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Study Guide for Nursing Research: Methods and Critical Appraisal for Evidence-Based Practice PDF

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Study Guide for Nursing Research: Methods and Critical Appraisal for Evidence-Based Practice 8th Edition Geri LoBiondo-Wood, PhD, RN, FAAN Professor and Coordinator, PhD in Nursing Program University of Texas Health Science Center at Houston School of Nursing Houston, Texas Judith Haber, PhD, APRN, BC, FAAN The Ursula Springer Leadership Professor in Nursing Associate Dean for Graduate Programs New York University College of Nursing New York, New York Study Guide prepared by: Carey A. Berry, MS, BSN, RN Formerly, Clinical Nurse Gastrointestinal Surgical Oncology M.D. Anderson Cancer Center The University of Texas Denver, Colorado Jennifer Yost, PhD, RN Assistant Professor School of Nursing, Faculty of Health Sciences McMaster University Hamilton, Ontario Canada 3251 Riverport Lane St. Louis, Missouri 63043 Study Guide for Nursing Research: Methods and Critical Appraisal for Evidence-Based Practice, Eighth Edition 978-0-323-22643-1 Copyright © 2014 by Mosby, Inc., an imprint of Elsevier Inc. Copyright © 2010, 2006, 2003, 1998 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved. No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or any information storage and retrieval system, without permission in writing from the publisher. Permissions may be sought directly from Elsevier’s Rights Department: phone: (+1) 215 239 3804 (US) or (+44) 1865 843830 (UK); fax: (+44) 1865 853333; e-mail: health- [email protected]. You may also complete your request on-line via the Elsevier website at http://www. elsevier.com/permissions. Notices Knowledge and best practice in this field are constantly changing. As new research and experience broaden our knowledge, changes in practice, treatment and drug therapy may become necessary or appropriate. Readers are advised to check the most current information provided (i) on procedures featured or (ii) by the manufacturer of each product to be administered, to verify the recommended dose or formula, the method and duration of administration, and contraindications. It is the responsibility of the practitioner, relying on their own experience and knowledge of the patient, to make diagnoses, to determine dosages and the best treatment for each individual patient, and to take all appropriate safety precautions. To the fullest extent of the law, neither the Publisher nor the authors assume any liability for any injury and/or damage to persons or property arising out of or related to any use of the material contained in this book. International Standard Book Number: 978-0-323-22643-1 Executive Content Strategist: Lee Henderson Content Manager: Jennifer Ehlers Content Coordinator: Courtney Daniels Publishing Services Manager: Jeffrey Patterson Senior Project Manager: Anne Konopka Printed in the United States of America Last digit is the print number: 9 8 7 6 5 4 3 2 1 Introduction Information