

Advanced Nursing Research
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Course Introduction
Advanced Nursing Research focuses on the development and application of advanced research skills essential for nursing practice and healthcare innovation. The course explores qualitative and quantitative research methodologies, critical appraisal of scientific literature, ethical considerations in human subjects research, and the translation of evidence into practice. Students will design and critique research proposals, analyze data, and learn strategies for disseminating findings to influence policy and improve patient outcomes. Emphasis is also placed on the integration of research evidence with clinical expertise to foster evidence-based nursing care.
Recommended Textbook Nursing Research 8th Edition by
Geri LoBiondoWood
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Page 2
Chapter 1: Integrating Research, Evidence-Based Practice, and Quality Improvement Processes
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Sample Questions
Q1) When assessing the strength of a body of evidence used in a research study for consistency, the nurse should determine what?
A) Extent to which the study's design, implementation, and analysis minimize bias
B) Number of studies that have evaluated the research question, including overall Sample size across studies
C) Degree to which studies with similar and different designs investigated the same Research questions and report similar findings
D) Significance of the findings based on the statistical methods used for data analysis
Answer: C
Q2) Which of the following is a critical step for the quality improvement process in health care settings?
A) Outlining general long-range goals
B) Identifying current successful practices
C) Testing practice changes slowly and tentatively
D) Adopting a practice change as a new standard of care
Answer: D
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3

Chapter 2: Research Questions, Hypotheses, and Clinical Questions
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Q1) The nurse has identified a clinical problem as a potential research question. Which of these steps should the nurse take \(\bold{next}\)?
A) Identify the variables
B) Formulate the research hypothesis
C) Perform a literature review
D) Determine financial resources for the research project
Answer: C
Q2) When designing a research study, the nurse should have which of these understandings about independent and dependent variables?
A) All research problem statements should contain a dependent and an independent variable.
B) There should only be one dependent variable associated with a single independent variable.
C) The relationship between the independent and the dependent variable in any study should be causal.
D) A given characteristic or situation may be the dependent variable in one study and the independent variable in another.
Answer: D
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Chapter 3: Gathering and Appraising the Literature
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Sample Questions
Q1) A general timeline for a literature search for an academic paper or project is to go back how far in the literature?
A) At least the last 6 months to 2 years
B) At least the past 3 to 5 years
C) At least the past 6 to 10 years
D) At least the past 12 to 15 years
Answer: B
Q2) Which of these factors limits the usefulness of the World Wide Web as a source of information for research consumers?
A) Downloading from the Web can be a slow process.
B) Nontext capabilities reduce the professionalism of presentations.
C) There is little quality control over the information on many websites.
D) Much of the available information is too technical to be understood by the casual reader.
Answer: C
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5
Chapter 4: Theoretical Frameworks for Research
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Q1) Pender's health promotion model is an example of what type of theory?
A) Grand nursing theory
B) Middle-range nursing theory
C) Situation-specific nursing theory
D) Another discipline's theory applied to nursing
Q2) Which nursing theory is classified as a Grand Nursing Theory?
A) Polk's Theory of Resilience
B) Mishel's Uncertainty in Illness Theory
C) Orem's Self-Care Deficit Nursing Theory
D) Im's Theory of Caucasians' Cancer Pain Experience
Q3) A graphic or symbolic representation of a phenomenon not directly observable, which allows the reader to visualize key constructs and their interrelationships, is called what?
A) A concept
B) A conceptual definition
C) An operational definition
D) A model
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6

