Essentials of Nursing Research: Appraising Evidence for Nursing Practice,ninth edition,hasancillaryresourcesdesignedwithbothstudentsandinstructorsinmind, availableon website.

StudentResourcesAvailableon

SupplementsforEachChapterfurtherstudents’explorationofspecifictopics.Afull listoftheSupplementsappearsonpagexxii.Thesesupplementscanbeassignedto provideadditionalbackgroundortoofferadvancedmaterialtomeetstudents’ specificneeds.

InteractiveCriticalThinkingActivitybringstheCriticalThinkingExercisesfrom thetextbook(exceptthosefocusedonstudiesintheappendices)toaneasy-to-use interactivetoolthatenablesstudentstoapplynewskillsthattheylearnineach chapter Studentsareguidedthroughappraisalsofrealresearchexamplesandthen usheredthroughaseriesofquestionsthatchallengethemtothinkaboutthequalityof evidencefromthestudy Responsescanbeprintedore-maileddirectlytoinstructors forhomeworkortesting.

HundredsofStudentReviewQuestionshelpstudentstoidentifyareasofstrength andareasneedingfurtherstudy.

AnswerstoCriticalThinkingExercisesareprovidedforquestionsrelatedtothe studiesinAppendicesAandBofthetextbook

JournalArticles 18fullarticlesfromWoltersKluwerjournals(onecorresponding toeachchapter) areprovidedforadditionalcritiquingopportunities Manyofthese arethefulljournalarticlesforstudiesusedastheend-of-chapterResearchExamples. Alljournalarticlesthatappearon areidentifiedinthetextwith andare calledoutintheReferenceslistsforappropriatechapterswithadoubleasterisk(**).

InternetResourceswithrelevantandusefulwebsitesrelatedtochaptercontentcan beclickedondirectlywithouthavingtoretypetheURLandriskatypographical error.Thiseditionalsoincludeslinkstoallopen-accessarticlescitedinthe textbook;thesearticlesarecalledoutintheReferenceslistsforappropriate chapterswithasingleasterisk(*).

CritiquingGuidelinesandLearningObjectivesfromthetextbookareavailablein MicrosoftWordforyourconvenience

NursingProfessionalsRolesandResponsibilities.

Instructor’sResourcesAvailableon

NEW!TestGeneratorQuestionsarecompletelynewandwrittenbythebook’s authorsfortheninthedition.Hundredsofmultiple-choicequestionsaidinstructorsin assessingtheirstudents’understandingofthechaptercontent.

AnInstructor’sManualincludesaprefacethatoffersguidancetoimprovethe teachingexperience Wehaverecognizedtheneedforstrongsupportforinstructors inteachingacoursethatcanbequitechallenging.Partofthedifficultystemsfrom students’anxietyaboutthecoursecontentandtheirconcernthatresearchmethods mightnotberelevanttotheirnursingpractice.Weoffernumeroussuggestionson howtomakelearningabout andteaching researchmethodsmorerewarding.The contentsoftheInstructor’sManualincludethefollowingforeachchapter: StatementofIntent.Discovertheauthors’goalsforeachchapter. SpecialClassProjects.Findnumerousideasforinterestingandmeaningfulclass projects.CheckouttheicebreakersandactivitiesrelatingtotheGreatCookie ExperimentwithaccompanyingSPSSfiles.

TestQuestionsandAnswers.True/falsequestions,plusimportantapplication questions,teststudents’comprehensionandtheirabilitytoputtheirnew critiquingskillstouse Theapplicationquestionsfocusonabriefsummaryofa studyandincludeseveralshort-answerquestions(withouranswers),plusessay questions.Theseapplicationquestionsareintendedtoassessstudents’knowledge

aboutmethodologicconceptsandtheircritiquingskills.

AnswerstotheInteractiveCriticalThinkingActivity.Suggestedanswerstothe questionsintheInteractiveCriticalThinkingActivityareavailabletoinstructors. Studentscaneitherprintore-mailtheirresponsesdirectlytotheinstructorfortesting orasahomeworkassignment.

