Feb 23, 2024 NURS 6052 EBP Part 1 Identifying Research Methodologies
NURS 6052 EBP Part 1 Identifying Research Methodologies
NURS 6052 EBP Part 1 Identifying Research Methodologies
Is there a difference between “common practice” and “best practice”?
When you first went to work for your current organization, experienced colleagues may have shared with you details about processes and procedures. Perhaps you even attended an orientation session to brief you on these matters. As a “rookie,” you likely kept the nature of your questions to those with answers that would best help you perform your new role.
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Matrix Worksheet Template
Use this document to complete Part 2 of the Module 2 Assessment, Evidence-Based Project, Part 1: An Introduction to Clinical Inquiry and Part 2: Research Methodologies
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Full citation of selected article
Article #1
Article #2
Article #3
Article #4
Bridges, J., Griffiths, P., Oliver, E., & Pickering, R. M. (2019). Hospital nurse staffing and staff–patient interactions: an observational study. BMJ quality & safety, 28(9), 706-713. https://qualitysafety.bmj.com/content/28/9/706
Nantsupawat, A., Kunaviktikul, W., Nantsupawat, R., Wichaikhum, O. A., Thienthong, H., & Poghosyan, L. (2017). Effects of nurse work environment on job dissatisfaction, burnout, intention to leave. International nursing review, 64(1), 91-98.doi: 10.1111/inr.12342
Perry, S. J., Richter, J. P., & Beauvais, B. (2018). The Effects of Nursing Satisfaction and Turnover Cognitions on Patient Attitudes and Outcomes: A Three-Level Multisource Study. Health services research, 53(6), 4943–4969. https://doi.org/10.1111/1475-6773.12997
Jarrar, M. T., Minai, M. S., Al‐Bsheish, M., Meri, A., & Jaber, M. (2019). Hospital nurse shift length, patient‐centered care, and the perceived quality and patient safety. The International journal of health planning and management, 34(1), e387-e396. https://doi.org/10.1002/hpm.2656
Why you chose this article and/or how it relates to the clinical issue of interest (include a brief explanation of the ethics of research related to your clinical issue of interest)
The output of a nurse depends, to no small extent, on how health care organizations utilize nurses’ skills. If underutilized, nurses’ output usually reduces proportionately. This study is based on the premise that reducing nursing staffing or skill mix is detrimental to quality. It hypothesizes that nursing shortages prompt health care managers to dilute nursing team skill mix; it is an in-depth exploration of the link between nurse staffing and staff-patient interactions. Concerning ethics of research, integrity is a priority when research involves a critical health care issue. Integrity was highly valued since it excluded patients who were unable to communicate their choices about taking part in the research. If differently, stated, participants had to consent, and were fully informed about what the study involved.
Due to the far-reaching impacts of nursing shortage, it is crucial to understand its causes. I chose this article since it evaluates how high turnover rates among nurses causes nursing shortage. Job dissatisfaction, burnout, and intention to leave have been noted as the predictors of nurse turnover. Given this, the article shows how the work environment is responsible for nursing shortage. On matters to do with ethics of research, researchers highly regard confidentiality. Before engaging in the research, the study was approved by the Chiang Mai University Faculty of Nursing Research Ethics Committee. It is also noted that all participants consented to participate and their anonymity was preserved. When carrying out research on a health care matter such as nursing shortage, integrity is critical. The anonymity of participants who completed the questionnaires was preserved too.
Undeniably, there is a close relationship between attitude and performance. I considered this article since it theorizes that nurses’ satisfaction can be improved by fostering work conditions. When nurses’ innate needs are addressed, they are demotivated to leave; this reduces turnover, implying that nursing shortage is prevented. Regarding ethics of research, informed consent is visible. Participants were adequately informed about the intentions and type of research.
Nursing shortage is exacerbated by turnover that stems from job dissatisfaction. I chose this article since it examines a critical issue that affects nurses’ satisfaction- shift length. The authors suggest that shift length is an underexplored area in health care research despite its impact on nurses’ productivity. If the length of the appropriate shifts can be known, nursing shortage can have a solution, which I instrumental in improving overall quality of care. On ethics of research, objectivity is critical in research and highly evident in the author’s approach to the research problem. There is a lot of effort to avoid bias in experimental design.