bombards us! The student lament used to be, “I can’t find any information on X.” Now the cry is, “What do I do with all of the information on X?” The focus shifts from finding information to thinking about how to use and filter information. What information is worth keeping? What should be discarded? What is useful to clinical practice? What is fluff? Where are the gaps? Thinking about the links between information and practice is critical to the improvement of the nursing care we deliver. As each of us strengthens our individual understanding of the links between interventions and outcomes, we move nursing’s collective practice closer to being truly evidence-based. We can “know” what intervention works best in what situation. “Helping people get better safely and efficiently” begins with thinking. Our intent is that the activities in the Study Guide will help you strengthen your skills in thinking about information found in the literature. The activities are designed to assist you in evaluating the research you read so you are prepared to under- take the critical analysis of research studies. As you practice the appraisal skills addressed in this Study Guide, you will be strengthening your ability to make evidence-based practice decisions grounded in theory and research. What an incredible time to be a nurse! GENERAL DIRECTIONS 1. We recommend that you read the textbook chapter first, then complete the Study Guide activities for that chapter. 2. Complete each Study Guide chapter in order. The Study Guide is designed so that you build on the knowledge gained in Chapter 1 to complete the activities in Chapter 2, and so forth. The activities are designed to give you the opportunity to apply the knowledge learned in the textbook and actually use this knowledge to solve problems, thereby gaining increased confidence that comes only from working through each chapter. 3. Follow the specific directions that precede each activity. Be certain that you have the resources needed to complete the activity before you begin. 4. Take the posttest in each Study Guide chapter after you have completed all of the chapter’s activities. The answers for the posttest items can be found in the answer key. If you answer 85% of the questions correctly, be confident that you have grasped the essential material presented in the chapter. 5. Clarify any questions, confusion, or concerns you may have with your instructor. ACTIVITY ANSWERS ARE IN THE BACK OF THIS BOOK Answers in a workbook such as this do not follow a formula like answers in a math book. Many times you are asked to make a judgment about a particular problem. If your judgment differs from that of the authors, review the criteria that you used to make your decision. Determine if you followed a logical pro- Copyright © 2014, 2010, 2003, 1998 by Mosby Inc., an imprint of Elsevier Inc. All rights reserved. iii iv Introduction gression of steps to reach your conclusion. If not, rework the activity. If the process you followed appears logical, and your answer remains different, remember