Term
Advanced practice nurses have a commitment to this. |
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Definition
Quality. Quality defined. Degree to which health services increase the likelihood of desired health outcomes and are consistent with current professional knowlege. |
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Term
What are the cornerstone of advanced practice nursing? |
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Definition
Best provider. Best treatment. Best dose. Best route. |
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Term
Who said "lead, follow, or get out of the way." |
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Definition
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Term
What is the definition of research? |
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Definition
To search again. Diligent and systematic inquiry. Discovery. |
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Term
What is the definition of nursing research? |
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Definition
A scientific process that: validates and refines existing knowlege, or generates new knowledge. Directly and indirectly influences nursing practice. May include education, admin, health services, nursing roles, and nurses' charateristics. |
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Term
Who was the first nursing researcher? |
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Definition
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Term
Who was the first woman member of the royal statistical society? |
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Definition
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Term
Who did Nightingale admire? |
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Definition
Adolphe Quetelet. Belgian astronomer/mathematician. Founder of "social physics" |
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Term
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Definition
Learning and memory are derived primarily from our experiences...data driven. |
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Term
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Definition
The source of true knowledge is logical thinking/reasoning. |
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Term
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Definition
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Term
True/False: In "post-modern" knowing there are no absolute laws, principles, or truths. |
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Definition
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Term
Anesthesiology's perspective on knowledge is rooted in this: |
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Definition
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Term
What are the 4 general purposes of research? |
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Definition
1. Describe-does it exist?
2. Explain- where does it occur? Why does it occur?
3. Predict-When does it occur?
4. Control-How can I use it? |
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Term
In the heirarchy of clinical knowledge what review is the highest quality? |
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Definition
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Term
In the heirarchy of clinical knowedge, what is considered the lowest quality text? |
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Definition
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Term
When was the cochrane collection founded and who founded it? |
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Definition
Founded in 1993 and named after British epidemiologist Archie Cochrane. |
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Term
What is the cochrane collection? |
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Definition
International not-for-profit and independent organization, dedicated to making up-to-date, accurate information about the effects of healthcare readily available worldwide. |
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Term
In the evidence rating system, what is level I? |
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Definition
Meta-analysis/systematic reviews |
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Term
In the evidence rating system, what is level VI? |
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Definition
Opinion of respected authorities |
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Term
In the evidence rating system, the 'A Stable Diamophism in the common paper clip' how would you rate it? |
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Definition
IIa. Experimental design. Meticulous description and attention to detail. |
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Term
In the ACC/AHA evidence level, what is level A? |
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Definition
Level A is evidence from multiple clinical trials or meta-analysis evaluating multiple populations. |
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Term
In the ACC/AHA evidence levels, what is level C? |
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Definition
Level C is evidence from case studies, standards of care, or expert opinion involving limited populations. |
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Term
In the ACC/AHA Classification what is Class I for evidence-based recommendations? |
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Definition
Class I: Benefits outweigh risk. Should perform/administer recommendation. |
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Term
In the ACC/AHA Classification what is Class III for evidence-based recommendations? |
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Definition
Class III: Risk outweighs benefit. Should not perform/administer recommendations. |
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Term
In the heirarchy of clinical knowledge is systems or studies higher? |
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Definition
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Term
What is evidence-based medicine? |
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Definition
The conscientious, explicit, and judicious use of current best evidence in making decisions about care of individual patients. |
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Term
What is evidence-based health care? |
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Definition
Extends all application of the principles of EBM to all professions associated with healthcare, including purchasing and management. |
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Term
True/False: When comparing EBDM and research, process can be simular and focus is different. |
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Definition
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Term
Are systemic reviews evidence or necessity driven? |
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Definition
Evidence-driven. Ex: Cochrane reviews |
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Term
Are practical guidelines evidence or necessity driven? |
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Definition
Necessity-driven. Ex: ACP, ASA, ASPAN |
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Term
True/False: Research is essential for growth of the discipline. |
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Definition
True. And perhaps sustainability of the discipline. |
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Term
What is the clinical practice of anesthesia predominantly based on? |
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Definition
Empiricism. However, there are also rational and post-modern paths to knowledge. |
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Term
What system exists to evaluate both general and clinical knowedge? |
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Definition
Classification (heirarchy) |
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Term
