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Research into Nursing:

Nursing Research Integrated


with Evidence-Based Practice
2014 Nurse Licensure Examination

Prepared by: Josel D. Montero, BSN, RN, HAAD-RN

PART I: Foundations of Nursing Research


Definition of Nursing Research
Importance of Research to Nursing
Nursing Research: Past, Present and Future
Paradigm for Nursing Research
Classification of Nursing Research

PART II: Generating Evidence for Nursing


Key Concepts and Steps in:
Qualitative Research
Quantitative Research

PART III: Translating Research Evidence Into


Nursing Practice: Evidence-Based Nursing
Background of Evidence-Based Nursing Practice
EBP in Nursing
Types of Evidence and Evidence Hierarchies
Resources of EBP
Barriers to Research Utilization
Process of Using Research in Nursing Practice

PART I

Foundations of Nursing Research

RESEARCH AND NURSING


>Research

>Nursing Research

IMPORTANCE OF NURSING RESEARCH

C
A
S
E

OF IMPORTANCE TO NURSING?
To provide especially strong evidence for

informing nurses decisions and actions.

EVIDENCE-BASED NURSING

BOARD CONCEPT: July 2010 NLE


Which of the following is the best reliable
source on information for implementing
best practice?
a. research journal data
b. personal experience
c. expert opinion
d. nursing research

BOARD CONCEPT: July 2010 NLE


Which of the following is the best reliable
source on information for implementing
best practice?
a. research journal data
b. personal experience
c. expert opinion
d. nursing research

Key Concept
Nurse MJ is knowledgeable that research is
needed for which of the following
purposes?
a. to facilitate a more evidence-based
practice
b. to find solution to a problem
c. to provide answer to question
d. all of the above

Key Concept
Nurse MJ is knowledgeable that research is
needed for which of the following
purposes?
a. to facilitate a more evidence-based
practice
b. to find solution to a problem
c. to provide answer to question
d. all of the above

NURSING RESEARCH:
Past, Present and Future

The Early Years: From Nightingale to the 1960s


Began with FLORENCE NIGHTINGALE.
Little research works were conducted.
Focused on nursing education.
Sigma Theta Tau
EBP was only in literature.

NURSING RESEARCH:
Past, Present and Future

Nursing Research in the 1970s


EBP awareness by nurses of the need for a
scientific bases increased.
Utilization of research findings in nursing
practice.

NURSING RESEARCH:
Past, Present and Future

Nursing Research in the 1980s


Research is an integral part of professional
nursing.

NURSING RESEARCH:
Past, Present and Future

Nursing Research in the 1990s


In 1993, the National Institute of Nursing
Research was born.
COCHRANE COLLABORATION was
inaugurated.

NURSING RESEARCH:
Past, Present and Future

Trends for the Early 21st Century


Heightened Focus on EBP.
Development of a stronger evidence base
through more rigorous methods and multiple,
confirmatory strategies.
Greater emphasis on systematic integrative
reviews.
Expanded local research in health care
settings.

NURSING RESEARCH:
Past, Present and Future

Trends for the Early 21st Century


Strengthening of multidisciplinary
collaboration.
Expanded dissemination of research findings.
Increasing the visibility of nursing research.
Increased focus on cultural issues and health
disparities.

PARADIGMS FOR NURSING RESEARCH


PARADIGM: world view; general perspective
on the complexities of the real world.
TWO Paradigm in Nursing Research:
POSITIVIST Paradigm
NATURALISTIC Paradigm

PHILOSOPHICAL QUESTIONS
ONTOLOGIC: What is the nature of reality?
EPISTEMOLOGIC: What is the relationship

between the inquirer and that being studied?

AXIOLOGIC: What is the role of the values in the

inquiry?

METHODOLOGIC: How should the inquirer

obtain knowledge?

CLASSIFICATION OF RESEARCH
According to level of explanation
According to purpose
According to design

ACCORDING TO LEVEL OF EXPLANATION


Identification and Description

What is this phenomena?; What is its name?

Exploration

What is the full nature of the phenomenon?

Explanation

Elicits causes and relationships within a phenomenon.

Prediction and Control

Uses experimentation or research to predict or to control a

phenomenon.