that even experts may disagree on many of the judg- ment calls in nursing research. There will continue to be many “gray areas.” If you average an 85% agree- ment with the authors, you can be sure that you are on the right track and should feel very confident about your level of expertise. Carey A. Berry, MS, BSN, RN Jennifer Yost, PhD, RN Copyright © 2014, 2010, 2003, 1998 by Mosby Inc., an imprint of Elsevier Inc. All rights reserved. Contents PART I OVERVIEW OF RESEARCH AND EVIDENCE-BASED PRACTICE Chapter 1 Integrating Research, Evidence-Based Practice, and Quality Improvement Processes..................................................1 Jennifer Yost Chapter 2 Research Questions, Hypotheses, and Clinical Questions ............................6 Jennifer Yost Chapter 3 Gathering and Appraising the Literature .........................................14 Jennifer Yost Chapter 4 Theoretical Frameworks for Research............................................20 Jennifer Yost PART II PROCESSES AND EVIDENCE RELATED TO QUALITATIVE RESEARCH Chapter 5 Introduction to Qualitative Research ............................................24 Jennifer Yost Chapter 6 Qualitative Approaches to Research .............................................28 Jennifer Yost Chapter 7 Appraising Qualitative Research ................................................35 Jennifer Yost PART III PROCESSES AND EVIDENCE RELATED TO QUANTITATIVE RESEARCH Chapter 8 Introduction to Quantitative Research ...........................................39 Carey A. Berry Chapter 9 Experimental and Quasi-Experimental Designs ...................................46 Carey A. Berry Chapter 10 Nonexperimental Designs......................................................52 Carey A. Berry Chapter 11 Systematic Reviews and Clinical Practice Guidelines...............................60 Carey A. Berry Chapter 12 Sampling ....................................................................65 Carey A. Berry Chapter 13 Legal and Ethical Issues........................................................73 Carey A. Berry Chapter 14 Data Collection Methods ......................................................80 Carey A. Berry Copyright © 2014, 2010, 2003, 1998 by Mosby Inc., an imprint of Elsevier Inc. All rights reserved. v vi Contents Chapter 15 Reliability and Validity.........................................................89 Carey A. Berry Chapter 16 Data Analysis: Descriptive and Inferential Statistics................................96 Carey A. Berry Chapter 17 Understanding Research Findings..............................................108 Jennifer Yost Chapter 18 Appraising Quantitative Research ..............................................111 Jennifer Yost PART IV APPLICATION OF RESEARCH: EVIDENCE-BASED PRACTICE Chapter 19 Strategies and Tools for Developing an Evidence-Based Practice ......................................................115 Jennifer Yost Chapter 20 Developing an Evidence-Based Practice.........................................123 Jennifer Yost Chapter 21 