TwosetsofPowerPointSlides:

“TestYourself!”PowerPointSlides.Foreachchapter,aslidesetoffive multiple-choice“TestYourself!”questionsrelatingtokeyconceptsinthechapter arefollowedbyanswerstothequestions Theaimoftheseslidesisnottoevaluate studentperformance.Werecommendtheseslidesbegiventostudentsforselftesting,ortheycanbeusedintheclassroomwithi>clickerstoassessstudents’ graspofimportantconcepts.Toenhancethelikelihoodthatstudentswillseethe relevanceoftheconceptstoclinicalpractice,allthequestionsareapplication-type questions Wehopeinstructorswillusetheslidestoclarifyanymisunderstandings and,justasimportantly,torewardstudentswithimmediatepositivefeedback aboutnewlyacquiredskills

PowerPointPresentationsoffertraditionalsummariesofkeypointsineach chapterforuseinclasspresentations.Theseslidesareavailableinaformatthat permitseasyadaptationandalsoincludeaudienceresponsequestionsthatcanbe usedontheirownorarecompatiblewithi>clickerandotheraudienceresponse programsanddevices

AnImageBankincludesfiguresfromthetext.

QSENMapshowshowthebookcontentintegratesQSENcompetencies.

BSNEssentialsCompetenciesMapshowshowthebookcontentintegratesAmerican AssociationofCollegesofNursing(AACN)EssentialsofBaccalaureateEducation forProfessionalNursingPracticecompetencies

StrategiesforEffectiveTeachingoffercreativeapproachesforengagingstudents.

LearningManagementSystemCourseCartridges. Accesstoallstudentresourcespreviouslydiscussed.

STUDYGUIDE

Theaccompanying Study Guide for Essentials of Nursing Research,ninthedition,is availableforpurchaseandaugmentsthetext,providingstudentswithopportunitiesto applytheirlearning

Critiquingopportunitiesaboundinthe Study Guide,whichincludeseightresearch articlesintheirentirety Thestudiesrepresentarangeofnursingtopicsand researchapproaches,includingarandomizedcontrolledtrial,acorrelational/mixed

methodsstudy,anEBPproject,threequalitativestudies(ethnographic, phenomenologic,andgroundedtheory),ameta-analysis,andametasynthesis.The ApplicationExercisesineachchapterguidestudentsinreading,understanding,and critiquingtheseeightstudies.

Answerstothe“QuestionsofFact”sectionintheApplicationExercisesineach chapterarepresentedinAppendixIofthe Study Guide sothatstudentscanget immediatefeedbackabouttheirresponses.

Althoughcritiquingskillsareemphasizedinthe Study Guide,otherincludedactivities supportstudents’learningoffundamentalresearchtermsandprinciples,suchasfillin-the-blankexercises,matchingexercises,andfocusedStudyQuestions.Answersto thosequestionsthathaveanobjectiveanswerareprovidedinAppendixI

COMPREHENSIVE,INTEGRATEDDIGITAL LEARNINGSOLUTIONS

Wearedelightedtointroduceanexpandedsuiteofdigitalsolutionstosupport instructorsandstudentsusing Essentials of Nursing Research,ninthedition Nowfor thefirsttime,ourtextbookisembeddedintotwointegrateddigitallearningsolutions onespecificforprelicensureprogramsandtheotherforpostlicensure thatbuildonthe featuresofthetextwithproveninstructionaldesignstrategies Tolearnmoreabout thesesolutions,visithttp://www.nursingeducationsuccess.com/orcontactyourlocal WoltersKluwerrepresentative

Ourprelicensuresolution,LippincottCoursePoint,isarichlearningenvironmentthat drivescourseandcurriculumsuccesstopreparestudentsforpractice.Lippincott CoursePointisdesignedforthewaystudentslearn Thesolutionconnectslearningto real-lifeapplicationbyintegratingcontentfrom Essentials of Nursing Research with videocases,interactivemodules,andevidence-basedjournalarticles.Idealforactive, case-basedlearning,thispowerfulsolutionhelpsstudentsdevelophigherlevelcognitive skillsandasksthemtomakedecisionsrelatedtosimple-to-complexscenarios.

