Praise for the second edition of A Nurse’s Step-By-Step Guide to Writing a Dissertation or Scholarly Project “Karen Roush provides a comprehensive and insightful framework for writ- ing a dissertation (traditional or manuscript option) or a scholarly project. The book guides the reader with specific directions on how best to begin, develop, and complete the various parts of a dissertation. Whether you need lessons in scientific writing or sequential steps in organizing your dissertation or project, know that Roush has written a book that deconstructs the complexities, chaos, and craft of writing. She has provided the remedy to sleepless nights and blank pages on the computer screen by offering this book as a real solution.” –Donna M. Nickitas, PhD, RN, NEA-BC, CNE, FNAP, FAAN Dean and Professor, Rutgers School of Nursing—Camden “A Nurse’s Step-by-Step Guide to Writing a Dissertation or Scholarly Project, Second Edition, is a straightforward resource for students as they proceed through their scholarly work. Writing in an easy conversational style, Karen Roush provides specific guidance for completing each chapter of the dissertation or scholarly project. Her skill and passion for writing show throughout. The new chapter on writing manuscripts is a great addition. The book is a valuable tool for both students and faculty.” –Eleanor T. Campbell, EdD, RN, FAAM Associate Professor, Nursing Lehman College Graduate Center of the City University of New York “This book is a clearly written, comprehensive guide with practical advice for any doctoral student preparing to write a dissertation or scholarly project. The content is contemporary, with easy-to-understand examples that help highlight the main points. The questions embedded in each chapter skillfully guide the student through the writing process. I will recommend this book to all of my doctoral students.” –Kristen Sethares, PhD, RN, CNE, FAHA Professor of Nursing, PhD Graduate Program Director University of Massachusetts Dartmouth “Dr. Roush offers a timely, practical, and all-inclusive writing guide for doctoral students that provides valuable, easily applied information about writing the dissertation or scholarly project for academic and, ultimately, publication purposes. The format of the book promotes understanding of the complementary nature of the scholarly work undertaken by students in both research- and practice-focused doctoral programs. I applaud the unifying approach employed by the author.” –Mary Jo Vetter, DNP, RN, AGPCNP-BC Director, DNP Program, Clinical Associate Professor Rory Meyers College of Nursing, New York University “Roush’s triumph in her quest as writing mentor is sustained in this second edition. She has further streamlined the process for the most daunting of all graduate student research projects. This guide concisely outlines elements of chapters, integrates crucial tips for formatting and for preventing common er- rors, and, most notably, eliminates the mystery of the construction of a disser- tation or scholarly project, often the greatest obstacle to writing advancement. A Nurse’s Step-By-Step Guide to Writing a Dissertation or Scholarly Project is a required text for doctoral nursing students whom I mentor.” –Donna Rolin, PhD, APRN, PMHCNS-BC, PMHNP-BC Associate Professor, Director of Psychiatric Nurse Practitioner Program University of Texas at Austin, School of Nursing First Edition Praise “Finally, there is a clear, step-by-step guide for students—and faculty—on writing dissertations and scholarly projects. From the introduction that covers how to use the book to the practical review of basic (but sorely needed) writing skills at the end, Roush coaches readers through the scholarly writing process in an engaging, conversational style. I hope this book finds its way into the hands of anyone seeking to write a scholarly paper. It’s certainly a resource I will be recommending.” –Maureen Shawn Kennedy, MA, RN, FAAN Editor in Chief, American Journal of Nursing “Roush’s work has taken the mystery and confusion out of the often dreaded and frequently feared experience of writing a dissertation. In a clear, reader-friendly, engaging, and thorough manner, she has laid out an extremely helpful guide for those whose academic journey requires completion of this last step toward the prize. I commend both her and the work, and know that I will recommend it to doctoral students with whom I work.” –Donna Sabella, PhD, MEd, MSN, RN, PMHNP-BC Associate Professor, University of Massachusetts Amherst College of Nursing “Drawing on years of experience as editorial director and clinical managing editor, Roush provides a practical guide to the often overwhelming process of putting ideas succinctly on paper. With the help of many detailed examples, the author shows how each step can be confronted and completed efficiently in good time.” –Wendy C. Budin, PhD, RN-BC, FAAN Professor and Associate Dean, Rutgers University School of Nursing “The next generation of nurses to set off on that long, lonely quest of the finished dissertation or scholarly project will surely