Quality Improvement.........................................................129 Carey A. Berry Answer Key ...........................................................................134 Copyright © 2014, 2010, 2003, 1998 by Mosby Inc., an imprint of Elsevier Inc. All rights reserved. CHAPTER 1 Integrating Research, Evidence-Based Practice, and Quality Improvement Processes 1 1 Integrating Research, Evidence-Based Practice, and Quality Improvement Processes INTRODUCTION One goal of this chapter is to assist you in reviewing the material presented in Chapter 1 of the text written by LoBiondo-Wood and Haber. A second and more fundamental goal is to pro- vide you with an opportunity to begin practicing the role of a critical consumer of research. Succeeding chapters in this study guide fine-tune your ability to evaluate research studies critically. LEARNING OUTCOMES On completion of this chapter, you should be able to do the following: (cid:114)(cid:1) (cid:52)(cid:85)(cid:66)(cid:85)(cid:70)(cid:1)(cid:85)(cid:73)(cid:70)(cid:1)(cid:84)(cid:74)(cid:72)(cid:79)(cid:74)(cid:272)(cid:68)(cid:66)(cid:79)(cid:68)(cid:70)(cid:1)(cid:80)(cid:71)(cid:1)(cid:83)(cid:70)(cid:84)(cid:70)(cid:66)(cid:83)(cid:68)(cid:73)(cid:1)(cid:85)(cid:80)(cid:1)(cid:70)(cid:87)(cid:74)(cid:69)(cid:70)(cid:79)(cid:68)(cid:70)(cid:14)(cid:67)(cid:66)(cid:84)(cid:70)(cid:69)(cid:1)(cid:79)(cid:86)(cid:83)(cid:84)(cid:74)(cid:79)(cid:72)(cid:1)(cid:81)(cid:83)(cid:66)(cid:68)(cid:85)(cid:74)(cid:68)(cid:70)(cid:15) (cid:114)(cid:1) (cid:42)(cid:69)(cid:70)(cid:79)(cid:85)(cid:74)(cid:71)(cid:90)(cid:1)(cid:85)(cid:73)(cid:70)(cid:1)(cid:83)(cid:80)(cid:77)(cid:70)(cid:1)(cid:80)(cid:71)(cid:1)(cid:85)(cid:73)(cid:70)(cid:1)(cid:68)(cid:80)(cid:79)(cid:84)(cid:86)(cid:78)(cid:70)(cid:83)(cid:1)(cid:80)(cid:71)(cid:1)(cid:79)(cid:86)(cid:83)(cid:84)(cid:74)(cid:79)(cid:72)(cid:1)(cid:83)(cid:70)(cid:84)(cid:70)(cid:66)(cid:83)(cid:68)(cid:73)(cid:15) (cid:114)(cid:1) (cid:37)(cid:70)(cid:272)(cid:79)(cid:70)(cid:1)evidence-based practice. (cid:114)(cid:1) (cid:37)(cid:74)(cid:84)(cid:68)(cid:86)(cid:84)(cid:84)(cid:1)(cid:70)(cid:87)(cid:74)(cid:69)(cid:70)(cid:79)(cid:68)(cid:70)(cid:14)(cid:67)(cid:66)(cid:84)(cid:70)(cid:69)(cid:1)(cid:69)(cid:70)(cid:68)(cid:74)(cid:84)(cid:74)(cid:80)(cid:79)(cid:1)(cid:78)(cid:66)(cid:76)(cid:74)(cid:79)(cid:72)(cid:15) (cid:114)(cid:1) (cid:38)(cid:89)(cid:81)(cid:77)(cid:66)(cid:74)(cid:79)(cid:1)(cid:85)(cid:73)(cid:70)(cid:1)(cid:69)(cid:74)(cid:263)(cid:70)(cid:83)(cid:70)(cid:79)(cid:68)(cid:70)(cid:1)(cid:67)(cid:70)(cid:85)(cid:88)(cid:70)(cid:70)(cid:79)(cid:1)(cid:82)(cid:86)(cid:66)(cid:79)(cid:85)(cid:74)(cid:85)(cid:66)(cid:85)(cid:74)(cid:87)(cid:70)(cid:1)(cid:66)(cid:79)(cid:69)(cid:1)(cid:82)(cid:86)(cid:66)(cid:77)(cid:74)(cid:85)(cid:66)(cid:85)(cid:74)(cid:87)(cid:70)(cid:1)(cid:83)(cid:70)(cid:84)(cid:70)(cid:66)(cid:83)(cid:68)(cid:73)(cid:15) (cid:114)(cid:1) (cid:38)(cid:89)(cid:81)(cid:77)(cid:66)(cid:74)(cid:79)(cid:1)(cid:85)(cid:73)(cid:70)(cid:1)(cid:69)(cid:74)(cid:263)(cid:70)(cid