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research
research test 1
100
Other
Graduate
10/10/2011

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Cards

Term
Advanced practice nurses have a commitment to this.
Definition
Quality.  Quality defined.  Degree to which health services increase the likelihood of desired health outcomes and are consistent with current professional knowlege.
Term
What are the cornerstone of advanced practice nursing?
Definition
Best provider.  Best treatment.  Best dose.  Best route.
Term
Who said "lead, follow, or get out of the way."
Definition
Thomas Paine
Term
What is the definition of research?
Definition
To search again.  Diligent and systematic inquiry.  Discovery.
Term
What is the definition of nursing research?
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.
Term
Who was the first nursing researcher?
Definition
Flo Nightingale
Term
Who was the first woman member of the royal statistical society?
Definition
Florence Nightingale
Term
Who did Nightingale admire?
Definition
Adolphe Quetelet.  Belgian astronomer/mathematician.  Founder of "social physics"
Term
What is empiriscism?
Definition
Learning and memory are derived primarily from our experiences...data driven.
Term
What is rationalism?
Definition
The source of true knowledge is logical thinking/reasoning.
Term
What is gedanken?
Definition
thought
Term
True/False:  In "post-modern" knowing there are no absolute laws, principles, or truths.
Definition
true
Term
Anesthesiology's perspective on knowledge is rooted in this:
Definition
Empiricism
Term
What are the 4 general purposes of research?
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?

Term
In the heirarchy of clinical knowledge what review is the highest quality?
Definition
Cochrane review
Term
In the heirarchy of clinical knowedge, what is considered the lowest quality text?
Definition
Clinical reference texts
Term
When was the cochrane collection founded and who founded it?
Definition
Founded in 1993 and named after British epidemiologist Archie Cochrane.
Term
What is the cochrane collection?
Definition
International not-for-profit and independent organization, dedicated to making up-to-date, accurate information about the effects of healthcare readily available worldwide.
Term
In the evidence rating system, what is level I?
Definition
Meta-analysis/systematic reviews
Term
In the evidence rating system, what is level VI?
Definition
Opinion of respected authorities
Term
In the evidence rating system, the  'A Stable Diamophism in the common paper clip' how would you rate it?
Definition
IIa.  Experimental design.  Meticulous description and attention to detail.
Term
In the ACC/AHA evidence level, what is level A?
Definition
Level A is evidence from multiple clinical trials or meta-analysis evaluating multiple populations.
Term
In the ACC/AHA evidence levels, what is level C?
Definition
Level C is evidence from case studies, standards of care, or expert opinion involving limited populations.
Term
In the ACC/AHA Classification what is Class I for evidence-based recommendations?
Definition
Class I:  Benefits outweigh risk.  Should perform/administer recommendation.
Term
In the ACC/AHA Classification what is Class III for evidence-based recommendations?
Definition
Class III:  Risk outweighs benefit.  Should not perform/administer recommendations.
Term
In the heirarchy of clinical knowledge is systems or studies higher?
Definition
Systems
Term
What is evidence-based medicine?
Definition
The conscientious, explicit, and judicious use of current best evidence in making decisions about care of individual patients.
Term
What is evidence-based health care?
Definition
Extends all application of the principles of EBM to all professions associated with healthcare, including purchasing and management.
Term
True/False:  When comparing EBDM and research, process can be simular and focus is different.
Definition
True
Term
Are systemic reviews evidence or necessity driven?
Definition
Evidence-driven.  Ex: Cochrane reviews
Term
Are practical guidelines evidence or necessity driven?
Definition
Necessity-driven.  Ex:  ACP, ASA, ASPAN
Term
True/False:  Research is essential for growth of the discipline.
Definition
True.  And perhaps sustainability of the discipline.
Term
What is the clinical practice of anesthesia predominantly based on?
Definition
Empiricism. However, there are also rational and post-modern paths to knowledge.
Term
What system exists to evaluate both general and clinical knowedge?
Definition
Classification (heirarchy)
Term
True/False:  Classification systems for clinical knowlege provide a "shorthand" system to describe the credibility of research findings.
Definition
True
Term
Where should knowlege quests start?
Definition
Knowledge quests should start with highest level of knowlege.
Term
What type of article is "The Icarus Effect: The influence of diluent warming on dantrolene sodium mixing time."
Definition
A Bare-Bones article
Term
What is empiricism?
Definition
Learning and memory are derived primarily from our experiences...data driven.
Term
What is rationalism?
Definition
The source of true knowledge is logical thinking/reasoning.  Socratic reasoning.
Term
What does PICO stand for?
Definition
Patient Interventions Comparative Outcomes
Term
Is most everything we do in nursing qualitative or quantitative?
Definition
Quantitative
Term
True/False:  Quantitative research is not formal, objective, systemic process.
Definition
False.  It is formal, objective, systemic process using numerical data to obtain information about the world.
Term
What is quantitative research charaterized by?
Definition
Charaterized by rigor, objectivity and control.
Term
What are 3 types of quantitative research?
Definition
Basic, applied and translational research
Term
This type of quantitative research is directed toward the acquisition of new knowledge?
Definition
Basic
Term
This type of quantitative research is directed toward solving immediate practical problems.
Definition
Applied
Term
Translational research describes the recursive process as?
Definition
Basic research- clinial application.  Clinical application- basic research.  Basic research- clinical application.
Term
True/False:  Qualitative research emerged from "post-positivist" philosophy.
Definition
True
Term
What is it when reality is characterized by patterns and trends that can be used to describe, explain, and predict (empiricism and rationalism)?
Definition
Positivism
Term
True/False:  Post-positivism can only be discovered perfectly.
Definition
False.  Post-positivism can only be discovered perfectly.
Term
How post-positivism be understood?
Definition
Can only be understood by studying persons as they interact with, and within, their socio-historical settings.
Term
True/False:  Quantitative research focused on deep understanding of how a phenomenon is experienced by an individual
Definition
False:  Qualitative Research
Term
Does qualitative or quantitative emphasize narrative over numbers?
Definition
Qualitative research
Term
Does qualitative or quantitative research capture context through interview and observation?
Definition
Qualitative research
Term
"Lived experiences" is qualitative or quantitative research?
Definition
Qualitative research
Term
True/False:  With Qualitative research the researcher has minimal control
Definition
True Naturalistic
Term
What is an example of qualitative research?
Definition
studying how a full time nurse anesthesia graduate student changes daily living patterns
Term
Qualitative or Quantitative:  Concise/objective/reductionist
Definition
Quantitative
Term
Qualitative or Quantitative:  Broad/interpretive/holistic
Definition
Qualitative
Term
Qualitative or Quantitative:  Logistic and deductive reasoning
Definition
Quantitative
Term
Qualitative or Quantitative:  Theory testing
Definition
Quantitative
Term
Qualitative or Quantitative:  Dialetic and inductive reasoning
Definition
qualitative
Term
Qualitative or Quantitative:  Theory development
Definition
qualitative
Term
Qualitative or Quantitative:  Control
Definition
Quantitative
Term
Qualitative or Quantitative:  shared interpretations
Definition
Qualitative
Term
Qualitative or Quantitative:  instruments, numbers, and statistics
Definition
quantitative
Term
Qualitative or Quantitative:  accept/reject theoretical propositions, generalizable
Definition
quantitative
Term
Qualitative or Quantitative:  unstructured interviews, observation and individual interpretation
Definition
qualitative
Term
Qualitative or Quantitative:  unique understanding of phenomenon and new theory
Definition
Qualitative.  "thick and rich description"
Term
what is outcome research?
Definition
examines results of care/intervention and measures changes in health status of patients
Term
what is intervention research?
Definition
tests an interventions effectiveness to achieve the desired outcome in a natural setting
Term
what are the 4 general purposes of research?
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?

