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Nursing Research in Canada - E-Book

Nursing Research in Canada - E-Book

Geri LoBiondo-Wood | Judith Haber | Cherylyn Cameron | Mina Singh

(2017)

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Book Details

Abstract

Equip yourself with the tools to better understand and apply research to your everyday practice with Nursing Research in Canada: Methods, Critical Appraisal, and Utilization, 4th Edition. Written by an all-star team of educators and research experts from the U.S. and Canada, this thoroughly updated text is the perfect resource to help ground you in the processes behind nursing research and evidence-informed practice. The fourth edition has been thoroughly updated and refocused to better match the needs of the nurse who will read and apply research rather than conduct research. This text also features new research examples that reflect the most current Canadian studies, fresh vignettes, easy-to-use navigation tools, enhanced readability, and well-balanced coverage of both qualitative and quantitative research methods. It’s a must-have resource for both undergraduate and graduate nursing students alike!

  • Balanced but distinct coverage of both the qualitative and quantitative approaches to nursing research acquaints you with the processes behind research and evidence-informed practice.
  • Complete, high-quality research examples, including three sample critiques, demonstrate how to apply the principles outlined in the text to published quantitative and qualitative research studies.
  • Research Vignettes introduces you to real-world practitioners of nursing research and help bridge the gaps among clinical research, academia, and clinical practice.
  • An updated design improves the legibility of content dense pedagogical features – particularly tables and boxes.
  • Effective learning aids in every chapter include Key Terms, Learning Outcomes, ResearchHints, Evidence Informed Practice Tips, Appraising the Evidence, Critiquing Criteria, Critique of a Research Study, Critical Thinking Decision Paths, Critical Thinking Challenges, and Key Points.
  • NEW! All-new research examples and Vignettes have been added throughout to demonstrate the most current high-quality published studies, and to exemplify the work on prominent nurse-researchers.
  • NEW! Content on mixed-methods research along with secondary analysis has been added to the chapter on nonexperimental designs.
  • NEW! Improved coverage of Qualitative methods balances out coverage and addresses this important aspects of research.
  • NEW! Expanded coverage of systematic reviews and clinical practice guidelines addresses these important aspects of research.