ACCORDING TO PURPOSE
Basic

Applied

ACCORDING TO DESIGN
Quantitative

Qualitative

QUANTITATVE

QUALITATIVE

measurable

not

measurable

deals with numbers

deals with feelings, emotions and


behavior

highly objective

highly subjective

may or may not be manipulated

cannot be manipulated

rigid, hard, replicable

flexible

deductive

inductive

general to specific

specific to general

Key Concept
Out of curiosity, Glenda conducted a research
to generate new knowledge. She wants to
know the effect of breast implant in relation
with the number of her suitor. This type of
research is mainly:
a. Quantitative
b. Qualitative
c. Applied
d. Pure

Key Concept
Out of curiosity, Glenda conducted a research
to generate new knowledge. She wants to
know the effect of breast implant in relation
with the number of her suitor. This type of
research is mainly:
a. Quantitative
b. Qualitative
c. Applied
d. Pure

PART II

Generating Evidence for Nursing

QUALITATIVE
RESEARCH
DESIGN

QUALITATIVE RESEARCH DESIGN


cannot be measured
small sample size
field setting/natural environment
experiences and feelings
never manipulated/control
just an observer

QUALITATIVE RESEARCH DESIGN


Types:
Phenomenological Study
Ethnographic Study
Case Study
Grounded Theory Study
Historical Study

QUALITATIVE RESEARCH DESIGN


Phenomenological Study
phenomenon; situation; event
people describe experiences
researcher looks for themes: saturated
answers
looks for common experiences

QUALITATIVE RESEARCH DESIGN


Ethnographic Study
explains and describes culture of groups
Best Method:

QUALITATIVE RESEARCH DESIGN


Case Study
in-depth study of a person or institution
one-on-one study

QUALITATIVE RESEARCH DESIGN


Grounded Theory Study
an approach to collecting and analyzing data
that aims to develop new theories grounded in
real-world.
Best Method:

QUALITATIVE RESEARCH DESIGN


Historical Study
identifies, evaluates data from the past
Sources of Historical Data:
Documents: on paper (e.g. pictures, maps,
diary)
Relic/Artifact: items on physical evidence
Primary
Secondary

QUALITATIVE RESEARCH DESIGN


Data Sources Evaluation
EXTERNAL CRITICISM:

INTERNAL CRITICISM:

Key Concept
The researcher which will outline the lived
experiences of patients is called:
a. Phenomenological Study
b. Correlational Study
c. Ethnographic Study
d. Case Study

Key Concept
The researcher which will outline the lived
experiences of patients is called:
a. Phenomenological Study
b. Correlational Study
c. Ethnographic Study
d. Case Study

QUANTITATIVE
RESEARCH
DESIGN

QUANTITATIVE RESEARCH DESIGN


hard, replicable, reliable data
may or may not manipulate the independent

variable

QUANTITATIVE RESEARCH DESIGN


Steps in Quantitative Research Design
1. Identify the problem
2. Purpose of the Study
3. Review of Related Literature
4. Develop a Theoretical or Conceptual
Framework
5. Identify Assumptions
6. Acknowledge Limitations
7. Formulate Hypothesis
8. Define the Variables
9. Select Research Design/Type of Study

QUANTITATIVE RESEARCH DESIGN


Steps in Quantitative Research Design
10. Identify the Population
11. Select the Sample
12. Conduct Plot Study
13. Collect Data/Gather Data
14. Organize Data for Analysis
15. Analyze Data
16. Interpret the Findings
17. Communicate the Findings

QUANTITATIVE RESEARCH DESIGN


1. Identify the Problem
the start of the research process
identify a researchable problem

Sources of Research Problem:

Concepts
Literature
Issues
Experiences
Nursing Problems
Theories

QUANTITATIVE RESEARCH DESIGN


Problem Statement

A good Problem Statement should have:


a. Variables
b. Population
c. Question Mark

QUANTITATIVE RESEARCH DESIGN


Research Variables
Independent Variable:

Dependent Variable:

QUANTITATIVE RESEARCH DESIGN


Example:
Is there a difference between the weight gain of
infants who are exclusively breastfed and
infants who are exclusively formula fed?
a.Variables:
IV:
DV:
b. Population:
c. Question Mark:

QUANTITATIVE RESEARCH DESIGN


Problem Statement Format
Correlational
Comparative
Comparative Descriptive
Comparative Experimental