:83)(cid:70)(cid:79)(cid:68)(cid:70)(cid:1)(cid:66)(cid:78)(cid:80)(cid:79)(cid:72)(cid:1)(cid:85)(cid:90)(cid:81)(cid:70)(cid:84)(cid:1)(cid:80)(cid:71)(cid:1)(cid:84)(cid:90)(cid:84)(cid:85)(cid:70)(cid:78)(cid:66)(cid:85)(cid:74)(cid:68)(cid:1)(cid:83)(cid:70)(cid:87)(cid:74)(cid:70)(cid:88)(cid:84)(cid:27)(cid:1)(cid:74)(cid:79)(cid:85)(cid:70)(cid:72)(cid:83)(cid:66)(cid:85)(cid:74)(cid:87)(cid:70)(cid:1)(cid:83)(cid:70)(cid:87)(cid:74)(cid:70)(cid:88)(cid:13)(cid:1)(cid:78)(cid:70)(cid:85)(cid:66)(cid:14)(cid:66)(cid:79)(cid:66)(cid:77)(cid:90)(cid:84)(cid:74)(cid:84)(cid:13)(cid:1) and meta-synthesis. (cid:114)(cid:1) (cid:42)(cid:69)(cid:70)(cid:79)(cid:85)(cid:74)(cid:71)(cid:90)(cid:1)(cid:85)(cid:73)(cid:70)(cid:1)(cid:74)(cid:78)(cid:81)(cid:80)(cid:83)(cid:85)(cid:66)(cid:79)(cid:68)(cid:70)(cid:1)(cid:80)(cid:71)(cid:1)(cid:68)(cid:83)(cid:74)(cid:85)(cid:74)(cid:68)(cid:66)(cid:77)(cid:1)(cid:85)(cid:73)(cid:74)(cid:79)(cid:76)(cid:74)(cid:79)(cid:72)(cid:1)(cid:66)(cid:79)(cid:69)(cid:1)(cid:68)(cid:83)(cid:74)(cid:85)(cid:74)(cid:68)(cid:66)(cid:77)(cid:1)(cid:83)(cid:70)(cid:66)(cid:69)(cid:74)(cid:79)(cid:72)(cid:1)(cid:84)(cid:76)(cid:74)(cid:77)(cid:77)(cid:84)(cid:1)(cid:71)(cid:80)(cid:83)(cid:1)(cid:68)(cid:83)(cid:74)(cid:85)(cid:74)(cid:68)(cid:66)(cid:77)(cid:1)(cid:66)(cid:81)(cid:81)(cid:83)(cid:66)(cid:74)(cid:84)(cid:66)(cid:77)(cid:1)(cid:80)(cid:71)(cid:1) research studies. (cid:114)(cid:1) (cid:37)(cid:74)(cid:84)(cid:68)(cid:86)(cid:84)(cid:84)(cid:1)(cid:85)(cid:73)(cid:70)(cid:1)(cid:71)(cid:80)(cid:83)(cid:78)(cid:66)(cid:85)(cid:1)(cid:66)(cid:79)(cid:69)(cid:1)(cid:84)(cid:85)(cid:90)(cid:77)(cid:70)(cid:1)(cid:80)(cid:71)(cid:1)(cid:83)(cid:70)(cid:84)(cid:70)(cid:66)(cid:83)(cid:68)(cid:73)(cid:1)(cid:83)(cid:70)(cid:81)(cid:80)(cid:83)(cid:85)(cid:84)(cid:16)(cid:66)(cid:83)(cid:85)(cid:74)(cid:68)(cid:77)(cid:70)(cid:84)(cid:15) (cid:114)(cid:1) (cid:37)(cid:74)(cid:84)(cid:68)(cid:86)(cid:84)(cid:84)(cid:1)(cid:73)(cid:80)(cid:88)(cid:1)(cid:85)(cid:80)(cid:1)(cid:86)(cid:84)(cid:70)(cid:1)(cid:66)(cid:1)(cid:82)(cid:86)(cid:66)(cid:79)(cid:85)(cid:74)(cid:85)(cid:66)(cid:85)(cid:74)(cid:87)(cid:70)(cid:1)(cid:70)(cid:87)(cid:74)(cid:69)(cid:70)(cid:79)(cid:68)(cid:70)(cid:1)(cid:73)(cid:74)(cid:70)(cid:83)(cid:66)(cid:83)(cid:68)(cid:73)(cid:90)(cid:1)(cid:88)(cid:73)(cid:70)(cid:79)(cid:1)(cid:68)(cid:83)(cid:74)(cid:85)(cid:74)(cid:68)(cid:66)(cid:77)(cid:77)(cid:90)(cid:1)(cid:66)(cid:81)(cid:81)(cid:83)(cid:66)(cid:74)(cid:84)(cid:74)(cid:79)(cid:72)(cid:1)(cid:83)(cid:70)(cid:84)(cid:70)(cid:66)(cid:83)(cid:68)(cid:73)(cid:1) studies. Copyright © 2014, 2010, 2003, 1998 by Mosby Inc., an imprint of Elsevier Inc. All rights reserved. 