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Resource Manual for Nursing Research: Generating and Assessing Evidence for Nursing Practice, 9th Edition PDF

482 Pages·2011·3.49 MB·English
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LWBK814-FM_pi-viii.qxd 11/17/2010 8:03 AM Page i Aptara Resource Manual for Nursing Research GENERATING AND ASSESSING EVIDENCE FOR NURSING PRACTICE NINTH EDITION Denise F. Polit, PhD, FAAN President Humanalysis, Inc. Saratoga Springs, New York, and Professor Griffith University School of Nursing Gold Coast, Australia (www.denisepolit.com) Cheryl Tatano Beck, DNSc, CNM, FAAN Distinguished Professor School of Nursing University of Connecticut Storrs, Connecticut LWBK814-FM_pi-viii.qxd 11/30/2010 10:15 AM Page ii Aptara Acquisitions Editor: Hilarie Surrena Product Manager: Mary Kinsella Editorial Assistant: Amanda Jordan Design Coordinator: Joan Wendt Manufacturing Coordinator: Karin Duffield Prepress Vendor: Aptara, Inc. Ninth edition ISBN-13: 978-1-60547-782-4 Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins. Copyright © 2008, 2004, 1999 by Lippincott Williams & Wilkins. Copyright © 1995, 1991, 1987, 1983, 1978 by J. B. Lippincott Company. All rights reserved. This book is protected by copyright. No part of this book may be reproduced or transmitted in any form or by any means, including as photocopies or scanned-in or other elec- tronic copies, or utilized by any information storage and retrieval system without written permis- sion from the copyright owner, except for brief quotations embodied in critical articles and reviews. Materials appearing in this book prepared by individuals as part of their official duties as U.S. government employees are not covered by the above-mentioned copyright. To request permission, please contact Lippincott Williams & Wilkins at 530 Walnut Street, Philadelphia, PA 19106, via email at [email protected], or via our website at lww.com (products and services). 9 8 7 6 5 4 3 2 1 Printed in China Care has been taken to confirm the accuracy of the information presented and to describe generally accepted practices. However, the author(s), editors, and publisher are not responsible for errors or omissions or for any consequences from application of the information in this book and make no warranty, expressed or implied, with respect to the currency, completeness, or accuracy of the contents of the publication. Application of this information in a particular situation remains the professional responsibility of the practitioner; the clinical treatments described and recommended may not be considered absolute and universal recommendations. The author(s), editors, and publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accordance with the current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any change in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new or infrequently employed drug. Some drugs and medical devices presented in this publication have Food and Drug Administration (FDA) clearance for limited use in restricted research settings. It is the responsibility of the health care provider to ascertain the FDA status of each drug or device planned for use in his or her clinical practice. LWW.com LWBK814-FM_pi-viii.qxd 11/17/2010 8:03 AM Page iii Aptara Preface This Resource Manualfor the 9thedition of Nursing Research: Generating and Assessing Evidence for Nursing Practicecomplements and strengthens the textbook in important ways. The manual provides opportunities to reinforce the acquisition of basic research skills through systematic learning exercises, and we have placed particular emphasis on exercises that involve careful reading and critiquing of actual studies. Critiquing skills are increasingly important in an environment that promotes evidence-based nursing practice. Moreover, the ability to think critically about research decisions is fundamental to being able to design and plan one’s own study. Full research reports and a grant application are included in 13 appendices to this Resource Manual. These reports, which represent a rich array of research endeavors, form the basis for exercises in each chapter. There are reports of quantitative and quali- tative studies, an evidence-based practice project report, an instrument development paper, a meta-analysis, and a metasynthesis. We are particularly excited about being able to include a full grant application that was funded by the National Institute of Nursing Research, together with the Study Section’s summary sheet. We firmly believe that noth- ing is more illuminating than a good model when it comes to research communication. A relatively new feature of this Resource Manual—added in the 8thedition—is the Toolkit, which offers important research resources to beginning and advanced researchers. Our mission was to include easily adaptable tools for a broad range of research situations. In our own careers as researchers, we have found that adapting existing forms, manuals, or protocols is far more efficient and productive than “starting from scratch.” By making these tools available as Word files, we have made it possible for you to adapt tools to meet your specific needs, without the tedium of having to re-type basic information. We wish we had had this Toolkit in our early years as researchers! We think seasoned researchers are likely to find parts of the Toolkit useful as well. The Resource Manualconsists of 29 chapters—one chapter corresponding to every chapter in the textbook. Each chapter has relevant resources and exercises and answers to exercises for which there are objective answers are included at the back of the book in Appendix N. Each of the 29 chapters consists of four components: • A Crossword Puzzle.Terms and concepts presented in the textbook are reinforced in an entertaining and challenging fashion through crossword puzzles. • Study Questions.Each chapter contains several short individual exercises relevant to the materials in the textbook. • Application Exercises.These exercises are geared to helping you to read, comprehend, and critique nursing studies. These exercises focus on studies in the appendices and ask questions that are relevant to the content covered in the textbook. There are two iii LWBK814-FM_pi-viii.qxd 11/17/2010 8:03 AM Page iv Aptara iv Preface sets of questions—Questions of Factand Questions for Discussion.The Questions of Fact will help you to read the report and find specific types of information related to the content covered in the textbook. For these questions, there are “right” and “wrong” answers. For example, for the chapter on sampling, a question might ask: How many people participated in this study? The Questions for Discussion, by con- trast, require an assessment of the merits of various features of the study. For example, a question might ask: Was there a sufficient number of study participants in this study? The second set of questions can be the basis for classroom discussions. • Toolkit (cid:2). This section, on the accompanying CD-ROM, includes tools and resources that can save you time—and that will hopefully result in higher-quality tools than might otherwise have been the case. Each chapter has tools appropriate for the content covered in the textbook. We hope that you will find these resources rewarding, enjoyable, and useful in your effort to develop and hone skills needed in critiquing and doing research. LWBK814-FM_pi-viii.qxd 11/17/2010 8:03 AM Page v Aptara Contents PART 1 Foundations of Nursing Research 1 1 Introduction to Nursing Research in an Evidence-Based Practice Environment 2 2 Evidence-Based Nursing: Translating Research Evidence into Practice 7 3 Key Concepts and Steps in Qualitative and Quantitative Research 12 PART 2 Conceptualizing and Planning a Study to Generate Evidence for Nursing 21 4 Research Problems, Research Questions, and Hypotheses 22 5 Literature Reviews: Finding and Critiquing Evidence 28 6 Theoretical Frameworks 35 7 Ethics in Nursing Research 41 8 Planning a Nursing Study 47 PART 3 Designing and Conducting Quantitative Studies to Generate Evidence for Nursing 53 9 Quantitative Research Design 54 10 Rigor and Validity in Quantitative Research 60 11 Specific Types of Quantitative Research 66 12 Sampling in Quantitative Research 71 13 Data Collection in Quantitative Research 76 14 Measurement and Data Quality 83 15 Developing and Testing Self-Report Scales 88 16 Descriptive Statistics 93 17 Inferential Statistics 100 18 Multivariate Statistics 108 19 Processes of Quantitative Data Analysis and Interpretation 114 v LWBK814-FM_pi-viii.qxd 11/17/2010 8:03 AM Page vi Aptara vi Contents PART 4 Designing and Conducting Qualitative Studies to Generate Evidence for Nursing 119 20 Qualitative Research Design and Approaches 120 21 Sampling in Qualitative Research 126 22 Data Collection in Qualitative Research 131 23 Qualitative Data Analysis 137 24 Trustworthiness and Integrity in Qualitative Research 144 PART 5 Designing and Conducting Mixed Methods Studies to Generate Evidence for Nursing 149 25 Overview of Mixed Methods Research 150 26 Developing Complex Nursing Interventions Using Mixed Methods Research 157 PART 6 Building an Evidence Base for Nursing Practice 163 27 Systematic Reviews of ResearchEvidence: Meta-Analysis, Metasynthesis, and Mixed Studies Review 164 28 Disseminating Evidence: Reporting Research Findings 171 29 Writing Proposals to Generate Evidence 176 Appendix A: Changes in Childhood Risk Taking and Safety Behavior After a Peer Group Media Intervention 181 Appendix B: Rooting for the Breast: Breastfeeding Promotion in the NICU 197 Appendix C: A Nurse-Facilitated Depression Screening Program in an Army Primary Care Clinic 208 Appendix D: Translating the Diabetes Prevention Program to Primary Care 221 Appendix E: The Arm: There Is No Escaping the Reality for Mothers of Children With Obstetric Brachial Plexus Injuries 238 Appendix F: Why Do Elders Delay Responding to Heart Failure Symptoms? 252 Appendix G: Young Women With Type 1 Diabetes’ Management of Turning Points and Transitions 266 LWBK814-FM_pi-viii.qxd 11/17/2010 8:03 AM Page vii Aptara Contents vii Appendix H: Randomized Controlled Trial of a Psychoeducation Program for the Self-Management of Chronic Cardiac Pain 279 *Critique of Study 296 Appendix I: Differences in Perceptions of the Diagnosis and Treatment of Obstructive Sleep Apnea and Continuous Positive Airway Pressure Therapy Among Adherers and Nonadherers 306 *Critique of Study 331 Appendix J: The Development and Testing of the Nursing Teamwork Survey 338 Appendix K: A Meta-Analysis of Interventions to Promote Mammography Among Ethnic Minority Women 352 Appendix L: Strangers in Strange Lands: A Metasynthesis of Lived Experiences of Immigrant Asian Nurses Working in Western Countries 365 Appendix M: Older Adults’ Response to Health Care Practitioner Pain Communication: Grant Application to NINR 387 Appendix N: Answers to Selected Resource Manual Exercises 428 LWBK814-FM_pi-viii.qxd 11/17/2010 8:03 AM Page viii Aptara

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Thoroughly updated and revised to emphasize the link between research and evidence-based practice, this Ninth Edition of a classic textbook presents state-of-the-art methods for conducting high-quality studies. The ancillary Resource Manual includes application exercises, models of comprehensive res
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