Brief description of the aims of the research of each peer-reviewed article
In any case, reducing the number of health care providers must affect nurses’ productivity and overall health outcomes profoundly. To understand this relationship better, the study examined how reducing nurse staffing affects staff-patient interactions.
Guided by the principle that nurses’ productivity depends on the environment, this study investigated how the working environment affects job satisfaction, causes burnout and intention to leave among nurses. It conjectures that nurses working in satisfactory work environments have low rates of job dissatisfaction, burnout, and intention to leave.
The study explored outcomes of nurse self-reported job satisfaction and dissatisfaction turnover cognitions based on the premise that fostering work conditions fosters satisfaction and prevents adverse outcomes such as turnover. Reduced turnover prevents nursing shortage.
The study is primarily centered on the impacts of shift lengths on quality of care. However, instead of examining impacts on patients like many studies, the study’s aim was to investigate the effect of the hospital nurse shift length on quality and safety of nurses in medical-surgical and multidisciplinary wards.
Brief description of the research methodology used Be sure to identify if the methodology used was qualitative, quantitative, or a mixed-methods approach. Be specific.
Bridges et al. (2019) took part in an observational study. They observed 270 patients (238 hours) while concentrating on staff-patient interactions which were rated using the Quality of Interaction Schedule. The patient-to-staff ratio was calculated using parameters such as registered nurse, healthcare assistant, and patient numbers. The researchers used multilevel regression models to explore the link between staffing levels, skill mix, and impact on interaction levels.Using observations implies that the methodology is qualitative.
This study is quantitative. As explained, the researchers sent questionnaires to staff in the selected hospitals where the division staff helped the research team to collect data. Questionnaires were dispersed to the registered nurses (RNs) after they agreed to participate in the study. Everything was confidential since the participants returned the filled questionnaires via a sealed envelope and gave the findings to the researchers.
This is a qualitative study since the researchers collected individual nurse responses by interviewing them.
This study was a cross-sectional survey on 12 hospitals in Malaysia. The Hayes macro regression analysis was used to examine the link between working long shifts and quality of care and safety.Cross-sectional survey- quantitative method.
A brief description of the strengths of each of the research methodologies used, including reliability and validity of how the methodology was applied in each of the peer-reviewed articles you selected.
One of the leading strengths of observational studies is more accuracy compared to other methods such as questionnaires and interviews. In an observational study like this one, the researcher depends on information that the respondents provide. Given that there are numerous devices for testing reliability of participants’ behavior, the data collected is highly reliable. A sample of a small population can be used to correctly infer the behavior of the rest of the population. Observations have greater universality of practice, enabling a researcher to collect data from many fields including sciences and social fields.
Questionnaires are among the most applied data collection methods. Often used in cross-sectional studies like this one, questionnaires offer a highly reliable method for data collection. Through questionnaires, a researcher can collect information from a huge proportion; mass data helps to validate the findings. Also, the results are easily quantified, and experiments can be carried out with limited effect on validity and reliability.
Compared to other methods, interviews have an excellent response rate since it accommodates almost every group of people and actively engage them. Moreover, they allow the researcher to judge the non-verbal behavior of the respondents. Due to its high response rate and enabling the researcher to collect mass data, interview results are highly reliable and valid when it comes to generalizing study findings.
One of the leading characteristics of cross-sectional studies is that they take place at a single point in time. Their design does not allow the researcher to manipulate variables. Based on the defining characteristics, the methodology allows researchers to collect data on multiple variables to assess how it might correlate with the critical interest’s variable. Its validity is affirmed by allowing the researcher to amass large amounts of information from mass participants.
General Notes/Comments
The article is highly informative on matters concerning nursing shortage. Health care providers and stakeholders can use it to expand literature and learn more about the impacts of nursing shortage on patient-nurse interaction. Always, any issue that affects care providers’ satisfaction ends up affecting their output and mental state. As this happens, patients end up being the most affected group, and this article reflects on this connection and suggests solutions.