Table of Contents

Section Title Page Action Price
Front Cover Cover
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Front matter i
Nursing research in canada methods, critical appraisal, and utilization i
Copyright ii
Table of Contents iii
Author biographies v
Canadian editors vi
Contributors vii
Reviewers ix
Acknowledgements x
Preface xi
To the student xv
PART ONE Research Overview 1
1 The role of research in nursing 5
Learning outcomes 5
Key terms 5
Study resources 5
Significance of research and evidence-informed practice in the field of nursing 6
Research: The element that links theory, education, and practice 8
Roles of the nurse in the research process 10
Historical perspective* 12
Future directions 15
Promoting depth in nursing research 16
An international perspective 17
Research priorities 17
Critical thinking challenges 19
Key points 20
For further study 20
References 20
2 Theoretical framework 23
Learning outcomes 23
Key terms 23
Study resources 23
The nature of knowledge 24
Philosophies of research 26
Research methods: Qualitative and quantitative 31
Introduction to frameworks for research 36
Links connecting practice, theory, and research 38
Frameworks as structures for research 39
The ladder of abstraction 40
Concepts 41
Theories 41
Frameworks 42
Critical thinking challenges 44
Key points 45
For further study 45
References 45
3 Critical reading strategies: Overview of the research process 47
Learning outcomes 47
Key terms 47
Study resources 47
Critical thinking and critical reading skills 48
Strategies for critiquing research studies 53
Evidence-informed practice and research 53
Research articles: Format and style 56
Abstract 56
Introduction 56
Definition of the purpose 57
Literature review and theoretical framework 57
Hypothesis or research question 57
Research design 58
Sampling 58
Reliability and validity 59
Procedures and data-collection methods 59
Data analysis/results 59
Discussion 60
Recommendations and implications 60
References 60
Communicating results 60
Systematic reviews: Meta-analyses, integrative reviews, and meta-syntheses 60
Clinical guidelines 61
Critical thinking challenges 62
Key points 62
For further study 63
References 63
4 Developing research questions, hypotheses, and clinical questions 64
Learning outcomes 64
Key terms 64
Study resources 87
Developing and refining a clinical question 87
Developing and refining a research question 87
Defining the research question 87
Beginning the literature review 87
Examining significance 87
Determining feasibility 87
The fully developed research question 87
Variables 87
Population 87
PART TWO Qualitative Research 139
7 Introduction to qualitative research 143
Learning outcomes 143
Key terms 143
Study resources 143
What is qualitative research? 144
What do qualitative researchers believe? 144
Does the methodology fit with the research question being asked? 145
Components of a qualitative research report 146
Review of the literature 146
Study design 147
Sample 147
Setting: Recruitment and data collection 148
Data collection 148
Data analysis 149
Findings 150
Evidence-informed practice 150
Qualitative approach and nursing science 151
Issues in qualitative research 151
Ethics 151
Naturalistic setting 151
Emergent nature of the design 152
Researcher–participant interaction 152
Researcher as instrument 153
Triangulation 154
Mixed methods 154
Synthesizing qualitative evidence: Metasynthesis 156
Critical thinking challenges 158
Key points 158
For further study 158
References 159
8 Qualitative Approaches to Research 160
QUALITATIVE RESEARCH METHODS 161
Phenomenological Method 162
Identifying the Phenomenon 164
Structuring the Study 164
Data Gathering 165
Data Analysis 166
Describing the Findings 166
Narrative Analysis 167
Orientational Qualitative Inquiry 167
Identifying the Phenomenon 169
Structuring the Study 169
Data Gathering 169
Data Analysis 170
Describing the Findings 170
Identifying the Phenomenon 172
Structuring the Study 172
Data Gathering 173
Data Analysis 173
Describing the Findings 173
Qualitative Descriptive Method 174
Case Study Method 174
Identifying the Phenomenon 175
Structuring the Study 175
Data Analysis and Describing Findings 176
Historical Research Method 177
Participatory Action Research 179
Identifying the Phenomenon 179
Structuring the Study 180
Data Gathering 181
Describing the Findings 181
QUALITATIVE APPROACH: NURSING METHODOLOGY 182
REFERENCES 184
PART THREE Quantitative Research 187
9 Introduction to quantitative research 190
Learning outcomes 190
Key terms 190
Study resources 190
Purpose of the research design 191
Objectivity in the conceptualization of the problem 192
Accuracy 193
Feasibility 193
Control 195
Homogeneous sampling 195
Constancy in data collection 196
Manipulation of the independent variable 197
