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Learning Objectives
Describe the general
steps in the research
process
Describe process of
identifying a research
problem
Define research
questions, directional
and non-directional
hypotheses
Describe the difference
between Level I, II, and
III studies
Describe the use of
research questions vs.
hypotheses in a
research study
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Why is research important to the
profession of nursing?
Nursing research provides a scientific
knowledge base for practice.
Knowledge obtained from sound
research is transformed into clinical
practice, leading to nursing practice
that is evidence-based.
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Research and Nursing
“The nurse must be a knowledgeable
consumer of research, one who can
critique research and use existing
standards to determine the merit and
readiness for research use in clinical
practice” (ANA, 1997; AACN, 1998b).
LB-W & H p. 7
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Developing & Refining a
Research Problem
Research study should include:
A specific problem area
Review of relevant literature
Significance to nursing
Feasibility
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Research Topics
Nursing research topics include
studies of patient populations, or an
individual’s response to health
problems, or potential health problems.
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The Research Idea
Professional experience
Burning questions
Yours
Others
Literature
Professional meetings
Discussions
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Criteria for developing a good
research question: FINER
Feasibility
Interesting
Novel
Ethical
Relevant
Cummings et al. 2001
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FINER
Feasible
Subjects
Resources
Manageable
Data available?
Interesting
Novel
In relation to previous
findings
Confirm or refute?
New setting, new
population
Ethical
Social or scientific value
Safe
Relevant
Advance scientific
knowledge?
Influence clinical practice?
Impact health policy?
Guide future research?
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Narrowing the research topic
Idea → brainstorming
Literature review
Identify the variables for study
Formulate research problems and
questions/hypotheses
LB-W & H p. 51 – see fig. 3-1
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A Research Question Must
Identify
1. The variables under study
2. The population being studied
3. The testability of the question
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Variables in research
Have 2 or more properties or qualities
Age, sex, weight, height
Is one variable related to another?
“ Is X related to Y? What is the effect of X on Y?” etc.
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Variables in research
Independent
variable:
has a presumed effect
on the dependent
variable (outcome)
May or may not be
manipulated
Dependent variable:
Something that varies
with a change in the
independent variable
Outcome variable
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Testability
Research problem must imply that the
problem is measurable/testable
Example of a poorly phrased research
question
“Should postoperative patients control how
much pain medication they receive?”
How would you revise the question?
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Characteristics to Consider
Research questions
Cannot be answered by yes/no
Should ask:
What happens when?
What’s going on here?
How does this happen?
Why does one thing work better than
another?
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Examples
What is the relationship between
effectiveness of pain management
strategies and quality of life?
How do older adults adapt to living
with early stage dementia?
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Purpose Statement
The purpose of the study encompasses
the aims or goals the investigator
wants to accomplish
Purpose ≠ Question
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What is a researchable
question?
Helps solve a problem, add to theory,
or improve nursing practice
Needs to be usable, current, and clear
Provides answers that will explain,
describe, identify, predict or qualify
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Guidelines for writing research
questions
Start with a simple question
Has one stem and one topic
Action-oriented
The way you ask a question determines
how you will answer it
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Writing the research question
Examples:
What are the health beliefs of the Amish?
What is the relationship between preoperative
teaching and postoperative pain?
Why does increased assertiveness in nurses
lead to lower nosocomial infection rates?
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Hypothesis
Statement about the relationship
between 2 or more variables
Converts the question into a statement
that predicts an expected outcome
A unit or subset of the research
problem
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Characteristics of hypotheses
Declarative statement that identifies the
predicted relationship between 2 or
more variables
Testability
Based on sound scientific
theory/rationale
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Hypotheses
Hypotheses may not always be
explicitly stated
Wording must include:
The variables
The population being studied
The predicted outcome of the hypothesis
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Directional vs. Non-Directional
Hypotheses
Directional hypothesis
Specifies the direction of the relationship
between independent and dependent
variables
Non-directional hypothesis
Shows the existence of a relationship
between variables but no direction is specified
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Examples
Directional hypothesis
Cardiac patients who receive support from former
patients have less anxiety and higher self-efficacy
than other patients
Non-directional hypothesis
There is a difference in anxiety and self-efficacy
between cardiac patients who receive support from
former patients and those who do not
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Research vs. Statistical
Hypotheses
Research hypothesis = scientific hypothesis
Statement about the expected relationship of the
variables
Can be directional or nondirectional
Statistical hypothesis = null hypothesis
States there is no relationship between the variables
L-B, W & H p. 66-67
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Example: Statistical Hypothesis
Oxygen inhalation by nasal cannula of
up to 6L/min does not affectdoes not affect oral
temperature measurement taken with
an electronic thermometer.
Variables?
other examples?
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Levels of Questions
Level I
Little to no literature is
available on the topic and
the purpose is to describe
what is found as it exists
naturally
Level II
There is knowledge about
the topic but relationships
among the variables are
not well known
Level III
There is a great deal of
knowledge about the topic
and the purpose of the
study is to test the theory
through direct manipulation
of the variables
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Level I Questions
Lead to exploration and result in a
complete description of the topic
Examples:
What are the characteristics of suicidal
patients?
What are the spiritual needs of transplant
patients?
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Level II Questions
Build on the results of
Level I studies
Look for relationships
between the variables
Examples:
What is the relationship
between relaxation and
pain in postoperative
patients?
What is the relationship
among nutrition, birth
weight of the newborn, and
age of the mother?
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Level III Questions
Builds on the results of previous
research
Lead to experimental designs
Examples:
Why does patient satisfaction increase with
positive attitudes toward self-care?
Why does increased vitamin C decrease skin
fragility in elderly people?
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Summary of Level I, II, and III
Questions
Level I questions have only one
variable and one population
Level II requires a minimum of 2
variables in one population
At level III there must be 2 variables
that specify a cause and effect
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Examples
What are the body positions into which
nurses place LBW intubated infants?
What is the relationship between body
positions and heart rate in the LBW
intubated infants?
Why does supine body positioning
decrease heart rate in the intubated
LBW infant?
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Summary Points
Preliminary steps in the
research process
include forming a
research problem,
questions and
hypotheses
A hypothesis attempts
to answer the question
posed by the research
question
Research questions
illustrate a relationship
between variables,
identify independent
and dependent
variables, include a
population, and imply
that a problem is
testable