Key Concept
The problem statement is as follows: Is there a
difference in people who have exercised and
those who have not exercised? We can
conclude that this research problem:
a. lacks a population
b. lacks an independent variable
c. is unethical
d. lacks a dependent variable

Key Concept
The problem statement is as follows: Is there a
difference in people who have exercised and
those who have not exercised? We can
conclude that this research problem:
a. lacks a population
b. lacks an independent variable
c. is unethical
d. lacks a dependent variable

QUANTITATIVE RESEARCH DESIGN


2. Purpose of the Study
why the study is being made?

QUANTITATIVE RESEARCH DESIGN


3. Review of Related Literature

Most important reason:


to improve clients quality of care
First reason:
to determine what knowledge already exist
in the topic

QUANTITATIVE RESEARCH DESIGN


Literature Sources
Primary: first hand information (e.g. thesis,

research paper)

Secondary: e.g. magazine, newspaper

Key Concept
Initially, a review of related literature will serve
this important purpose:
a. Clarify a research topic
b. Determine existing knowledge on the topic
of interest
c. Identify a research problem
d. Determine available support teams

Key Concept
Initially, a review of related literature will serve
this important purpose:
a. Clarify a research topic
b. Determine existing knowledge on the topic
of interest
c. Identify a research problem
d. Determine available support teams

QUANTITATIVE RESEARCH DESIGN


4. Develop a Theoretical or Conceptual

Framework
main idea behind the research
Theoretical Framework:

Conceptual Framework:

Key Concept
Although they have similarities, a theoretical
framework is different from conceptual
framework in the sense that a theoretical
framework:
a. Is less formal
b. Is universally accepted
c. Is based on one existing theory
d. Is based on several theories

Key Concept
Although they have similarities, a theoretical
framework is different from conceptual
framework in the sense that a theoretical
framework:
a. Is less formal
b. Is universally accepted
c. Is based on one existing theory
d. Is based on several theories

QUANTITATIVE RESEARCH DESIGN


5. Identify Assumptions

QUANTITATIVE RESEARCH DESIGN


6. Acknowledge Limitations of the Study
recognize weakness of the study

QUANTITATIVE RESEARCH DESIGN


7. Formulate the Hypothesis

HYPOTHESIS: a prediction/guess on the


relationship of variables

QUANTITATIVE RESEARCH DESIGN


HYPOTHESIS according to number of variables:
Simple Hypothesis
Complex Hypothesis

HYPOTHESIS according to predicted results:


Null
Research

QUANTITATIVE RESEARCH DESIGN


In Research Hypothesis
Directional

Non-directional

Key Concept
The hypothesis was formulated, Female postappendectomy patients request for pain medications
more often than male posy-appendectomy patients.
According to results, this hypothesis is identified as:
a. Null
b. Complex
c. Research directional
d. Research non-directional

Key Concept
The hypothesis was formulated, Female postappendectomy patients request for pain medications
more often than male posy-appendectomy patients.
According to results, this hypothesis is identified as:
a. Null
b. Complex
c. Research directional
d. Research non-directional

QUANTITATIVE RESEARCH DESIGN


8. Define the Variables

DICTIONARY Definition: copied from the


dictionary
OPERATIONAL Definition: made by the
researcher based on the use in the study

Key Concept
Anxiety is termed as fear of the unknown.
This definition used by the researcher in the
study is:
a. Theoretical Definition
b. Operational Definition
c. Description
d. Webster Definition

Key Concept
Anxiety is termed as fear of the unknown.
This definition used by the researcher in the
study is:
a. Theoretical Definition
b. Operational Definition
c. Description
d. Webster Definition

QUANTITATIVE RESEARCH DESIGN


9. Select the Research Design/Type of Study
overall plan in research
blueprint in research

QUANTITATIVE RESEARCH DESIGN


EXPERIMENTAL

NON-EXPERIMENTAL

NONEXPERIMENTAL
DESIGN

QUANTITATIVE RESEARCH DESIGN


Types of Non-Experimental Design
CORRELATIONAL STUDIES: connect any
changes that happened in the variables; X
changes,Y also changes
COMPARATIVE STUDIES:

Comparative Studies based on time:


Retrospective
Prospective

QUANTITATIVE RESEARCH DESIGN


Types of Non-Experimental Design
METHODOLOGICAL STUDIES: testing and
evaluation of researcher instrument