Randomization 197
Quantitative control and flexibility 198
Internal and external validity 198
Internal validity 198
History threats 199
Maturation effects 200
Testing effects 200
Instrumentation threats 200
Mortality/attrition 201
Selection bias 201
External validity 201
Selection effects 201
Reactive effects 203
Measurement effects 203
Critical thinking challenges 205
Key points 205
For further study 206
References 206
10 Experimental and quasiexperimental designs 208
Learning outcomes 208
Key terms 208
Study resources 208
True experimental design 210
Randomization 210
Control 211
Manipulation 211
Types of experimental designs 212
Field and laboratory experiments 215
Advantages and disadvantages of the experimental design 215
Quasiexperimental designs 216
Types of quasiexperimental designs 216
Advantages and disadvantages of quasiexperimental designs 219
Pre-experimental designs 220
Evaluation research and experimentation 220
Critical thinking challenges 223
Key points 224
For further study 224
References 224
11 Nonexperimental designs 226
Learning outcomes 226
Key terms 226
Study resources 226
Survey studies 228
Relationship/difference studies 230
Correlational studies 230
Developmental studies 231
Cross-sectional studies 231
Longitudinal or prospective studies 232
Retrospective or ex post facto studies 233
Prediction and causality in nonexperimental research 235
Additional types of quantitative studies 236
Methodological research 236
Systematic review 237
Meta-analysis 239
The cochrane collaboration 242
Integrative review 243
Secondary analysis 243
Epidemiological studies 243
Tools for evaluating individual studies 244
Clinical practice guidelines 244
Evaluating clinical practice guidelines 245
Critical thinking challenges 249
Key points 249
For further study 250
References 250
PART FOUR Processes Related 253
12 Sampling 257
Learning outcomes 257
Key terms 257
Study resources 258
Sampling concepts 258
Population 258
Samples and sampling 260
Sampling strategies used in quantitative research 261
Nonprobability sampling 261
Convenience sampling 262
Quota sampling 264
Probability sampling 265
Simple random sampling 265
Stratified random sampling 267
Multistage sampling (cluster sampling) 269
Systematic sampling 270
Special sampling strategies 271
Sampling strategies used in qualitative research 271
Convenience sampling 272
Network sampling 272
Purposive sampling 272
Theoretical sampling 274
Sample size: Quantitative 275
Sample size: Qualitative 277
Sampling procedures 277
Critical thinking challenges 282
Key points 282
For further study 283
References 283
13 Data-collection methods 285
Learning outcomes 285
Key terms 285
Study resources 285
Quantitative data collection 286
Measuring variables of interest 286
Types of data-collection methods 288
Physiological or biological measurements 288
Observational methods 289
Interviews and questionnaires 292
Records or available data 296
Online and computerized methods of data collection 297
Construction of new instruments 298
Qualitative data collection 299
Focus groups 299
Photovoice 299
Critical thinking challenges 301
Key points 301
For further study 302
References 302
14 Rigour in research 304
Learning outcomes 304
Key terms 304
Study resources 305
Reliability 305
Interpretation of the reliability coefficient 306
Stability 307
Test-retest reliability 307
Parallel- or alternate-form reliability 307
Homogeneity, or internal consistency 308
Item-to-total correlation 308
Split-half reliability 309
Kuder-richardson coefficient 309
Cronbach’s alpha 310
Equivalence 311
Interrater reliability 311
Parallel- or alternate-form reliability 312
Validity 312
Content validity 312
Criterion-related validity 313
Construct validity 314
Hypothesis-testing approach 314
Convergent and divergent approaches 314
Contrasted-groups approach 315
Factor-analytical approach 316
Rigour in qualitative research: Credibility, auditability, and fittingness 318
Credibility 319
Auditability and fittingness 319
Authenticity 319
Critical thinking challenges 322
Key points 322
For further study 322
References 322
15 Qualitative data analysis 324
Learning outcomes 324
Key terms 324
Study resources 324
Audio recording interviews 325
Data management 325
Overview of data analysis 325
Data reduction 327
Data display 330
Conclusion drawing and verification 333
Specific analytical procedures 335
Trustworthiness 335
Critical thinking challenges 338
Key points 338
For further study 338
References 338
16 Quantitative data analysis 340
Learning outcomes 340
Key terms 340
Study resources 341
Descriptive statistics 342
Levels of measurement 342
Frequency distribution 345
Measures of central tendency 347
Mode.  347
Median.  347
Mean.  347
Normal distribution 348
Skewness.  348
Interpreting measures of variability 349