Overall, this article is an excellent research material for a nurse or anyone determined to know the work environment causes dissatisfaction, burnout, and intention to leave. Admittedly, it is a highly detailed article on how nursing shortage emerges and how it can be addressed by concentrating on its predictive factors.
From an individual perspective, this is a highly detailed article that can help to expand literature on nursing shortage. Besides explaining the possible cause, the article shows possible intervention measures (patient-centered and environment-based).
Nursing shortage is a critical health care issue with far-reaching impacts. The article examines the relationship between shifts’ lengths and nurses’ output. It is highly detailed on how long shifts can overwhelm nurses and reduce their motivation. Lack of motivation to work causes dissatisfaction, which prompts turnover.
Over time and with experience, perhaps you recognized aspects of these processes and procedures that you wanted to question further. This is the realm of clinical inquiry.
Clinical inquiry is the practice of asking questions about clinical practice. To continuously improve patient care, all nurses should consistently use clinical inquiry to question why they are doing something the way they are doing it. Do they know why it is done this way, or is it just because we have always done it this way? Is it a common practice or a best practice?
In this Assignment, you will identify clinical areas of interest and inquiry and practice searching for research in support of maintaining or changing these practices. You will also analyze this research to compare research methodologies employed.
To Prepare:
Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry. Keep in mind that the clinical issue you identify for your research will stay the same for the entire course.
Based on the clinical issue of interest and using keywords related to the clinical issue of interest, search at least four different databases in the Walden Library to identify at least four relevant peer-reviewed articles related to your clinical issue of interest. You should not be using systematic reviews for this assignment, select original research articles.
Review the results of your peer-reviewed research and reflect on the process of using an unfiltered database to search for peer-reviewed research.
Reflect on the types of research methodologies contained in the four relevant peer-reviewed articles you selected.
Part 1: Identifying Research Methodologies
After reading each of the four peer-reviewed articles you selected, use the Matrix Worksheet template to analyze the methodologies applied in each of the four peer-reviewed articles. Your analysis should include the following:
The full citation of each peer-reviewed article in APA format.
A brief (1-paragraph) statement explaining why you chose this peer-reviewed article and/or how it relates to your clinical issue of interest, including a brief explanation of the ethics of research related to your clinical issue of interest.
A brief (1-2 paragraph) description of the aims of the research of each peer-reviewed article.
A brief (1-2 paragraph) description of the research methodology used. Be sure to identify if the methodology used was qualitative, quantitative, or a mixed-methods approach. Be specific.
A brief (1- to 2-paragraph) description of the strengths of each of the research methodologies used, including reliability and validity of how the methodology was applied in each of the peer-reviewed articles you selected.
By Day 7 of Week 3
Submit your Evidence-Based Project.
Submission and Grading Information
To submit your completed Assignment for review and grading, do the following:
Please save your Assignment using the naming convention “WK3Assgn+last name+first initial.(extension)” as the name.
Click the Week 3 Assignment Rubric to review the Grading Criteria for the Assignment.
Click the Week 3 Assignment link. You will also be able to “View Rubric” for grading criteria from this area.
Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK3Assgn+last name+first initial.(extension)” and click Open.
If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.
Click on the Submit button to complete your submission.
Due to the nature of this assignment, your instructor may require more than 5 days to provide you with quality feedback.
Grading Criteria
To access your rubric:
Week 3 Assignment Rubric
Check Your Assignment Draft for Authenticity
To check your Assignment Draft for Authenticity
Submit your Week 3 Assignment Draft and review the originality report
Submit Your Assignment by Day 7 of Week 3
To submit your Assignment:
Week 3 Assignment
Next Module
To go to the next module:
Module 3
Module 2: An Introduction to Clinical Inquiry and Research Methodologies (Weeks 2-3)
Laureate Education (Producer). (2018). Research Methodologies [Video file]. Baltimore, MD: Author.
Due By
Assignment
Week 2, Days 1-4
Read the Learning Resources.