declare Karen Roush’s new guidebook indispensable. Roush provides steps to success in a voice that is clear, straight- forward, and unflappable. No doubt her readers will embrace this book—first page to last—as the trusted companion that saw them through.” –Madeleine Mysko, MA, RN Contributing Editor, American Journal of Nursing “A Nurse’s Step-By-Step Guide to Writing a Dissertation or Scholarly Project gives practical guidance in a voice that seems at once trustworthy and wise. That’s because Roush knows writing from every angle: as an editor, a nurs- ing professor, and a writer of works both scholarly and creative. This book will prove itself essential for any nurse pursuing the PhD or DNP.” –Joy Jacobson, MFA Adjunct Faculty, Hunter–Bellevue School of Nursing Poet-in-Residence, Center for Health, Media, and Policy, Hunter College WRITING A DISSERTATION “This book is a must-read for all doctoral students as they embark on their indepen- dent project as the last requirement for their degree. This is a well-written primer of practical advice on how to organize, stay focused, and most importantly, complete OR SCHOLARLY the project. This is the sage advice a student will rarely receive in the classroom or from faculty. I highly recommend this key resource to all doctoral students and their faculties.” PROJECT –Jane Barnsteiner, PhD, RN, FAAN Emeritus Professor, School of Nursing, University of Pennsylvania “A Nurse’s Step-by-Step Guide to Writing a Dissertation or Scholarly Project is a ‘must-have’ for all PhD and DNP scholars. The checklists, tips, examples, and resource lists are invaluable tools for success!” –Darlene J. Curley, MS, RN, FAAN Executive Director, Jonas Center for Nursing and Veterans Healthcare A NURSE’S STEP BY STEP GUIDE TO WRITING A DISSERTATION OR SCHOLARLY PROJECT SECOND EDITION KAREN ROUSH, PhD, APN Copyright © 2019 by Sigma Theta Tau International All rights reserved. This book is protected by copyright. No part of it may be reproduced, stored in a retrieval system, or trans- mitted in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without written permission from the publisher. Any trademarks, service marks, design rights, or similar rights that are mentioned, used, or cited in this book are the property of their respective owners. Their use here does not imply that you may use them for similar or any other purpose. This book is not intended to be a substitute for the medical advice of a licensed medical professional. The author and publisher have made every effort to ensure the accuracy of the information contained within at the time of its publication and shall have no liability or responsibility to any person or entity regarding any loss or damage incurred, or alleged to have incurred, directly or indirectly, by the information contained in this book. The author and publisher make no warranties, express or implied, with respect to its content, and no warranties may be created or extended by sales representatives or written sales materials. The author and publisher have no responsibility for the consistency or accuracy of URLs and content of third-party websites referenced in this book. The Sigma Theta Tau International Honor Society of Nursing (Sigma) is a nonprofit organization whose mission is advancing world health and celebrating nursing excellence in scholarship, leadership, and service. Founded in 1922, Sigma has more than 135,000 active members in over 90 countries and territories. Members include practicing nurses, instructors, researchers, policymakers, entrepreneurs, and others. Sigma’s more than 530 chapters are located at more than 700 institutions of higher education throughout Armenia, Australia, Botswana, Brazil, Canada, Colombia, England, Ghana, Hong Kong, Japan, Jordan, Kenya, Lebanon, Malawi, Mexico, the Netherlands, Pakistan, Philippines, Portugal, Singapore, South Africa, South Korea, Swaziland, Sweden, Taiwan, Tanzania, Thailand, the United States, and Wales. Learn more at www.sigmanursing.org. Sigma Theta Tau International 550 West North Street Indianapolis, IN, USA 46202 To order additional books, buy in bulk, or order for corporate use, contact Sigma Marketplace at 888.654.4968 (US and Canada) or +1.317.634.8171 (outside US and Canada). To request a review copy for course adoption, email [email protected] or call 888.654.4968 (US and Canada) or +1.317.634.8171 (outside US and Canada). To request author information, or for speaker or other media requests, contact Sigma Marketing at 888.634.7575 (US and Canada) or +1.317.634.8171 (outside US and Canada). ISBN: 9781948057127 EPUB ISBN: 9781948057134 PDF ISBN: 9781948057141 MOBI ISBN: 9781948057158 ______________________________________________________________________________________________ Library of Congress Cataloging-in-Publication data Names: Roush, Karen, author. | Sigma Theta Tau International, issuing body. Title: A nurse’s step-by-step guide to writing a dissertation or scholarly project / by Karen Roush. Other titles: Nurse’s step-by-step guide to writing your dissertation or capstone Description: Second edition. | Indianapolis, IN : Sigma Theta Tau International Honor Society of Nursing, [2019] | Preceded by A nurse’s step-by-step guide to writing your dissertation or capstone / Karen Roush. 