Range.  349
Semiquartile range.  349
Percentile.  353
Standard deviation.  353
Inferential statistics 353
Hypothesis testing 356
Probability 357
Type I and type II errors 358
Level of significance 359
Practical and statistical significance 361
Tests of statistical significance 361
Tests of differences 362
Parametric tests.  363
Post hoc analysis.  364
Nonparametric tests.  364
Tests of relationships 365
The use of confidence intervals 368
Harm studies 368
Meta-analysis 369
Advanced statistics 370
The use of statistics 372
Example of the use and critique of statistics 372
Critical thinking challenges 375
Key points 375
For further study 376
References 377
17 Presenting the findings 378
Learning outcomes 378
Key terms 378
Study resources 378
Findings 379
Presenting quantitative results 379
Discussion of the results 385
Presenting qualitative results 386
Critical thinking challenges 389
Key points 389
For further study 389
References 389
PART FIVE Critiquing Research 391
18 Critiquing qualitative research 394
Learning outcomes 394
Key terms 394
Study resources 394
Stylistic considerations 395
Application of qualitative research findings in practice 396
CRITIQUE 1 Critiquing a qualitative research study 396
Introduction to critique 1 417
Title 417
Abstract 417
Statement of the phenomenon of interest 417
Purpose 417
Method 417
Sampling 418
Data collection 418
Data analysis 418
Findings 419
Conclusions, implications, and recommendations 419
CRITIQUE 2 Critiquing a qualitative research study 419
Introduction to critique 2 430
Title 430
Abstract 430
Focus/topic 430
Purpose 430
Significance 430
Method 430
Sampling 430
Data generation 431
Data analysis 431
Empirical grounding of the study findings 431
Conclusions, implications, and recommendations 431
Critical thinking challenges 432
For further study 432
References 432
19 Critiquing quantitative research 434
Learning outcomes 434
Key term 434
Study resources 434
Stylistic considerations 437
CRITIQUE 1 Critiquing a quantitative research study 437
Introduction to critique 1 437
Title 449
Abstract 449
Problem and purpose 449
Review of the literature and definitions 449
Development of a conceptual framework 449
Hypotheses and research question 450
Sample 450
Research design 450
Internal validity 450
External validity 450
Legal/ethical issues 450
Instruments 450
Reliability and validity 450
Analysis of the data and findings 450
Discussion 451
Implications and recommendations 451
Study limitations 451
CRITIQUE 2 Critiquing a quantitative research study 451
Introduction to critique 2 451
Title 464
Abstract 464
Problem and purpose 464
Review of the literature and definitions 464
Theoretical framework 464
Hypotheses and research question 464
Sample 464
Research design 464
Internal validity 464
External validity 465
Legal/ethical issues 465
Instruments 465
Reliability and validity 465
Results 465
Discussion 465
Limitations and conclusion 465
Critical thinking challenges 466
For further study 466
References 466
PART SIX Application of Research: Evidence-Informed Practice 467
20 Developing an evidence-informed practice 470
Learning outcomes 470
Key terms 470
Study resources 470
Overview of evidence-informed practice 472
Use of evidence in practice 473
Models of evidence-informed practice 473
The iowa model of evidence-based practice to promote quality care 474
The ottawa model of research use 476
Promoting action on research implementation in health services (i-parihs) 476
Steps of evidence-informed practice 476
Selection of a topic 477
Forming a team 478
Evidence retrieval 480
Schemas for grading the evidence 482
Critique of evidence-informed practice guidelines 482
Critique of research 485
Synthesis of the research 485
Setting forth evidence-informed practice recommendations 487
Decision to change practice 488
Development of evidence-informed practice 488
Implementing the practice change 489
Nature of the innovation/evidence-informed practice 489
Methods of communication 490
Users of the evidence-informed practice 492
Social system 493
Evaluation 494
Translation science 495
Future directions 496
Critical thinking challenges 497
Key points 497
For further study 498
References 498
Appendix A Honouring stories: Mikmaq womens experiences with pap screening in eastern canada 505
Résumé 505
Histoires de dignité: Comment le test de pap est vécu par des micmaques de l’est du canada 505
Theoretical and methodological perspectives 507
The study 507
Qualitative participatory action research design 507
Data analysis 509
Findings and discussion 509
Finding our way 509
Our understanding and perceptions of pap screening 511
The impact of history on our health and our health-care experiences 513
Encounters with health-care providers: Making a difference on our path to paps 514