SURVEY STUDIES: merely describes the

population

EXPERIMENTAL
DESIGN

QUANTITATIVE RESEARCH DESIGN


EXPERIMENTAL DESIGNS
True Experimental
Quasi-Experimental

QUANTITATIVE RESEARCH DESIGN


TRUE EXPERIMENTAL
Criteria:
a. Manipulation of IV
b. Control Group
c. Randomization

QUANTITATIVE RESEARCH DESIGN


TRUE EXPERIMENTAL DESIGNS
a. Pre-test-post-test Design
Two Groups
2. Randomization
3. Pre-test
4. Post-test
1.

QUANTITATIVE RESEARCH DESIGN


TRUE EXPERIMENTAL DESIGNS
b. Post-test only Design
Two Groups
2. Randomization
3. Post-test
1.

QUANTITATIVE RESEARCH DESIGN


TRUE EXPERIMENTAL DESIGNS
c. Solomon Four-Group Design
Four Groups
2. Randomization
3. Pre-test
4. Post-test
1.

QUANTITATIVE RESEARCH DESIGN


QUASI-EXPERIMENTAL DESIGNS
a. Non-Equivalent Control Group Before-After

Design
Two Groups
2. Pre-test
3. Post-test
1.

QUANTITATIVE RESEARCH DESIGN


QUASI-EXPERIMENTAL DESIGNS
b. Time-Series Design: repeated pre-tests and
post-tests

QUANTITATIVE RESEARCH DESIGN


QUASI-EXPERIMENTAL DESIGNS
c. One-shot case study: no pre-test; single group

QUANTITATIVE RESEARCH DESIGN


QUASI-EXPERIMENTAL DESIGNS
d. One-group pre-test-post-test Design
One Group: always experimental
2. Pre-test
3. Post-test
1.

QUANTITATIVE RESEARCH DESIGN


10. Identify the Population

POPULATION: the total number of individuals


from which the sample is drawn.

QUANTITATIVE RESEARCH DESIGN


11. Select the Sample

SAMPLE: a sub-group to represent the


population; any sub-aggregate drawn from the
population that is involved in the study
Most Important Characteristic:
REPRESENTATIVENESS

QUANTITATIVE RESEARCH DESIGN

REPRESENTATIVENESS
This refers to sufficiency, ability or attribute
of the samples to show or give the whole
picture and characteristics of the
population even if the totality of the
population is not actually involved.

QUANTITATIVE RESEARCH DESIGN


SLOVINs Formula:

QUANTITATIVE RESEARCH DESIGN


SAMPLING TECHNIQUES
Probability Sampling
Non-Probability Sampling

QUANTITATIVE RESEARCH DESIGN


PROBABILITY SAMPLING:

QUANTITATIVE RESEARCH DESIGN


TYPES OF PROBABILITY SAMPLING
Simple Random Sampling:

Stratified Random Sampling:

QUANTITATIVE RESEARCH DESIGN


TYPES OF PROBABILITY SAMPLING
Cluster Sampling:

Systematic Sampling:

QUANTITATIVE RESEARCH DESIGN


NON-PROBABILITY SAMPLING:

QUANTITATIVE RESEARCH DESIGN


TYPES OF NON-PROBABILITY SAMPLING
Convenience Sampling:

QUANTITATIVE RESEARCH DESIGN


TYPES OF NON-PROBABILITY SAMPLIN
Snowball Sampling/Network Sampling:

QUANTITATIVE RESEARCH DESIGN


TYPES OF NON-PROBABILITY SAMPLING
Quota Sampling:

Judgmental Sampling:

Key Concept
Nurse Anthon has chosen to conduct his study among
grade 3 students in a private elementary school since
his child is also a grade 3 student in the same school and
he is the secretary of the PTA with access to the
contact numbers of the parents. The type of sampling
done by nurse Anthon is one of:
a. Probability Sampling
b. Cluster Random Sampling
c. Systematic Random Sampling
d. Convenience Sampling

Key Concept
Nurse Anthon has chosen to conduct his study among
grade 3 students in a private elementary school since
his child is also a grade 3 student in the same school and
he is the secretary of the PTA with access to the
contact numbers of the parents. The type of sampling
done by nurse Anthon is one of:
a. Probability Sampling
b. Cluster Random Sampling
c. Systematic Random Sampling
d. Convenience Sampling