True/False: Classification systems for clinical knowlege provide a "shorthand" system to describe the credibility of research findings. |
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Definition
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Term
Where should knowlege quests start? |
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Definition
Knowledge quests should start with highest level of knowlege. |
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Term
What type of article is "The Icarus Effect: The influence of diluent warming on dantrolene sodium mixing time." |
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Definition
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Term
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Definition
Learning and memory are derived primarily from our experiences...data driven. |
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Term
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Definition
The source of true knowledge is logical thinking/reasoning. Socratic reasoning. |
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Term
What does PICO stand for? |
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Definition
Patient Interventions Comparative Outcomes |
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Term
Is most everything we do in nursing qualitative or quantitative? |
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Definition
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Term
True/False: Quantitative research is not formal, objective, systemic process. |
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Definition
False. It is formal, objective, systemic process using numerical data to obtain information about the world. |
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Term
What is quantitative research charaterized by? |
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Definition
Charaterized by rigor, objectivity and control. |
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Term
What are 3 types of quantitative research? |
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Definition
Basic, applied and translational research |
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Term
This type of quantitative research is directed toward the acquisition of new knowledge? |
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Definition
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Term
This type of quantitative research is directed toward solving immediate practical problems. |
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Definition
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Term
Translational research describes the recursive process as? |
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Definition
Basic research- clinial application. Clinical application- basic research. Basic research- clinical application. |
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Term
True/False: Qualitative research emerged from "post-positivist" philosophy. |
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Definition
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Term
What is it when reality is characterized by patterns and trends that can be used to describe, explain, and predict (empiricism and rationalism)? |
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Definition
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Term
True/False: Post-positivism can only be discovered perfectly. |
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Definition
False. Post-positivism can only be discovered perfectly. |
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Term
How post-positivism be understood? |
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Definition
Can only be understood by studying persons as they interact with, and within, their socio-historical settings. |
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Term
True/False: Quantitative research focused on deep understanding of how a phenomenon is experienced by an individual |
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Definition
False: Qualitative Research |
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Term
Does qualitative or quantitative emphasize narrative over numbers? |
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Definition
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Term
Does qualitative or quantitative research capture context through interview and observation? |
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Definition
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Term
"Lived experiences" is qualitative or quantitative research? |
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Definition
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Term
True/False: With Qualitative research the researcher has minimal control |
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Definition
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Term
What is an example of qualitative research? |
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Definition
studying how a full time nurse anesthesia graduate student changes daily living patterns |
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Term
Qualitative or Quantitative: Concise/objective/reductionist |
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Definition
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Term
Qualitative or Quantitative: Broad/interpretive/holistic |
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Definition
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Term
Qualitative or Quantitative: Logistic and deductive reasoning |
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Definition
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Term
Qualitative or Quantitative: Theory testing |
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Definition
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Term
Qualitative or Quantitative: Dialetic and inductive reasoning |
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Definition
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Term
Qualitative or Quantitative: Theory development |
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Definition
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Term
Qualitative or Quantitative: Control |
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Definition
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Term
Qualitative or Quantitative: shared interpretations |
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Definition
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Term
Qualitative or Quantitative: instruments, numbers, and statistics |
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Definition
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Term
Qualitative or Quantitative: accept/reject theoretical propositions, generalizable |
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Definition
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Term
Qualitative or Quantitative: unstructured interviews, observation and individual interpretation |
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Definition
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Term
Qualitative or Quantitative: unique understanding of phenomenon and new theory |
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Definition
Qualitative. "thick and rich description" |
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Term
what is outcome research? |
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Definition
examines results of care/intervention and measures changes in health status of patients |
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Term
what is intervention research? |
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Definition
tests an interventions effectiveness to achieve the desired outcome in a natural setting |
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Term
what are the 4 general purposes of research? |
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Definition
1. Describe - does it exist? what does it look like?
2. explain. where does it occur? why does it occur?
3. predict. when does it occur?