Chapter 5: Introduction to Qualitative Research
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Q1) How is the number of subjects for participation determined for a qualitative study?
A) Data are collected from new subjects until data saturation is reached.
B) The number of subjects is the number available at a specific location.
C) The number of subjects is the number available within the researcher's specified time frame.
D) A power analysis of data collected in a pilot study is used to determine the number.
Q2) A characteristic of qualitative research data is that they are what?
A) In text form
B) Dichotomous
C) Free of patterns
D) Inappropriate for analysis
Q3) A nurse's research question is, "What is the grief experience of women older than 30 years from rural Mexico who have a late-stage pregnancy loss?" Which aspect of the question represents the study's context?
A) Late-stage pregnancy loss
B) Women older than 30 years
C) Grief experience
D) Rural Mexico
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Chapter 6: Qualitative Approaches to Research
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Q1) When a researcher analyzes data from a phenomenologic study, what is the final synthesis of participants' reported experiences?
A) Description of the lived experience
B) Identification of thought sequences
C) Generalization of the findings
D) Classification of recurring themes
Q2) What is the purpose of grounded theory?
A) To expand the scope of nursing practice into areas formerly reserved for other disciplines
B) To provide an exhaustive description of how individuals or groups have experienced an event
C) To examine patterns of action and interaction between and among various types of social units
D) To identify precepts and mores common to all members of a distinct cultural or ethnic group
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Chapter 7: Appraising Qualitative Research
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Q1) The nurse is critiquing a qualitative research study. Which question would be appropriate for the nurse to ask when critiquing the study's fittingness?
A) Has adequate time been allowed to fully understand the phenomenon?
B) Are the results meaningful to individuals not involved in the research?
C) Does the investigator document the research process?
D) What is the projected significance of the research to nursing?
Q2) Which of these titles of a research report indicates the study is qualitative, rather than quantitative?
A) Predicting the treatment choice for women older than age 50 experiencing breast cancer
B) Evaluating nursing interventions for complex oncology clinical phenomena
C) Using virtual reality as a distraction method during chemotherapy
D) Transcending pain during bone marrow aspiration
Q3) One outcome of collecting evidence about a phenomenon of interest in a qualitative research study may be what?
A) Triangulation
B) Participant cross-checking
C) Metasynthesis
D) Instrument development
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Page 9

Chapter 8: Introduction to Quantitative Research
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Q1) Which factor is most likely to be a mediating variable in a study to determine if high doses of vitamin C help reduce the subjects' susceptibility to influenza?
A) The subjects' use of influenza vaccine
B) The subject' knowledge of vitamin C's functions
C) The gender of the potential subjects
D) The marital status of the potential subjects
Q2) A nurse researcher should consider mortality a threat to the study's internal validity for which of these reasons?
A) There is concern that the intervention may have harmful effects on subjects.
B) Those who dropped out of the study may be different than those who remained in the study.
C) Those who participated in the study may have died as a result of being in the study.
D) There is concern that the design is inappropriate for the study question if a large number of participants drop out of a study.
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Chapter 9: Experimental and Quasi-Experimental Designs
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Q1) A quasi-experimental study design would be a better choice for a research study than an experimental study design in which of these situations?
A) The study is to be conducted in a laboratory setting.
B) An experimental treatment is not part of the study.
C) The researcher has not conducted research before.
D) Full experimental control is not possible.
Q2) Randomization strengthens an experimental study in which of these ways?
A) It reduces the risk that a subject will be harmed by participation in the study.
B) It ensures that the experimental group and the control group have the same number of participants.
C) It allows the study to proceed without the researcher knowing which group is the experimental treatment group.
D) It increases the likelihood that the differences in outcomes between the groups are not related to chance alone.
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11

