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Chapter 2

Nursing Education,
Research, and
Evidence-Based
Practice
Kozier & Erb's Fundamentals of Nursing, 8e
Berman, Snyder, Kozier, Erb
Copyright 2008 by Pearson Education, Inc.
Question 1
Which of the following is an example of
continuing education for nurses?
2. Attending the hospital’s orientation
program.
3. Talking with a company representative
about a new piece of equipment.
4. Completing a workshop on ethical
aspects of nursing.
5. Obtaining information about the facility’s
new computer charting system.
Copyright 2008 by Pearson Education, Inc.
Rationales 1
• Hospital orientation is an example of in-
service education. Talking with a
company representative is an example of
in-service education. Correct.
Continuing education refers to formalized
experiences designed to enlarge the
knowledge or skills of practitioners.
• Obtaining information about the facility’s
new computer charting system is an
example of in-service education.
Copyright 2008 by Pearson Education, Inc.
Question 2
Which of the following is a nursing responsibility
when critiquing published nursing research?
2. Assuming that the research was properly
conducted since it has been published.
3. Evaluating whether the findings are applicable
to the nurse’s own clients.
4. Implementing the research findings if at least
two studies have shown the same results.
5. Requesting the raw data from the researchers
so that the nurse can analyze the statistics
again.
Copyright 2008 by Pearson Education, Inc.
Rationales 2
• Published studies may have flawed designs,
data collection, or analysis.
• Correct. Since the primary purpose of research
is to improve the quality of client care, the
nurse should determine if published research
results are applicable to the specific client
population.
• Although more than one well-conducted study
with similar findings supports usefulness of the
results, applicability must still be determined for
the specific client population.
• It is not realistic for the nurse to rerun the data
to check the results of the study.
Copyright 2008 by Pearson Education, Inc.
Question 5
An 85-year-old client in a nursing home
tells a nurse, “I signed the papers for
that research study because the doctor
was so insistent and I want him to
continue taking care of me.” Which client
right is being violated?
2. Right not to be harmed.
3. Right to full disclosure.
4. Right of privacy and confidentiality.
5. Right of self-determination.
Copyright 2008 by Pearson Education, Inc.
Rationales 5
• There is not enough information to know
if this right has been violated.
• There is not enough information to know
if this right has been violated.
• There is not enough information to know
if this right has been violated.
• Correct. The right of self-determination
means that subjects feel free of
constraints, coercion, or any undue
influence to participate in a study.

Copyright 2008 by Pearson Education, Inc.


Types of Nursing Education
• Practical or vocational nursing
• Registered nursing
– Diploma
– Associate degree
– Baccalaureate
• Graduate nursing
– Masters
– Doctoral
• Continuing education and in-service
education
Copyright 2008 by Pearson Education, Inc.
Continuing Education

What is the definition of continuing education


What is the purpose of continuing education?
What are the licensure requirements for
continuing education in our area?

Copyright 2008 by Pearson Education, Inc.


Participation in Research
• Purpose
– ANA standards
– Evidence-based practice (EBP)
• Degree of participation

Copyright 2008 by Pearson Education, Inc.


Types of Nursing Research
Quantitative Qualitative
• Progresses through • Naturalistic inquiry
systematic, logical • Explores human
steps experiences
• Specific plan • Identifies themes
• Controlled and patterns
conditions
• Statistical analysis

Copyright 2008 by Pearson Education, Inc.


Protection of Rights of Human
Subjects
• Safeguard the following
rights
– Right not to be harmed
– Right to full disclosure
– Right to self-
determination
– Right of privacy and
confidentiality

Copyright 2008 by Pearson Education, Inc.


The Quantitative
Research Process
1. State a research question or
problem
2. Define the purpose or rationale
3. Review the literature
4. Formulate a hypothesis and
defining variables
5. Select a research design

Copyright 2008 by Pearson Education, Inc.


The Qualitative
Research Process
1. Collect narrative data through
interviews or observations
2. Transcribe the data
3. Organize data around some type of
categorization scheme to present a
description or theory

Copyright 2008 by Pearson Education, Inc.


Question 1
Which of the following is an example of
continuing education for nurses?
2. Attending the hospital’s orientation
program.
3. Talking with a company representative
about a new piece of equipment.
4. Completing a workshop on ethical
aspects of nursing.
5. Obtaining information about the facility’s
new computer charting system.
Copyright 2008 by Pearson Education, Inc.
Rationales 1
• Hospital orientation is an example of in-
service education.
• Talking with a company representative is
an example of in-service education.
• Correct. Continuing education refers to
formalized experiences designed to
enlarge the knowledge or skills of
practitioners.
• Obtaining information about the facility’s
new computer charting system is an
example of in-service education.
Copyright 2008 by Pearson Education, Inc.
Question 2
Which of the following is a nursing responsibility
when critiquing published nursing research?
2. Assuming that the research was properly
conducted since it has been published.
3. Evaluating whether the findings are applicable
to the nurse’s own clients.
4. Implementing the research findings if at least
two studies have shown the same results.
5. Requesting the raw data from the researchers
so that the nurse can analyze the statistics
again.

Copyright 2008 by Pearson Education, Inc.


Rationales 2
• Published studies may have flawed designs,
data collection, or analysis.
• Correct. Since the primary purpose of research
is to improve the quality of client care, the
nurse should determine if published research
results are applicable to the specific client
population.
• Although more than one well-conducted study
with similar findings supports usefulness of the
results, applicability must still be determined for
the specific client population.
• It is not realistic for the nurse to rerun the data
to check the results of the study.
Copyright 2008 by Pearson Education, Inc.
Question 5
An 85-year-old client in a nursing home
tells a nurse, “I signed the papers for
that research study because the doctor
was so insistent and I want him to
continue taking care of me.” Which client
right is being violated?
2. Right not to be harmed.
3. Right to full disclosure.
4. Right of privacy and confidentiality.
5. Right of self-determination.
Copyright 2008 by Pearson Education, Inc.
Rationales 5
• There is not enough information to know
if this right has been violated.
• There is not enough information to know
if this right has been violated.
• There is not enough information to know
if this right has been violated.
• Correct. The right of self-determination
means that subjects feel free of
constraints, coercion, or any undue
influence to participate in a study.

Copyright 2008 by Pearson Education, Inc.


Resources
• Audio Glossary
• Nursing Net
This is a comprehensive Web page dedicated to
the profession of nursing.
• Nursing Center
This Web page offers on-line nursing resources.
• National Institute of Nursing Research
This site offers information on nursing research
and is run by the National Institutes of Health.

Copyright 2008 by Pearson Education, Inc.


Resources
• AACN-CCNE-CCNE Accreditation
American Association of Colleges of Nurses
official site, with school accreditation information
• National Council of State Boards of Nursing
This site offers information on the NCLEX
examination and on the state boards of nursing.
• HealthWeb
This site links to health information on the
Internet.
• National League for Nurses
This site offers information on programs,
workshops, conferences, and nursing legislation.
Copyright 2008 by Pearson Education, Inc.
Resources
• Health Insurance Portability and Accountability Act (HI

This site identifies the ramifications of HIPAA and


its impact on the nursing profession.
• Health Care Quality: Patient's Rights and Responsibiliti

This site defines patient's rights as outlined in the


Consumer Advisory Commission on Consumer
Protection and Quality in the Health Care Industry.

Copyright 2008 by Pearson Education, Inc.


Resources
• The Baccalaureate Degree in Nursing as Minimal Prepa

This page describes the rationale of the AACN's


stance on the BSN as entry into the nursing
profession.

Copyright 2008 by Pearson Education, Inc.