1 2 CHAPTER 1 Integrating Research, Evidence-Based Practice, and Quality Improvement Processes Activity 1 (cid:46)(cid:66)(cid:85)(cid:68)(cid:73)(cid:1)(cid:85)(cid:73)(cid:70)(cid:1)(cid:85)(cid:70)(cid:83)(cid:78)(cid:1)(cid:74)(cid:79)(cid:1)(cid:36)(cid:80)(cid:77)(cid:86)(cid:78)(cid:79)(cid:1)(cid:35)(cid:1)(cid:88)(cid:74)(cid:85)(cid:73)(cid:1)(cid:85)(cid:73)(cid:70)(cid:1)(cid:66)(cid:81)(cid:81)(cid:83)(cid:80)(cid:81)(cid:83)(cid:74)(cid:66)(cid:85)(cid:70)(cid:1)(cid:81)(cid:73)(cid:83)(cid:66)(cid:84)(cid:70)(cid:1)(cid:74)(cid:79)(cid:1)(cid:36)(cid:80)(cid:77)(cid:86)(cid:78)(cid:79)(cid:1)(cid:34)(cid:15)(cid:1)(cid:38)(cid:66)(cid:68)(cid:73)(cid:1)(cid:85)(cid:70)(cid:83)(cid:78)(cid:1)(cid:88)(cid:74)(cid:77)(cid:77)(cid:1)(cid:67)(cid:70)(cid:1)(cid:86)(cid:84)(cid:70)(cid:69)(cid:1) (cid:80)(cid:79)(cid:77)(cid:90)(cid:1)(cid:80)(cid:79)(cid:68)(cid:70)(cid:15)(cid:1)(cid:258)(cid:74)(cid:84)(cid:1)(cid:78)(cid:66)(cid:90)(cid:1)(cid:67)(cid:70)(cid:1)(cid:66)(cid:1)(cid:72)(cid:80)(cid:80)(cid:69)(cid:1)(cid:85)(cid:74)(cid:78)(cid:70)(cid:1)(cid:85)(cid:80)(cid:1)(cid:83)(cid:70)(cid:87)(cid:74)(cid:70)(cid:88)(cid:1)(cid:85)(cid:73)(cid:70)(cid:1)(cid:72)(cid:77)(cid:80)(cid:84)(cid:84)(cid:66)(cid:83)(cid:90)(cid:1)(cid:66)(cid:79)(cid:69)(cid:1)(cid:85)(cid:73)(cid:70)(cid:1)(cid:76)(cid:70)(cid:90)(cid:1)(cid:85)(cid:70)(cid:83)(cid:78)(cid:84)(cid:1)(cid:74)(cid:79)(cid:1)(cid:36)(cid:73)(cid:66)(cid:81)(cid:85)(cid:70)(cid:83)(cid:1)(cid:18)(cid:15) Column A Column B 1. _____ Systematic investigation about phenomena (cid:66)(cid:15)(cid:1) (cid:36)(cid:83)(cid:74)(cid:85)(cid:74)(cid:82)(cid:86)(cid:70) b. Meta-analysis 2. _____ Studies conducted to understand the meaning c. Research of human experience d. Qualitative 3. _____ (cid:52)(cid:85)(cid:66)(cid:85)(cid:74)(cid:84)(cid:85)(cid:74)(cid:68)(cid:66)(cid:77)(cid:1)(cid:85)(cid:70)(cid:68)(cid:73)(cid:79)(cid:74)(cid:82)(cid:86)(cid:70)(cid:1)(cid:86)(cid:84)(cid:70)(cid:69)(cid:1)(cid:85)(cid:80)(cid:1)(cid:84)(cid:86)(cid:78)(cid:78)(cid:66)(cid:83)(cid:74)(cid:91)(cid:70)(cid:1)(cid:84)(cid:85)(cid:86)(cid:69)(cid:74)(cid:70)(cid:84)(cid:1) e. Systematic review in a systematic review (cid:71)(cid:15)(cid:1) (cid:38)(cid:87)(cid:74)(cid:69)(cid:70)(cid:79)(cid:68)(cid:70)(cid:14)(cid:67)(cid:66)(cid:84)(cid:70)(cid:69)(cid:1) practice 4. _____ Critically evaluates a research report’s content g. Quantitative based on a set of criteria to evaluate the h. Clinical guidelines scientific merit for application to practice i. Quality 5. _____ Studies conducted to test relationships, assess improvement (cid:69)(cid:74)(cid:263)(cid:70)(cid:83)(cid:70)(cid:79)(cid:68)(cid:70)(cid:84)(cid:13)(cid:1)(cid:66)(cid:79)(cid:69)(cid:16)(cid:80)(cid:83)(cid:1)(cid:70)(cid:89)(cid:81)(cid:77)(cid:66)(cid:74)(cid:79)(cid:1)(cid:68)(cid:66)(cid:86)(cid:84)(cid:70)(cid:1)(cid:66)(cid:79)(cid:69)(cid:1)(cid:70)(cid:263)(cid:70)(cid:68)(cid:85) 6. _____ Summary and assessment of a group that (cid:68)(cid:80)(cid:79)(cid:84)(cid:74)(cid:69)(cid:70)(cid:83)(cid:70)(cid:69)(cid:1)(cid:84)(cid:74)(cid:78)(cid:74)(cid:77)(cid:66)(cid:83)(cid:1)(cid:83)(cid:70)(cid:84)(cid:70)(cid:66)(cid:83)(cid:68)(cid:73)(cid:1)(cid:82)(cid:86)(cid:70)(cid:84)(cid:85)(cid:74)(cid:80)(cid:79)(cid:84) 7. _____ Clinical practice based on the collection, evaluation, and integration of clinical