Chapter 10: Nonexperimental Designs
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Q1) A nurse researcher would choose to use a correlational study of multiple variables for which purpose?
A) To identify the independent variable
B) To test whether one variable causes another variable
C) To examine relationships between or among variables
D) To distinguish how different one variable is from another variable
Q2) Which types of research designs are considered to be relationship-difference studies? (Select all that apply.)
A) Descriptive
B) Exploratory
C) Correlational
D) Developmental
E) Comparative
F) Cross-sectional
Q3) Why would a nurse researcher choose not to use a survey study design?
A) Data analysis is limited with a survey design.
B) Information collected is relatively superficial.
C) Results are never applicable beyond the study population.
D) More subjects are required to reach statistical significance than for other study designs.
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Chapter 11: Systematic Reviews and Clinical Practice Guidelines
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Q1) ___ abstract
Q2) ___ implications for research and practice
Q3) ___ discussion
Q4) ___ results
Q5) Which are methods for searching and integrating the literature related to a specific clinical issue? (Select all that apply.)
A) Meta-analysis
B) Systematic review
C) Cochrane collaboration
D) Integrative review
Q6) ___ data collection
Q7) ___ authors and contact person
Q8) ___ type of studies reviewed
Q9) ___ plain language summary
Q10) ___ background of the question
Q11) ____ types of participants
Q12) ___ objectives of the search Page 13
Q13) ___ methods for selecting studies for review
Q14) ___ search methods for finding studies
Q15) ___ analysis of the located studies
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Chapter 12: Sampling
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Q1) A nurse researcher has made a generalization on the basis of the experience of a small number of participants. What will the result of this be?
A) The small sample will invalidate the hypotheses.
B) The researcher will be unable to eliminate his or her bias.
C) The data obtained from a small number will inadequately represent the phenomenon.
D) The small number of participants will increase the threat to internal validity influenced by history.
Q2) Which type of sampling is most at risk for sample bias?
A) Quota
B) Random
C) Purposive
D) Convenience
Q3) What can a nurse researcher use to restrict the study population to homogeneous groups of subjects?
A) Sampling
B) Self-selection
C) Eligibility criteria
D) Defining study limitations
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Page 15

Chapter 13: Legal and Ethical Issues
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Q1) What are ethical principles that are illustrated by obtaining IRB approval? (Select all that apply.)
A) Respect
B) Beneficence
C) Trust
D) Justice
E) Anonymity
F) Confidentiality
Q2) An adult participant receives an informed consent form to participate in a study on breast cancer in women younger than the age of 35. The study's informed consent process should include which elements? (Select all that apply.)
A) The participant's meeting the IRB members who approved the study
B) The participant's being informed of risks associated with the study
C) The participant's being informed of the study protocol
D) The participant's being given the right to decline participation at any time
E) The participant's being assured that her confidentiality will be maintained
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Chapter 14: Data Collection Methods
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Q1) What are the steps involved in instrument development? (Select all that apply.)
A) Clarify the target population
B) Define concept to be measured
C) Develop items
D) Estimate reliability and validity
E) Statistically analyze individual items
F) Develop implications from the item analysis
Q2) Which data collection method can be assessed by asking, "Is there evidence that subjects were able to answer the questions?"
A) Questionnaires
B) Interviews
C) Physiologic measurement
D) Records and databases
Q3) What is the nurse researcher's primary concern in data collection for research?
A) Flexibility in data collection
B) Consistency in data collection
C) Accurate interpretation of data collected
D) Averaging of numerical scores to reduce the effect of outliers
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Chapter 15: Reliability and Validity
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Q1) When validity of an instrument is determined, the nurse researcher assesses what? (Select all that apply.)
A) Stability
B) Variance
C) Accuracy
D) Precision
Q2) How should the nurse researcher describe variability in test scores attributed to error rather than to actual differences in behavior? (Select all that apply.)
A) Random error
B) Variance error
C) Persistent error
D) Systematic error
Q3) The nurse researcher notes that test-retest correlations were r = 0.79 when given over 4-week intervals. This is interpreted to indicate what?
A) Equivalence
B) Discriminability
C) Reliability
D) Homogeneity
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18