LippincottCoursePointforNursingResearchfeaturesthefollowing:

LeadingContentinContext.Digitalcontentfrom Essentials of Nursing Research, ninthedition,isembeddedinourPowerfulTools,engagingstudentsandencouraging interactionandlearningonadeeperlevel

ThecompleteinteractiveeBookfeaturesannualcontentupdateswiththelatest EBPsandprovidesstudentswithanytime,anywhereaccessonmultipledevices Fullonlineaccessto Stedman’s Medical Dictionary for the Health Professions and Nursing ensuresstudentsworkwiththebestmedicaldictionaryavailable. PowerfulToolstoMaximizeClassPerformance.Additionalcourse-specifictools providecase-basedlearningforeverystudent:

VideoCasesshowhownursingresearchandevidence-basedpracticerelatesto real-lifenursingpractice.Bywatchingthevideosandcompletingrelated activities,studentswillflextheirevidence-basedpracticeskillsandbuildaspirit ofinquiry.

InteractiveModuleshelpstudentsquicklyidentifywhattheydoanddonot understand,sotheycanstudysmartly.Withexceptionalinstructionaldesignthat promptsstudentstodiscover,reflect,synthesize,andapply,studentsactively learn.Remediationlinkstothedigitaltextbookareintegratedthroughout.

CuratedCollectionsofJournalArticlesareprovidedvia Lippincott NursingCenter,WoltersKluwer’spremierdestinationforpeer-reviewednursing journals ThroughintegrationofCoursePointandNursingCenter,studentswill engageinhownursingresearchinfluencespractice.

DatatoMeasureStudents’Progress.Studentperformancedataprovidedinan intuitivedisplayletsinstructorsquicklyassesswhetherstudentshaveviewed interactivemodulesandvideocasesoutsideofclassaswellasseestudents’ performanceonrelatedNCLEX-stylequizzes,ensuringstudentsarecomingtothe classroomreadyandpreparedtolearn.

TolearnmoreaboutLippincottCoursePoint,pleasevisit www.nursingeducationsuccess.com/coursepoint.

LippincottRNtoBSNOnline:NursingResearchisapostlicensuresolutionfor onlineandhybridcourses,marryingexperientiallearningwiththetrustedcontentin Essentials of Nursing Research,ninthedition BuiltaroundlearningobjectivesthatarealignedtotheBSNEssentialsandQSEN

nursingcurriculumstandards,everyaspectofLippincottRNtoBSNOnlineisdesigned toengage,challenge,andcultivatepostlicensurestudents.

Self-PacedInteractiveModulesemploykeyinstructionaldesignstrategies includingstorytelling,modeling,andcase-basedandproblem-basedscenarios to activelyinvolvestudentsinlearningnewmaterialandfocusstudents’learning outcomesonreal-lifeapplication

Pre-andPostmoduleAssessmentsactivatestudents’existingknowledgepriorto engagingwiththemodule,thenassesstheircompetencyaftercompletingthe module

DiscussionBoardQuestionscreateanongoingdialoguetofostersociallearning.

WritingandGroupWorkAssignmentshonestudents’competenceinwritingand communication,instillingtheskillsneededtoadvancetheirnursingcareers.

CollatedJournalArticlesacquaintstudentstothebodyofnursingresearchongoing inrecentliterature

CaseStudyAssignments,includingunfoldingcasesthatevolvefromcasesinthe interactivemodules,aidstudentsinapplyingtheorytoreal-lifesituations BestPracticesinScholarlyWritingGuidecoversAPAformattingandstyle guidelines.

Usedaloneorinconjunctionwithotherinstructor-createdresources,LippincottRN toBSNOnlineaddsinteractivitytocourses.Italsosavesinstructorstimebykeeping bothtextbookandcourseresourcescurrentandaccuratethroughregularupdatestothe content.

TolearnmoreaboutLippincottRNtoBSNOnline,pleasevisit http://www.nursingeducationsuccess.com/nursing-education-solutions/lippincott-

rn-bsn-online/.

CLOSINGNOTE

Itisourhopeandexpectationthatthecontent,style,andorganizationofthisninth editionof Essentials of Nursing Research willbehelpfultothosestudentswhowantto becomeskillful,thoughtfulreadersofnursingstudiesandtothosewishingtoenhance theirclinicalperformancebasedonresearchfindings.Wealsohopethatthistextbook willhelptodevelopanenthusiasmforthekindsofdiscoveriesandknowledgethat researchcanproduce.