ETHICAL PRINCIPLES and GUIDELINES FOR


NURSE RESEARCHER: Rights of Subjects

Right to informed consent

full-disclosure
self-determination
Right to refuse participation
Right to withdraw participation
Right to confidentiality and anonymity
Right to be protected from harm
Right to compensation

CODE OF ETHICS
NUREMBERG CODE

HELSINKI DECLARATION

BELMONT REPORT

Contents
[hide]

Key Concept
The following statement is found in a
questionnaire: Return of this questionnaire
indicates the subjects consent to the study.
Carlo returned the answered questionnaire via
mail to the research team. This means that:
a. informed consent has been obtained
b. consent can still be invalidated
c. consent is not necessary for the research
d. the statement has no bearing if the
questionnaire is returned by mail.

Key Concept
The following statement is found in a
questionnaire: Return of this questionnaire
indicates the subjects consent to the study.
Carlo returned the answered questionnaire via
mail to the research team. This means that:
a. informed consent has been obtained
b. consent can still be invalidated
c. consent is not necessary for the research
d. the statement has no bearing if the
questionnaire is returned by mail.

QUANTITATIVE RESEARCH DESIGN


12. Conduct a Pilot Study

PILOT STUDY: miniature, trial version of the study.


Determines:
Practicality: ease of use
Validity: degree of CONSISTENCY or DEPENDABILITY with

which an instrument measures an attribute. (Tamang tanong


Angkop sa pag-aaral) (Susukat sa dapat na sukatin)

Reliability: degree to which inferences made in the study are

accurate and well-founded; measures what it is intended to


measure. (Tamang resulta sa pag-aaral) (Magbibigay ng tamang
resulta)

QUANTITATIVE RESEARCH DESIGN


13. Collect Data/Gather Data

Data Gathering Instruments/Methods:


1. Questionnaire: paper and pencil instrument;

self-report instrument; most commonly used


instrument in data gathering; anonymity is
being provided.

QUANTITATIVE RESEARCH DESIGN


TYPES OF QUESTIONS
a. Closed-ended:
b. Open-ended:
c. Contingency

QUANTITATIVE RESEARCH DESIGN


Interviews

2.
a.
b.
c.

Structured
Semi-structured
Unstructured

3. Observation
a.
b.
c.
d.

Participant:
Non-participant:
Overt:
Covert :

QUANTITATIVE RESEARCH DESIGN


4. Physiologic Measurement
5. Delphi Technique
6. Pre-existing Data

QUANTITATIVE RESEARCH DESIGN


14. Organize Data for Analysis
involves tabulation and organization of data

Key Concept
Experimental studies that will determine the effects
of diet and exercise in weight reduction will require
different data collection methods. Which of the
following will give the most objective data?
a. Physiologic Measures
b. Interview
c. Questionnaire
d. Observation

Key Concept
Experimental studies that will determine the effects
of diet and exercise in weight reduction will require
different data collection methods. Which of the
following will give the most objective data?
a. Physiologic Measures
b. Interview
c. Questionnaire
d. Observation

QUANTITATIVE RESEARCH DESIGN


15. Analyze Data

Characteristics of Analysis:
Hypothesis action either rejected or
accepted (Step 16)
Important finding should be represented by
tables and figures
Supported by Statistics

QUANTITATIVE RESEARCH DESIGN


DESCRIPTIVE STATISTICS: presents characteristics of sample
population
Levels of Measurement of Data:
Nominal:
Ordinal:
Interval:
Ratio:

Subjects
Alexander
Alaine
Derek
Amanda
Terence
Caitlin
Danielle
James
Bob
Andrea

Ratio
180
110
165
130
175
115
125
150
145
120

Interval
70
0
55
20
65
5
15
40
35
10

Ordinal Nominal
10
1
8
5
9
2
4
7
6
3

2
1
2
1
2
1
1
1
1
1

QUANTITATIVE RESEARCH DESIGN


Frequency Distribution: systematic arrangement of values
from lowest to highest, together with a count of the number of
times each value was obtained.
SHAPES OF DISTRIBUTION