Chapter 16: Data Analysis: Descriptive and Inferential Statistics
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Q1) The nurse researcher is interested in estimating how reliably data can be used to generalize the findings of a study. In order for this to occur, the researcher should use what?
A) Inferential statistics
B) Descriptive statistics
C) Nonparametric statistics
D) Mathematical statistics
Q2) Which term represents the most frequent score in a frequency distribution?
A) Mean
B) Mode
C) Median
D) Percentile
Q3) The nurse researcher opts to group frequency data using large interval widths in a research study. Which problem may be encountered by using this type of interval widths?
A) Overlap can occur.
B) Patterns can be obscured.
C) Means cannot be determined.
D) Some data may not fit into any category.
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Chapter 17: Understanding Research Findings
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Sample Questions
Q1) Characteristics of a good table include what? (Select all that apply.)
A) It supplements and economizes the text.
B) It repeats text frequently for added emphasis.
C) It has precise titles and headings.
D) It does not repeat the text.
E) There is creativity in the presentation of data.
Q2) If a study's results are not supported statistically or are only partially supported, research consumers should conclude that the study is what?
A) Irrelevant
B) Important to review
C) Proven
D) Unconfirmed
Q3) When reporting results, investigators should demonstrate what?
A) Subjectivity
B) Appropriateness
C) Objectivity
D) Inference
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Chapter 18: Appraising Quantitative Research
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Q1) Which critical appraisal question would evaluate the data analysis of a research report?
A) Would it be possible to replicate this study in another clinical setting?
B) Are the results of each hypothesis or research question presented and presented objectively?
C) Did testing of the hypothesis(es) or research question(s) clearly support or not support each hypothesis or research question?
D) Was there an observation guide?
Q2) The critical appraisal question that would most accurately evaluate the applicability to nursing practice of a research report is what?
A) Would it be possible to replicate this study in another clinical setting?
B) Are the results of each hypothesis or research question presented and presented objectively?
C) Did testing of the hypothesis(es) or research question(s) clearly support or not support each hypothesis or research question?
D) Was there an observation guide?
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Chapter 19: Strategies and Tools for Developing an
Evidence-Based Practice
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Q1) A nurse researcher critiquing a research study notes that a confidence interval (CI) is too large for a new therapy to be clinically meaningful. What likely contributed to this statistical outcome?
A) Strong power level
B) Quantitative experimental design
C) Statistical analysis
D) Too small a sample
Q2) A nurse researcher is seeking studies whose outcomes are described with a measure of precision about the studies' results. The statistical descriptions the researcher will seek include what? (Select all that apply.)
A) The t test
B) Correlation
C) Standard deviation
D) CI
E) Mean
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Chapter 20: Developing an Evidence-Based Practice
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Q1) ___ collect data at specified intervals
Q2) Which question should a nurse researcher consider in identifying key stakeholders?
A) When will system changes be necessary?
B) How will uncooperative stakeholders be handled?
C) What is the step-by-step process of decision making in implementing EBP?
D) Who can influence the decision to proceed with implementation of an EBP?
Q3) A nurse researcher is selecting a topic for an EBP project. Which type of topic would be most appropriate if the researcher is interested in developing an idea from a problem-focused trigger?
A) Treatment of heart failure
B) Increased incidence of deep venous thrombosis in trauma patients
C) Prevention of nosocomial pressure ulcers
D) Community-acquired pneumonia
Q4) ___ use data to assist staff in modifying or integrating the evidence-based practice change
Q5) Steps of Evaluation for Evidence-Based Projects
Q6) ___ provide "on-site" feedback to staff regarding the progress in achieving the practice change
Q7) ___ establish content validity of data collection forms
Page 23
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Chapter 21: Quality Improvement
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Q1) Focused and prioritized improvement opportunities
A)Customer focus/patient focus
B)Leadership
C)Involvement of people
D)Process approach
E)System approach to management
F)Continual improvement
G)Factual approach to decision making
H)Mutually beneficial supplier relationships
Q2) Increased effectiveness in the organization's resources to enhance patient satisfaction
A)Customer focus/patient focus
B)Leadership
C)Involvement of people
D)Process approach
E)System approach to management
F)Continual improvement
G)Factual approach to decision making
H)Mutually beneficial supplier relationships
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