CherylTatanoBeck,DNSc,CNM,FAAN

USER’SGUIDE

LearningObjectivesfocusstudents’attentiononcriticalcontent

KeyTermsalertstudentstoimportantterminology

Exampleshelpstudentsapplycontenttoreal-liferesearch

Tipboxesdescribewhatisfoundinactualresearcharticles

How-to-TellTipboxesexplainconfusingissuesinactualresearcharticles

CritiquingGuidelinesboxesleadstudentsthroughkeyissuesinaresearcharticle

ResearchExampleshighlightcriticalpointsmadeinthechapterandsharpencritical thinkingskills

CriticalThinkingExercisesprovideopportunitiestopracticecritiquingactualresearch articles

SummaryPointsreviewchaptercontenttoensuresuccess

Specialiconsalertstudentstoimportantcontentfoundon andinthe

REVIEWERS

LisaAiello-Laws,RN,MSN,AOCNS,APN-C AssistantClinicalProfessor CollegeofNursingandHealthProfessions DrexelUniversity Philadelphia,Pennsylvania

ElizabethW.Black,MSN,CSN AssistantProfessor GwyneddMercyUniversity GwyneddValley,Pennsylvania

LynnP.Blanchette,RN,PhD ProgramDirector RhodeIslandCollege Providence,RhodeIsland

AnneWatsonBongiorno,PhD,APHN-BC,CNE AssociateProfessor StateUniversityofNewYorkatPlattsburgh Plattsburgh,NewYork

KatherineBowman,PhD,RN AssistantTeachingProfessor SinclairSchoolofNursing UniversityofMissouri Columbia,Missouri

BarbBraband,EdD,RN,CNE Master’sProgramDirector UniversityofPortland Portland,Oregon

VeraBrancato,EdD,MSN,RN,CNE ProfessorofNursing

AlverniaUniversity Reading,Pennsylvania

JenniferBryer,PhD,RN,CNE ChairpersonandAssociateProfessor DepartmentofNursing

FarmingdaleStateCollege Farmingdale,NewYork

WendyBudin,PhD,RN-BC,FACCE,FAAN

AdjunctProfessor

NewYorkUniversity NewYork,NewYork

CarolCaico,PhD,CS,NP AssociateProfessor

NewYorkInstituteofTechnology NewYork,NewYork

MaryAnnCantrell,PhD,RN,CNE,FAAN AssistantProfessor

VillanovaUniversity Villanova,Pennsylvania

RuthChaplen,RN,MSN,DNP,ACNSBC,AOCN AssociateProfessorofNursing RochesterCollege RochesterHills,Michigan

LoriCiafardoni,RN,MSN/ED AssistantProfessor StateUniversityofNewYorkatDelhi Delhi,NewYork

LeahCleveland,EdD,RN,CNS,PHN,CDE Lecturer

CaliforniaStateUniversity,Fullerton Fullerton,California

SusanDavidson,EdD,APN,NP-C Professor SchoolofNursing Coordinator GatewayRN-BSNProgram

SchoolofNursing UniversityofTennesseeatChattanooga Chattanooga,Tennessee

PameladeCordova,PhD,RN-BC AssistantProfessor

RutgersUniversity NewBrunswick,NewJersey

JosephineDeVito,PhD,RN UndergraduateChairandAssociateProfessor CollegeofNursing SetonHallUniversity SouthOrange,NewJersey

NancyAnnC.Falvo,BSN,MSN,PhD AssistantProfessor

ClarionUniversityofPennsylvania Clarion,Pennsylvania

JeanieFlood,PhD,RN-C,IBCLC RNtoBSNFacultyAdvisor UniversityofHawaiiatHilo Hilo,Hawaii

DeborahHunt,PhD,RN AssociateProfessor CollegeofNewRochelle NewRochelle,NewYork

LindaJohanson,EdD,RN AssociateProfessor AppalachianStateUniversity Boone,NorthCarolina

LucinaKimpel,PhD,RN AssociateProfessor MercyCollegeofHealthSciences DesMoines,Iowa

PamelaKohlbry,PhD,RN,CNL AssociateProfessor Med/SurgLeadandCNLProgramCoordinator CaliforniaStateUniversitySanMarcos