SYMMETRIC

ASYMMETRIC/SKEWED

UNIMODAL

BI-MODAL or MULTI-MODAL

Key Concept
In a sample of 50 patients, if there are 30 men
and 20 women in the study; the nurse knows
that there are how many percent of the
subjects are male and how many percent of
female in the said study?
a. 40% and 60% respectively
b. 60% and 40% respectively
c. 70% and 30% respectively
d. 30% and 70% respectively

Key Concept
In a sample of 50 patients, if there are 30 men
and 20 women in the study; the nurse knows
that there are how many percent of the
subjects are male and how many percent of
female in the said study?
a. 40% and 60% respectively
b. 60% and 40% respectively
c. 70% and 30% respectively
d. 30% and 70% respectively

Key Concept
Consider this scheme for coding a clients ability to
perform activities of daily living: (1) completely
dependent, (2) needs another persons assistance,
(3) needs mechanical assistance, (4) completely
independent. In this case, the nurse is using what
level of measurement?
a. Nominal
b. Ordinal
c. Ratio
d. Interval

Key Concept
Consider this scheme for coding a clients ability to
perform activities of daily living: (1) completely
dependent, (2) needs another persons assistance,
(3) needs mechanical assistance, (4) completely
independent. In this case, the nurse is using what
level of measurement?
a. Nominal
b. Ordinal
c. Ratio
d. Interval

QUANTITATIVE RESEARCH DESIGN


Measures to Central Tendency:
Mean: average scores
Median: middle score
Mode: occurs most often
Measures to Variability:
Range: highest - lowest
Standard Deviation
Variance
Percentile

MEDIAN
Example:

Student 1:
Student 2:
Student 3:
Student 4:
Student 5:

23
23
24
25
27

26
Student 7: 29
Student 8: 28
Student 9 : 20
Student 10: 26
Student 6:

MODE
Example:

Student 1:
Student 2:
Student 3:
Student 4:
Student 5:

23
23
24
25
27

26
Student 7: 29
Student 8: 28
Student 9 : 20
Student 10: 21
Student 6:

MEAN
Example:

Student 1:
Student 2:
Student 3:
Student 4:
Student 5:

23
23
24
25
27

26
Student 7: 29
Student 8: 28
Student 9 : 20
Student 10: 21
Student 6:

RANGE
Example:

Student 1:
Student 2:
Student 3:
Student 4:
Student 5:

23
23
24
25
27

26
Student 7: 29
Student 8: 28
Student 9 : 20
Student 10: 21
Student 6:

QUANTITATIVE RESEARCH DESIGN


BIVARIATE DESCRIPTIVE STATISTICS
Contingency Tables: two dimensional frequency

distribution in which the frequencies of the two


variables are cross-tabulated.

Correlation

GENDER

Women

Men

% n

Total

Smoking Status

Non-smoker

10

45.4

27.3

16

36.4

Light Smoker

36.4

36.4

16

36.4

Heavy Smoker

18.2

36.4

12

27.3

TOTAL

22

22

100.0 44

100.0

100.0

% n

QUANTITATIVE RESEARCH DESIGN


INFERENTIAL STATISTICS:

QUANTITATIVE RESEARCH DESIGN


TYPES OF ERRORS: Hypothesis Testing
TYPE 1 ERROR: null was true but it was rejected
TYPE 2 ERROR: null was false but it was accepted

TYPE I ERROR
There is no relationship between the use of

placebo and the reduction of cholesterol level


among the subjects.

Allows an ineffective drug to come onto the

market.

TYPE II ERROR
There is no relationship between the use of

placebo and the reduction of cholesterol level


among the subjects.

Prevents an effective drug from coming onto

the market.

HOW TO AVOID SUCH ERRORS?


Increase the sample size.

LEVEL OF SIGNIFICANCE
Chance of rejecting a null hypothesis when it is

actually true.

Probability of incorrectly rejecting a true null

hypothesis.

p= 0.05 (.05): acceptable level of significance in

nursing research

5x (%) out of 100 possible wrong

QUANTITATIVE RESEARCH DESIGN

STATISTICAL TESTS:

QUANTITATIVE RESEARCH DESIGN


T-Test or Students T (Test for Independent

Group)

Used when there are two independent groups (e.g.,

experimental versus control), and when the sample


is paired or dependent (e.g., pre-treatment and
post-treatment for a single group)

QUANTITATIVE RESEARCH DESIGN


Paired T-tests (Test for Dependent Group)
Example:

Suppose we were studying the effect of a special diet


on the cholesterol level of elderly men. A sample of
50 men is randomly selected, and their cholesterol
levels are measured before and again 2 months on the
special diet.