expertise, research evidence, and patient preferences 8. _____ Systematically developed statements that provide recommendations to guide practice 9. _____ Systematic use of data to monitor outcomes of care Activity 2 Match the term in Column B with the appropriate phrase in Column A. Terms from Column B will be used more than once. Column A Column B 1. _____ Getting a general sense of the material (cid:66)(cid:15)(cid:1) (cid:36)(cid:83)(cid:74)(cid:85)(cid:74)(cid:68)(cid:66)(cid:77)(cid:1)(cid:85)(cid:73)(cid:74)(cid:79)(cid:76)(cid:74)(cid:79)(cid:72) b. Critical reading 2. _____ Clarifying unfamiliar terms with text 3. _____ (cid:54)(cid:84)(cid:74)(cid:79)(cid:72)(cid:1)(cid:68)(cid:80)(cid:79)(cid:84)(cid:85)(cid:83)(cid:86)(cid:68)(cid:85)(cid:74)(cid:87)(cid:70)(cid:1)(cid:84)(cid:76)(cid:70)(cid:81)(cid:85)(cid:74)(cid:68)(cid:74)(cid:84)(cid:78) 4. _____ Questioning assumptions 5. _____ Rationally examining ideas 6. _____ (cid:258)(cid:74)(cid:79)(cid:76)(cid:74)(cid:79)(cid:72)(cid:1)(cid:66)(cid:67)(cid:80)(cid:86)(cid:85)(cid:1)(cid:90)(cid:80)(cid:86)(cid:83)(cid:1)(cid:80)(cid:88)(cid:79)(cid:1)(cid:85)(cid:73)(cid:74)(cid:79)(cid:76)(cid:74)(cid:79)(cid:72) 7. _____ Allowing assessment of study validity Copyright © 2014, 2010, 2003, 1998 by Mosby Inc., an imprint of Elsevier Inc. All rights reserved. CHAPTER 1 Integrating Research, Evidence-Based Practice, and Quality Improvement Processes 3 Activity 3 Complete each item with the appropriate word or phrase from the text. 1. Key variables, new terms, and steps of the research process should be identified following a(n) ________________ understanding of a research article. 2. With ________________ understanding of a research article, you should be able to state the main purpose of the study in one or two sentences. 3. Analysis of an article will allow understanding of the __________ of a study; synthesis will allow understanding of the ____________ article and all steps in the research process. Activity 4: Evidence-Based Practice Activity (cid:18)(cid:15)(cid:1) (cid:39)(cid:80)(cid:83)(cid:1)(cid:34)(cid:81)(cid:81)(cid:70)(cid:79)(cid:69)(cid:74)(cid:89)(cid:1)(cid:35)(cid:1)(cid:9)(cid:34)(cid:77)(cid:73)(cid:86)(cid:84)(cid:70)(cid:79)(cid:1)(cid:70)(cid:85)(cid:1659)(cid:66)(cid:77)(cid:15)(cid:13)(cid:1)(cid:19)(cid:17)(cid:18)(cid:19)(cid:10)(cid:13)(cid:1)(cid:34)(cid:81)(cid:81)(cid:70)(cid:79)(cid:69)(cid:74)(cid:89)(cid:1)(cid:37)(cid:1)(cid:9)(cid:46)(cid:70)(cid:77)(cid:87)(cid:74)(cid:79)(cid:1)(cid:70)(cid:85)(cid:1)(cid:66)(cid:77)(cid:15)(cid:13)(cid:1)(cid:19)(cid:17)(cid:18)(cid:19)(cid:10)(cid:13)(cid:1)(cid:66)(cid:79)(cid:69)(cid:1)(cid:34)(cid:81)(cid:81)(cid:70)(cid:79)(cid:69)(cid:74)(cid:89)(cid:1) (cid:38)(cid:1)(cid:9)(cid:46)(cid:86)(cid:83)(cid:81)(cid:73)(cid:90)(cid:1)(cid:70)(cid:85)(cid:1)(cid:66)(cid:77)(cid:15)(cid:13)(cid:1)(cid:19)(cid:17)(cid:18)(cid:19)(cid:10)(cid:13)(cid:1)(cid:74)(cid:69)(cid:70)(cid:79)(cid:85)(cid:74)(cid:71)(cid:90)(cid:1)(cid:85)(cid:73)(cid:70)(cid:1)(cid:66)(cid:83)(cid:85)(cid:74)(cid:68)(cid:77)(cid:70)(cid:84)(cid:8)(cid:1)(cid:77)(cid:70)(cid:87)(cid:70)(cid:77)(cid:1)(cid:80)(cid:71)(cid:1)(cid:70)(cid:87)(cid:74)(cid:69)(cid:70)(cid:79)(cid:68)(cid:70)(cid:1)(cid:86)(cid:84)(cid:74)(cid:79)(cid:72)(cid:1)(cid:39)(cid:74)(cid:72)(cid:86)(cid:83)(cid:70)(cid:1)(cid:18)(cid:14)(cid:18)(cid:1)(cid:74)(cid:79)(cid:1)(cid:90)(cid:80)(cid:86)(cid:83)(cid:1) (cid:85)(cid:70)(cid:89)(cid:85)(cid:67)(cid:80)(cid:80)(cid:76)(cid:15) a. Melvin