4. control. how can i use it? |
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Term
what are the 4 general purposes of research? |
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Definition
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Term
what are the 4 types of general quantitative designs? |
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Definition
1. Descriptive
2. Correlational
3. Experimental
4. Quasi-experimental |
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Term
what is quantitative descriptive research? |
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Definition
to gain more info about characteristics within a particular field of study. May describe single groups at a single time point, or groups over time. No manipulation of variables. No identification of dependant or independant variables |
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Term
what is quantitative correlational research? |
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Definition
examine relationships among variables. association (does not infer causation). Prediction (with specified independant and dependant variables) |
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Term
what is quantitative experimental research? |
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Definition
examines causality (manipulation of independant variable affects dependent variable). Rigorously controls sampling and setting. Requires subject randomization, comparison groups and treatment manipulation. Most powerful, but difficult to achieve in clinical setting |
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Term
what is quantitative quasi-experimental research? |
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Definition
designated for use when any component of experimental design is not feasable. Intended to limit threats to internal validity |
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Term
what is the good and bad news when dealing with strategies for reading research articles? |
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Definition
Good: research articles are written following predictable patterns
Bad: Research articles need to be read more than once to grasp the nuance |
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Term
when preparing to read a crappy journal article what 4 questions should we ask? |
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Definition
1. what do we know about the journal?
2. what do we know about the authors?
3. why the hell was the investigation conducted?
4. are there any evident conflicts of interest? |
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Term
IMRaD is a general structure of an article, what does it stand for? |
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Definition
Introduction Methods Results and Discussion |
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Term
what are the background question types? |
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Definition
General knowledge. Components: Root (who, what, where, when, how or why) + verb.
Object: (disorder, treatment, technology ect) ex. how does BS monitoring work? |
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Term
what are foreground question types? |
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Definition
Specifically relevant. Components: PICO. ex, is the BS monitor effective in reducing the incidence of explicit recall in adult polytrauma patients? |
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Term
what does PICO stand for? |
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Definition
Patient or Problem
Intervention
Comparison (if relevant)
Outcome (including time frame if relevant) |
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Term
In PICO, the patient or problem what question should you ask? |
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Definition
what population are you investigating? Age. gender. ethnicity. disease/disorder |
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Term
In PICO the intervention or area of interest what question should you ask? |
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Definition
what do you want to do for the patient/population? Treatment, diagnostic test, medication, and environment |
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Term
In PICO, the comparison, intervention/status what question should you ask |
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Definition
to what alternatives will the intervention be compared? Gold standard, placebo, no disease/treatment. Different intervention. Different population |
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Term
In PICO, the Outcome of interest what question should you ask? |
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Definition
what will be measurably improved for the patient/population? risk of disease/complication/adverse event. Accuracy/time of diagnosis/detection. return of status (ex self-care, work, home), satisfaction/perception. Resource utilization/cost |
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Term
what are the 5 items in a "bare bones" article? |
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Definition
Title
purpose
hypotheses
findings
conclusions |
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Term
what are the 8 sources of research qestions? |
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Definition
clinical problems/questions
literature
regulatory agencies
technology
new diagnosis
media
sentinel events
legislative events |
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Term
what does IMRad stand for? |
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Definition
Introduction
Methods
Results
Discussion - this is the general structure of an article |
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Term
what are the 2 quantitative building blocks? |
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Definition
variables and definitions |
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Term
true/false: variables can be dependant or independant |
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Definition
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Term
true/false: Definitions can be conceptual or operational |
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Definition
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Term
what is the definition of variable? |
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Definition
any construct with one or more changeable value that is examined in research |
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Term
what is a dependant variable? |
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Definition
the response, behavior, or outcome the researcher wants to explain, predict or control |
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Term
what is an independant variable? |
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Definition
a stimulus or activity manipulated by the researcher to create on the dependent variable |
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Term
in the article "the Icaurus effect" what is the dependent and independent variables? |
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Definition
Depenent - Time
Independent - Temp |
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Term
in the article about PONV, what is the dependent and independent variables? |
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Definition
Dependent - nausea/vomiting
Independent - Drug hospital setting |
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