2015. | Includes bibliographical references and index. Identifiers: LCCN 2018043049 (print) | LCCN 2018043834 (ebook) | ISBN 9781948057134 (epub) | ISBN 9781948057141 (pdf) | ISBN 9781948057158 ( Mobi/Amazon) | ISBN 9781948057127 (softcover) | ISBN 9781948057158 (mobi) Subjects: | MESH: Education, Nursing--methods | Writing | Nursing Research--standards | Academic Dissertations as Topic | Manuscripts as Topic | Review Literature as Topic Classification: LCC RT73 (ebook) | LCC RT73 (print) | NLM WY 18.2 | DDC 610.73071/1--dc23 LC record available at https://lccn.loc.gov/2018043049 ______________________________________________________________________________________________ First Printing, 2018 Publisher: Dustin Sullivan Managing Editor: Carla Hall Acquisitions Editor: Emily Hatch Project Editor: Todd Lothery Copy Editor: Todd Lothery Proofreader: Gill Editorial Services Cover Designer: Rebecca Batchelor Indexer: Larry D. Sweazy Interior Design/Page Layout: Rebecca Batchelor Dedication This book is dedicated to the upcoming cohorts of doctoral nursing students who will carry the science forward and improve healthcare for all of us. About the Author Karen Roush, PhD, APN, is Assistant Professor of Nursing at the University of Massachusetts Dartmouth in Dartmouth, Mas- sachusetts, where she teaches in the PhD and DNP programs and conducts research in doctoral education. She received her PhD in nursing research and theory development from the College of Nursing at New York University. She started her nursing education with an associate degree in nursing from Adirondack Community College in 1982, went on for her BSN at Russell Sage College, and then earned a master’s degree at Columbia University in 1996, where she specialized as a family nurse practitioner. Roush served for many years as Editorial Director and Clinical Managing Editor for the American Journal of Nursing (AJN) and continues her affiliation with the journal as an editorial consultant. In addition, she is the founder of The Scholar’s Voice, which works to strengthen the voice of nursing through writing mentorship for nurses. She is an award-winning writer who has authored multiple consumer healthcare books, numerous nursing articles in peer- reviewed journals, essays, and poetry. Roush received the award for Outstanding Doctoral Graduate at NYU College of Nursing in 2014 and the Fred Schmidt Award for Humanitarian Focused Research in 2011. She has traveled to Rwanda, Uganda, and India as a nursing volunteer and taught nursing students in Ghana. In addition, she was a visiting scholar in the Department of Human Resources for Health at the World Health Organization in Ge- neva, Switzerland. Table of Contents About the Author . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . viii Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xiii 1 Writing Your Introduction . . . . . . . . . . . . . . . . . . . . 1 You’ve Already Started . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2 Creating an Outline . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Writing the Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 Purpose Statements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 PICOT Statements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 Your Plan (Methodology) . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 Research Questions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 Checking That You’ve Covered Your Purpose Statement . . . . . 17 2 Writing Your Literature Review . . . . . . . . . . . . . . . 21 Begin With an Overview and Definitions . . . . . . . . . . . . . . . . 23 Explaining Your Theoretical Framework . . . . . . . . . . . . . . . . .24 Explaining Your Search Strategy . . . . . . . . . . . . . . . . . . . . . .25 Critically Appraising the Literature . . . . . . . . . . . . . . . . . . . . 29 Synthesizing Your Literature Review . . . . . . . . . . . . . . . . . . .30 Summary and Research Gaps . . . . . . . . . . . . . . . . . . . . . . . 33 Purpose Statement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37 Research Questions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38 References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39 Appraisal Tools . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40 3 Writing Your Methodology Chapter . . . . . . . . . . . . 41 Explaining the Design of Your Study . . . . . . . . . . . . . . . . . . . 42 Establishing Your Study’s Setting . . . . . . . . . . . . . . . . . . . . . 44 Establishing Your Sample . . . . . . . . . . . . . . . . . . . . . . . . . . . 46 Ethical Considerations and Consent . . . . . . . . . . . . . . . . . . . 52 Scholarly Project Planning and Procedures . . . . . . . . . . . . . .55 Data Collection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61 Data Analysis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67 Rigor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71