Term
what are the 4 general purposes of research?
Definition
Term
what are the 4 types of general quantitative designs?
Definition

1.  Descriptive

2.  Correlational

3.  Experimental

4.  Quasi-experimental

Term
what is quantitative descriptive research?
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
Term
what is quantitative correlational research?
Definition
examine relationships among variables.  association (does not infer causation).  Prediction (with specified independant and dependant variables)
Term
what is quantitative experimental research?
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
Term
what is quantitative quasi-experimental research?
Definition
designated for use when any component of experimental design is not feasable.  Intended to limit threats to internal validity
Term
what is the good and bad news when dealing with strategies for reading research articles?
Definition

Good:  research articles are written following predictable patterns

Bad:  Research articles need to be read more than once to grasp the nuance

Term
when preparing to read a crappy journal article what 4 questions should we ask?
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?

Term
IMRaD is a general structure of an article, what does it stand for?
Definition
Introduction Methods Results and Discussion
Term
what are the background question types?
Definition

General knowledge.  Components:  Root (who, what, where, when, how or why) + verb. 

Object:  (disorder, treatment, technology ect) ex. how does BS monitoring work?

Term
what are foreground question types?
Definition
Specifically relevant.  Components: PICO. ex, is the BS monitor effective in reducing the incidence of explicit recall in adult polytrauma patients?
Term
what does PICO stand for?
Definition

Patient or Problem

Intervention

Comparison (if relevant)

Outcome (including time frame if relevant)

Term
In PICO, the patient or problem what question should you ask?
Definition
what population are you investigating? Age. gender. ethnicity. disease/disorder
Term
In PICO the intervention or area of interest what question should you ask?
Definition
what do you want to do for the patient/population?  Treatment, diagnostic test, medication, and environment
Term
In PICO, the comparison, intervention/status what question should you ask
Definition
to what alternatives will the intervention be compared? Gold standard, placebo, no disease/treatment.  Different intervention. Different population
Term
In PICO, the Outcome of interest what question should you ask?
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
Term
what are the 5 items in a "bare bones" article?
Definition

Title

purpose

hypotheses

findings

conclusions

Term
what are the 8 sources of research qestions?
Definition

clinical problems/questions

literature

regulatory agencies

technology

new diagnosis

media

sentinel events

legislative events

Term
what does IMRad stand for?
Definition

Introduction

Methods

Results

Discussion - this is the general structure of an article

Term
what are the 2 quantitative building  blocks?
Definition
variables and definitions
Term
true/false:  variables can be dependant or independant
Definition
True
Term
true/false:  Definitions can be conceptual or operational
Definition
True
Term
what is the definition of variable?
Definition
any construct with one or more changeable value that is examined in research
Term
what is a dependant variable?
Definition
the response, behavior, or outcome the researcher wants to explain, predict or control
Term
what is an independant variable?
Definition
a stimulus or activity manipulated by the researcher to create on the dependent variable
Term
in the article "the Icaurus effect" what is the dependent and independent variables?
Definition

Depenent - Time

Independent - Temp

Term
in the article about PONV, what is the dependent and independent variables?
Definition

Dependent - nausea/vomiting

Independent - Drug hospital setting

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