SanMarcos,California

LeannLaubachPhD,RN Professor

CareerAdvancementCoordinator UniversityofCentralOklahoma Edmond,Oklahoma

HayleyMark,PhD,MSN,MPH,RN Chairperson DepartmentofNursing TowsonUniversity Towson,Maryland

DonnaMartin,DNP,MSN,RN-BC,CDE AssistantProfessor LewisUniversity Romeoville,Illinois

DitsapeloMcFarland,PhD,MSN,EdD AssociateProfessor

AdelphiUniversity GardenCity,NewYork

KristinaS.Miller,DNP,RN,PCNS-BC InstructorofMaternalChildNursing CollegeofNursing UniversityofSouthAlabama Mobile,Alabama

KathyT.Morris,EdD,MSN,RN AssistantProfessor

ArmstrongStateUniversity Savannah,Georgia

ElizabethMurray,PhD,RN,CNE AssistantProfessor FloridaGulfCoastUniversity FortMyers,Florida

SarahNewton,PhD,RN AssociateProfessor SchoolofNursing OaklandUniversity

Rochester,Michigan

MaeAnnPasquale,RN,BSN,MSN AssistantProfessorofNursing CedarCrestCollege Allentown,Pennsylvania

KimL.PaxtonDNP,APRN,ANP-BC,LIHT-C AssistantProfessor CardinalStritchUniversity Milwaukee,Wisconsin

JanetReagor,PhD,RN InterimDeanandAssistantProfessorofNursing Director

RN-BSNProgram AvilaUniversity KansasCity,Missouri

ElizabethA.Roe,PhD,RN ActingAssistantDean CollegeofHumanandHealthSciences SaginawValleyStateUniversity Saginaw,Michigan

CathyRozmus,PhD,RN Professor AssociateDeanforAcademicAffairs UniversityofTexasHealthScienceCenteratHouston Houston,Texas

MilenaP.Staykova,EdD,FNC-BC Director

Post-LicensureBachelorofScienceinNursing JeffersonCollegeofHealthSciences Roanoke,Virginia

AmyStimpfel,PhD,RN AssistantProfessor CollegeofNursing

NewYorkUniversity NewYork,NewYork

YiyuanSun,DNSc

AssociateProfessor

AdelphiUniversity GardenCity,NewYork

AnnieThomas,PhD,RN AssistantProfessor

LoyolaUniversityChicago Chicago,Illinois

ElizabethVandeWaa,PhD ProfessorofAdultHealthNursing UniversityofSouthAlabama Mobile,Alabama

AdrienneWald,BSN,MBA,EdD AssistantProfessor CollegeofNewRochelle NewRochelle,NewYork

CamilleWendekier,PhD,CRRN,CSN,RN AssistantProfessor

SaintFrancisUniversity Loretto,Pennsylvania

KathleenWilliamson,RN,PhD Chair

WilsonSchoolofNursing MidwesternStateUniversity WichitaFalls,Texas

RoxanneWilson,PhD,RN AssistantProfessor St.CloudStateUniversity St.Cloud,Minnesota

PaigeWimberley,RN,CNS,CNE

AssistantProfessorofNursing ArkansasStateUniversity Jonesboro,Arkansas

CharlotteA.Wisnewski,PhD,RN,CDE,CNE AssociateProfessor UniversityofTexasMedicalBranch Galveston,Texas

ACKNOWLEDGMENTS

Thisninthedition,likethepreviouseighteditions,dependedonthecontributionof manygenerouspeople.Toallofthemanyfacultyandstudentswhousedthetextand havemadeinvaluablesuggestionsforitsimprovement,weareverygrateful. Suggestionsweremadetousbothdirectlyinpersonalinteractions(mostlyatthe UniversityofConnecticutandGriffithUniversityinAustralia)andviae-mail correspondence WewouldlikeinparticulartothankValoriBanfi,nursinglibrarianat theUniversityofConnecticut,andJohnMcNulty,afacultymemberattheUniversityof Connecticut Wewouldalsoliketoacknowledgethereviewersofthenintheditionof Essentials.