The health-care system is complicating our going for paps 516
Strengths and limitations of the study 517
Health-care practice and policy recommendations 517
Conclusion 518
Acknowledgements 521
References 521
Appendix B Impact of workplace mistreatment on patient safety risk and nurse-assessed patient outcomes 522
Workplace mistreatment 522
Patient safety risk and adverse patient outcomes 523
Hypothesized model 524
Methods 524
Design and sample 524
Measures 524
Bullying behaviors 524
Workplace incivility 524
Patient safety risk 525
Nurse-assessed adverse events 525
Perception of patient care quality 525
Data analysis 525
Results 525
Descriptive statistics 525
Testing the mediating effects of patient safety risk 526
Discussion 526
Limitations 528
Implications for management 528
Conclusion 529
References 530
Appendix C Toward cultural safety: Nurse and patient perceptions of illicit substance use in a hospitalized setting 532
Background 533
Research design and sample 534
Findings 536
Illicit drug use as an individual failing 536
Patient perspectives: Being judged as a “drug addict.” 536
Nurse perspectives: An individual problem 537
Illicit substance use is a criminal activity 538
Patient perspectives: Feeling under surveillance 538
Nurse perspectives: We don’t view people as criminals, but . . . 539
Illicit substance use as a disease of addiction 541
Patient perspectives: We’re not just helpless victims of disease 541
Nurse perspectives: Addiction takes over 541
Limitations of the study 542
Discussion 542
Conclusion 544
References 545
Appendix D An intervention to promote breast milk production in mothers of preterm infants 547
Abstract 547
Theoretical framework 548
Method 549
Research design 549
Setting and sample 549
Control 550
Experimental intervention 550
Data collection 551
Procedures 551
Statistical analyses 552
Results 552
Frequency of breast milk expression 554
Duration of breast milk expression 554
Volume of expressed breast milk 555
Lipid concentration of breast milk 555
Discussion 555
Acknowledgements 559
Declaration of conflicting interests 559
Funding 559
References 559
Appendix E Follow-up for improving psychological well being for women after a miscarriage (review) 564
Abstract 564
Plain language summary 565
Follow-up for improving psychological well being for women after a miscarriage 565
Background 565
Description of the condition 565
Description of the intervention 566
How the intervention might work 566
Why it is important to do this review 566
Objectives 566
Primary 566
Secondary 566
Methods 566
Criteria for considering studies for this review 566
Types of studies 566
Types of participants 566
Types of interventions 567
Types of outcome measures 567
Primary outcomes 567
Secondary outcomes 567
Search methods for identification of studies 567
Electronic searches 567
Searching other resources 567
Data collection and analysis 567
Selection of studies 567
Data extraction and management 567
Assessment of risk of bias in included studies 568
(1) random sequence generation (checking for possible selection bias).  568
(2) allocation concealment (checking for possible selection bias).  568
(3.1) blinding of participants and personnel (checking for possible performance bias).  568
(3.2) blinding of outcome assessment (checking for possible detection bias).  568
(4) incomplete outcome data (checking for possible attrition bias due to the amount, nature and handling of incomplete out ... 568
(5) selective reporting (checking for reporting bias).  569
(6) other bias (checking for bias due to problems not covered by (1) to (5) above).  569
(7) overall risk of bias.  569
Measures of treatment effect 569
Dichotomous data.  569
Continuous data.  569
Unit of analysis issues 569
Cluster-randomised trials.  569
Dealing with missing data 569
Assessment of heterogeneity 570
Assessment of reporting biases 570
Data synthesis 570
Subgroup analysis and investigation of heterogeneity 570
Sensitivity analysis 570
Results 570
Description of studies 570
Results of the search 570
Risk of bias in included studies 571
Sequence generation 571
Allocation concealment 571
Blinding 572
Incomplete outcome data 572
Selective outcome reporting 572
Other potential sources of bias 572
Effects of interventions 572
1. one counselling session versus no counselling (three studies 236 women) (analysis 1.1–see evolve ) 572
Primary outcomes 572
Index 581
A 581
B 581
C 581
D 583
E 583
F 584
G 585
H 585
I 585
J 585
K 586
L 586
M 586
N 586
O 587
P 587
Q 588
R 588
S 589
T 590
U 591
V 591
W 591
Z 591
Glossary e1
A e1
B e1
C e1
D e1
E e1
F e1
G e1
H e5
I e5
J e6
K e6
L e6
M e6
N e7
O e7
P e8
Q e9
R e9
S e9
T e9
V e10
W e12
Z e12
Appendix E Tables Follow-up for improving psychological well being for women after a miscarriage (review) e1