Evidence Based Nursing Research and Practice

Papers and presentations for Evidence Based Nursing Research and Practice NUR 443:

You will learn an overview of the history and significance of research in nursing in Evidence Based Nursing Research and Practice. With a basic understanding of the structure of quantitative, qualitative, and outcomes research, you are able to recognize the importance of identifying evidence that is useful for practice. Using research in establishing EBP requires the incorporation of theory, clinical expertise, patient needs, and the best scientific evidence to produce the most cost-effective and clinically meaningful evidence to nursing practice.

History of Nursing Worksheet - for Evidence Based Nursing Research and Practice.

There have been many influential publications, agencies, and people in the field of nursing research. Write 1–3 sentences in each cell of the table below to describe the importance, goal, or influence of each item.

Publications & First publication date and importance:

  • Nursing Research Sigma Theta Tau Journal published by this organization is now called Image—The Journal of Nursing Scholarship
  • Research in Nursing and Health
  • Western Journal of Nursing Research
  • Scholarly Inquiry for Nursing Practice
  • Applied Nursing Research
  • Nursing Science Quarterly
  • Conduct and Utilization of Research in Nursing
  • Annual Review of Nursing Research

Agencies & Establishment date and goal or function:

  • American Nurses’ Association (ANA) Council of Nurse Researchers
  • National Institute for Nursing Research (NINR)
  • Agency for Health Care Policy and Research (AHCPR)
  • Agency for Healthcare Research and Quality (AHRQ)
  • Department of Health and Human Services (DHHS) Health People 2010
  • Sigma Theta Tau

People & Contribution to the field of nursing research:

  • Florence Nightingale
  • William Roper

Literature Search Worksheet - for Evidence Based Nursing Research and Practice.

Select a literature search topic relevant to your practice. The topic must be sufficiently delineated in scope without being trivial. You will revisit this article in the Week Five presentation. Possible topics include but are not limited to:

  • Nonpharmacological pain relief with childbirth
  • Effects of shift work and fatigue on medication errors
  • Best practices for pin site care
  • Nurse satisfaction in magnet hospitals
  • Accurate temperature assessment methods in neonates
  • Pain assessment in the cognitively impaired
  • Childhood type II diabetes and obesity
  • Complementary and alternative therapies for control of menopausal symptoms
  • Best practices in nurse-led smoking cessation classes
  • Thermoregulation in the operating room
  • Best practices for pain assessment and management in specified area of practice

Complete the table below:

Which topic did you choose?

Which three databases will you use?

  • 1.
  • 2.
  • 3.

Search each database, using key words, for relevant research on this subject. What key words did you use in the Search Strategy fields? Include all attempts and limitations used to refine your search.

  • 1.
  • 2.
  • 3.

Report the number of citations identified from each database in the number of articles found field.

  • 1.
  • 2.
  • 3.

Select one article from a peer-reviewed nursing journal published within the last three years—or a germinal article which may contain an earlier publication date—and provide the citation in APA format.

Answer the following questions using your selected research article:

  • 1. Is this qualitative or quantitative? What is the study design? What criteria did you use to determine the study design?
  • 2. How did you confirm that the journal you selected was peer reviewed or germinal?
  • 3. Does this research article generate support for evidence-based practice? If not, state why it does not. Please note the description of strength of evidence from the text—pages 508–512 and Figure 14-3.

Planning and Design Analysis Grid for Evidence Based Nursing Research and Practice.

Your Learning Team has been assigned two articles to analyze for assignments in Weeks Three and Four. One article is a qualitative research study, and the other is a quantitative research study.

Identify which article is which, and then complete the table where applicable. Write no more than three sentences in each cell of the table.

  • 1. Research question
  • 2. Problem
  • 3. Purpose
  • 4. Hypothesis
  • 5. Independent variable
  • 6. Dependent variable
  • 7. Theoretical framework
  • 8. Population
  • 9. Setting
  • 10. Sampling method
  • 11. Practice application
  • 12. Theoretical framework
  • 13. Level of evidence
  • 14. Is the article useful for EBP, Outcomes Research, both, or neither? Explain your answer.

Data Collection and Analysis Grid for Evidence Based Nursing Research and Practice.

Use the two articles assigned by your facilitator to identify the following data collection, analysis, and measurement elements for the studies. Limit each box to no more than three sentences.

  • 1. Data collection methods
  • 2. Data collection instruments
  • 3. Accuracy and reliability of instruments used
  • 4. Statistical or analytic methods
  • 5. Statistical values reported

Research Article Presentation Critique for Evidence Based Nursing Research and Practice.

Resource: The research study that you selected in Week Two

Develop a 10- to 15-minute presentation in which you address the following points:

  • Strengths and weaknesses of the study
  • Theoretical and methodological limitations
  • Evidence of researcher bias
  • Ethical and legal considerations related to the protection of human subjects
  • Relationship between theory, practice, and research
  • Nurse’s role in implementing and disseminating research
  • How the study provides evidence for evidence-based practice

Identify the following for the research study:

Quantitative Research Article Critique (pp. 447–472 of the text):

  • Phase 1: Comprehension
  • Phase 2: Comparison
  • Phase 3: Analysis
  • Phase 4: Evaluation

Qualitative Research Article Critique (pp. 472–495 of the text):

  • Standard 1: Descriptive Vividness
  • Standard 2: Methodological Congruence
  • Standard 3: Analytical and Interpretative Preciseness
  • Standard 4: Philosophical or Theoretical Connectedness
  • Standard 5: Heuristic Relevance

Format the presentation as one of the following:

  • Poster presentation in class
  • Microsoft® PowerPoint® presentation including detailed speaker’s notes
  • Video of yourself giving the presentation uploaded to an Internet
  • video sharing site such as www.youtube.com
  • Submit the link to your facilitator
  • Another format approved by your facilitator

Discussion Questioons: Week 5 Discussion Question 1 for Evidence Based Nursing Research and Practice.

The basic foundation of the monitoring and evaluation process required by quality management principles is the use of clinical indicators, measurable items that reflect the quality of care. Clinical indicators are aspects of clinical care that can be measured to show the degree to which care is or is not carried out as it should be. Indicators focus on clinical actions or outcomes of clinical care; indicators should not focus on procedures that support clinical care. For example, replacing the IV solutions on the IV supply carts as they are used is a procedure that supports clinical care. Administering the correct IV solution at the correct rate as prescribed is appropriate clinical care. Both items are measurable, but only the latter is truly a clinical indicator. Indicators are not meant to define quality, but rather to point the way to assessment of areas in which quality issues may be present (Montalvo, 2007).

Many experts argue that the interest approved patient safety cannot lie within regulatory agencies. The answers residing care providers pulling together to review critical circumstances and learning from key events. Basic improvements principles can help direct possible solutions within an organization by pinpointing warning flags through analyzing data, applying tools and methods to address the concerns, and continually evaluating the resulting patient outcomes (Montalvo, 2007).

For nurses the challenge starts with making patient safety improvement in reducing errors not just an organizational priority, but a personal one as well. This means buying into a state of mind that recognizes the complexity and high-risk nature of modern healthcare and subscribing to implementing standardized “best practices” and eliminating “never do” events.

Montalvo, I., (September 30, 2007) "The National Database of Nursing Quality IndicatorsTM (NDNQI®)" OJIN: The Online Journal of Issues in Nursing. Vol. 12 No. 3, Manuscript 2.

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