et al., 2012: _____________________________________________________ b. Alhusen et al., 2012: ____________________________________________________ c. Murphy et al., 2012: ____________________________________________________ 2. Find a research article in your area of practice and determine the level of evidence for the article. Activity 5 Match the term in Column B with the appropriate phrase in Column A. Column A Column B 1. _____ (cid:38)(cid:89)(cid:85)(cid:70)(cid:79)(cid:85)(cid:1)(cid:85)(cid:80)(cid:1)(cid:88)(cid:73)(cid:74)(cid:68)(cid:73)(cid:1)(cid:66)(cid:1)(cid:84)(cid:85)(cid:86)(cid:69)(cid:90)(cid:8)(cid:84)(cid:1)(cid:69)(cid:70)(cid:84)(cid:74)(cid:72)(cid:79)(cid:13)(cid:1) a. Consistency implementation, and analysis b. Quality (cid:78)(cid:74)(cid:79)(cid:74)(cid:78)(cid:74)(cid:91)(cid:70)(cid:1)(cid:67)(cid:74)(cid:66)(cid:84) c. Quantity 2. _____ (cid:37)(cid:70)(cid:72)(cid:83)(cid:70)(cid:70)(cid:1)(cid:85)(cid:80)(cid:1)(cid:88)(cid:73)(cid:74)(cid:68)(cid:73)(cid:1)(cid:84)(cid:85)(cid:86)(cid:69)(cid:74)(cid:70)(cid:84)(cid:1)(cid:85)(cid:73)(cid:66)(cid:85)(cid:1)(cid:73)(cid:66)(cid:87)(cid:70)(cid:1) (cid:84)(cid:74)(cid:78)(cid:74)(cid:77)(cid:66)(cid:83)(cid:1)(cid:66)(cid:79)(cid:69)(cid:1)(cid:69)(cid:74)(cid:263)(cid:70)(cid:83)(cid:70)(cid:79)(cid:85)(cid:1)(cid:69)(cid:70)(cid:84)(cid:74)(cid:72)(cid:79)(cid:84)(cid:13)(cid:1)(cid:67)(cid:86)(cid:85)(cid:1) (cid:68)(cid:80)(cid:79)(cid:84)(cid:74)(cid:69)(cid:70)(cid:83)(cid:1)(cid:85)(cid:73)(cid:70)(cid:1)(cid:84)(cid:66)(cid:78)(cid:70)(cid:1)(cid:83)(cid:70)(cid:84)(cid:70)(cid:66)(cid:83)(cid:68)(cid:73)(cid:1)(cid:82)(cid:86)(cid:70)(cid:84)(cid:85)(cid:74)(cid:80)(cid:79)(cid:13)(cid:1) report similar findings 3. _____ Number of studies that have evaluated (cid:85)(cid:73)(cid:70)(cid:1)(cid:83)(cid:70)(cid:84)(cid:70)(cid:66)(cid:83)(cid:68)(cid:73)(cid:1)(cid:82)(cid:86)(cid:70)(cid:84)(cid:85)(cid:74)(cid:80)(cid:79)(cid:13)(cid:1)(cid:66)(cid:84)(cid:1)(cid:88)(cid:70)(cid:77)(cid:77)(cid:1)(cid:66)(cid:84)(cid:1)(cid:85)(cid:73)(cid:70)(cid:1) strength of the findings from the data analyses Copyright © 2014, 2010, 2003, 1998 by Mosby Inc., an imprint of Elsevier Inc. All rights reserved.

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Study Guide for. Nursing Research: Methods and Critical Appraisal for. Evidence-Based Practice. 8th Edition. Geri LoBiondo-Wood, PhD, RN, FAAN. Professor and Coordinator, PhD in Nursing Program. University of Texas Health Science Center at Houston. School of Nursing. Houston, Texas.
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