QUANTITATIVE RESEARCH DESIGN


Testing Mean Differences With Three or More

Groups

ANOVA

QUANTITATIVE RESEARCH DESIGN


ANOVA
Used for testing differences between means when

there are three or more groups.

QUANTITATIVE RESEARCH DESIGN


Testing Differences in Proportions
Chi-Square Test

QUANTITATIVE RESEARCH DESIGN


Testing Correlations
Pearsons r
Correlation Co-efficient
Spearmans rho

If there were two groups of cancer patients

assigned to determine their average weight


after a single group is subjected to a high
protein diet and ordinary diet. The statistical
treatment involved is:
Chi-square
ANOVA
ANCOVA
T-test

In other similar findings, it was stated that

male cancer patients responded more to


high protein diet to avoid massive losses in
body mass than female patients. The analysis
used is?
Chi-square
ANOVA
ANCOVA
T-test

When comparing the actual gathered data

on the most common complaints from the


expected responses, the best statistical
method to use would be:
Measure of central tendency
ANOVA
Chi-square
Pearson r

QUANTITATIVE RESEARCH DESIGN


16. Interpret the Findings
summary, conclusion and recommendation

HYPOTHESIS

RESULT

There is no difference between the There is a difference.


weight gain of infants who are
exclusively breastfed and infants who
are exclusively formula fed.
There is a difference between the
weight gain of infants who are
exclusively breastfed and infants who
are exclusively formula fed.

ACTION
Reject the null
hypothesis.

r= 0.7
Research Supported
(Infants who are
exclusively formula fed
gain more weight than
those who are exclusively
breastfed)

There is no difference between the There is no difference.


weight gain of infants who are
exclusively breastfed and infants who
are exclusively formula fed.

Retain the null or


Research not
supported

QUANTITATIVE RESEARCH DESIGN


17. Communicate the Findings
last step in research process

PART III
Translating Research Evidence
Into Nursing Practice: EBP

BACKGROUND OF EBP:
Definition:
Conscientious use of current best evidence

in making clinical decisions about patient


care.

BACKGROUND OF EBP:
Basic Feature:
It de-emphasizes decisions based on custom,

authority, opinion, or ritual.

BACKGROUND OF EBP:
Emphasis:
To identify the best available research

evidence and to integrate it with other


factors:
Clinical expertise
Patient preference
Circumstances
Awareness of the clinical setting
Resource constraints

BACKGROUND OF EBP:
Key Ingredient:
The effort to personalize the evidence to fit

a specific patients needs and a particular


clinical situation.

EBP IN NURSING:
It offers a situation to improve health care

quality in our current cost-constrained


environment.
Rational approach is needed to provide the
best possible care to the most people. With
the most cost-effective use of resources.
Provides an important framework for selfdirected life-long learning that is essential in an
era of rapid clinical advances and the
information explosion.

TYPES OF EVIDENCE AND EVIDENCE HIERARCHIES

RESOURCES FOR EBP:


Systematic Reviews
Meta-Analysis
Meta-Synthesis

Clinical Practice Guidelines


Other Pre-appraised Evidence

BARRIERS TO RESEARCH UTILIZATION

Quality and Nature of the Research


Characteristics of the Nurses
Organizational Factors

PROCESS OF USING RESEARCH INTO NURSING


PRACTICE

Asking clinical questions that are answerable

with research evidence

PROCESS OF USING RESEARCH INTO NURSING PRACTIE

Searching for and Collecting Relevant Evidence

PROCESS OF USING RESEARCH INTO NURSING


PRACTIE

Appraising and Synthesizing the Evidence

PROCESS OF USING RESEARCH INTO NURSING


PRACTIE

Integrating the Evidence with your own clinical

expertise, patient preferences, and local


context.

PROCESS OF USING RESEARCH INTO NURSING


PRACTIE

Assessing the Effectiveness of the decision,

intervention, or advice.

END

TOP THE BOARD!

THANK YOU for Listening,


NURSES!

THANK YOU FOR


LISTENING!
GOD Bless!

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