Otherindividualsmadespecificcontributions.Althoughitwouldbeimpossibleto mentionall,wenotewiththanksthenurseresearcherswhosharedtheirworkwithusas wedevelopedexamples,includingworkthatinsomecaseswasnotyetpublished.We alsoextendourwarmthankstothosewhohelpedtoturnthemanuscriptintoafinished product.ThestaffatWoltersKluwerhasbeenoftremendousassistanceinthesupport theyhavegivenusovertheyears.WeareindebtedtoChristinaC.Burns,Emily Lupash,MeredithL Brittain,MarianBellus,andalltheothersbehindthescenesfor theirfinecontributions.ThanksalsotoRodelFariñasforhispatienceandgoodhumor inturningourmanuscriptintothistextbook

Finally,wethankourfamilies,ourlovedones,andourfriends,whoprovided ongoingsupportandencouragementthroughoutthisendeavorandwhoweretolerant whenweworkedlongintothenight,overweekends,andduringholidaystogetthis nintheditionfinished.

18 SystematicReviews:Meta-AnalysisandMetasynthesis

AppendixA

AppendixB

AppendixC

Swensonetal.’s(2016)Study: Parents’ Use of Praise and Criticism in a Sample of Young Children Seeking Mental Health Services

BeckandWatson’s(2010)Study: Subsequent Childbirth After a Previous Traumatic Birth

Wilsonetal.’s(2016)Study: A Randomized Controlled Trial of an Individualized Preoperative Education Intervention for Symptom Management After Total Knee Arthroplasty

Critique of Wilson and Colleagues’ Study

AppendixD

Sawyeretal.’s(2010)Study: Differences in Perceptions of the Diagnosis and Treatment of Obstructive Sleep Apnea and Continuous Positive Airway Pressure Therapy Among Adherers and Nonadherers

Critique of Sawyer and Colleagues’ Study

Glossary Index

CHAPTERSUPPLEMENTSAVAILABLEON

SupplementforChapter1 TheHistoryofNursingResearch

SupplementforChapter2 EvaluatingClinicalPracticeGuidelines AGREEII

SupplementforChapter3 DeductiveandInductiveReasoning

SupplementforChapter4 GuidetoanOverallCritiqueofaQuantitative ResearchReportandGuidetoanOverallCritiqueofa QualitativeResearchReport

SupplementforChapter5 InformedConsent

SupplementforChapter6 SimpleandComplexHypotheses

SupplementforChapter7 FindingEvidenceforanEBPInquiryinPubMed

SupplementforChapter8 ProminentConceptualModelsofNursingUsedby NurseResearchers

SupplementforChapter9 SelectedExperimentalandQuasi-Experimental Designs:Diagrams,Uses,andDrawbacks

SupplementforChapter10 VignettesandQ-Sorts

SupplementforChapter11 QualitativeDescriptiveStudies

SupplementforChapter12 TransferabilityandGeneralizability

SupplementforChapter13 OtherSpecificTypesofResearch

SupplementforChapter14 MultivariateStatistics

SupplementforChapter15 ResearchBiases

SupplementforChapter16 AGlaserianGroundedTheoryStudy:Illustrative Materials

SupplementforChapter17 WhittemoreandColleagues’FrameworkofQuality CriteriainQualitativeResearch

SupplementforChapter18 PublicationBiasinMeta-Analyses

Part1 OverviewofNursingResearchandIts

RoleinEvidence-BasedPractice

1 IntroductiontoNursingResearchin anEvidence-BasedPractice Environment

LearningObjectives

Oncompletingthischapter,youwillbeableto:

Understandwhyresearchisimportantinnursing

Discusstheneedforevidence-basedpractice

Describebroadhistoricaltrendsandfuturedirectionsinnursingresearch

Identifyalternativesourcesofevidencefornursingpractice

Describemajorcharacteristicsofthepositivistandconstructivistparadigm

Comparethetraditionalscientificmethod(quantitativeresearch)withconstructivist methods(qualitativeresearch)

Identifyseveralpurposesofquantitativeandqualitativeresearch

Definenewtermsinthechapter

KeyTerms

Assumption

Cause-probingresearch

Clinicalnursingresearch

Clinicalsignificance

Constructivistparadigm

Empiricalevidence

Evidence-basedpractice(EBP)

Generalizability

Journalclub

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