Begin to check your knowledge with the Quiz.
Week 2, Days 5-6
Continue to check your knowledge with the Quiz.
Week 2, Day 7
Final day to complete Quiz.
Begin to compose your Assignment.
Week 3, Days 1-6
Continue to compose your Assignment.
Week 3, Day 7
Deadline to submit your Assignment.
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Learning Objectives
Students will:
Differentiate between quantitative, qualitative, and mixed-method research methodologies
Analyze the relationship between peer-reviewed articles and clinical issues
Analyze research ethics related to clinical issues and peer-reviewed research
Analyze the aims of research studies presented in peer-reviewed articles
Analyze research methodologies described in peer-reviewed articles
Analyze strengths, reliability, and validity of research methodologies in peer-reviewed research
Learning Resources
Note: To access this module’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.
Required Readings
Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.
Chapter 2, “Asking Compelling Clinical Questions” (pp. 33–54)
Chapter 21, “Generating Evidence Through Quantitative and Qualitative Research” (pp. 607–653)
Grant, M. J., & Booth, A. (2009). A typology of reviews: An analysis of 14 review types and associated methodologies. Health Information and Libraries Journal, 26, 91–108. doi:10.1111/j.1471-1842.2009.00848.x
Note: You will access this article from the Walden Library databases.
Hoare, Z., & Hoe, J. (2013). Understanding quantitative research: Part 2. Nursing Standard, 27(18), 48–55. doi:10.7748/ns2013.01.27.18.48.c9488
Note: You will access this article from the Walden Library databases.
Hoe, J., & Hoare, Z. (2012). Understanding quantitative research: Part 1. Nursing Standard, 27(15), 52–57. doi:10.7748/ns2012.12.27.15.52.c9485
Note: You will access this article from the Walden Library databases.
Walden University Library. (n.d.-a). Databases A-Z: Nursing. Retrieved September 6, 2019, from https://academicguides.waldenu.edu/az.php?s=19981
Walden University Library. (n.d.-b). Evaluating resources: Primary & secondary sources. Retrieved January 22, 2020, from https://academicguides.waldenu.edu/library/evaluating/sources
Walden University Library. (n.d.-f). Keyword searching: Finding articles on your topic: Boolean terms. Retrieved September 19, 2018, from http://academicguides.waldenu.edu/library/keyword/boolean
Walden University Library. (n.d.-g). Keyword searching: Finding articles on your topic: Introduction to keyword searching. Retrieved September 19, 2018, from http://academicguides.waldenu.edu/library/keyword/searching-basics
Walden University Library. (n.d.-i). Quick Answers: What are filtered and unfiltered resources in nursing? Retrieved September 6, 2019, from https://academicanswers.waldenu.edu/faq/73299
Document: Matrix Worksheet Template (Word Document)
Required Media
Centers for Research Quality. (2015a, August 13). Overview of qualitative research methods [Video file]. Retrieved from https://youtu.be/IsAUNs-IoSQ
Centers for Research Quality. (2015b, August 13). Overview of quantitative research methods [Video file]. Retrieved from https://youtu.be/cwU8as9ZNlA
Laureate Education (Producer). (2018). Review of research: Anatomy of a research study [Mutlimedia file]. Baltimore, MD: Author.
Schulich Library McGill. (2017, June 6). Types of reviews [Video file]. Retrieved from https://youtu.be/5Rv9z7Mp4kg
Quiz: Is It Quantitative, Qualitative, or Mixed Methods?
An effective understanding and application of research requires an understanding of the underlying methodologies employed. This quiz will assess your understanding of the quantitative, qualitative, and mixed-method research methodologies.
To Prepare:
Review the research methodology terms and concepts presented to you this week.
By Day 7 of Week 2
Submit your Quiz.
Note: You may submit your Quiz as many times as you like until Day 7 of Week 2.
Submission Information
Submit Your Quiz by Day 7 of Week 2
To submit your Quiz
Clinical issues have profound impacts on health care providers and patients, given that they pose a significant risk to the quality of care, patient safety, and nursing staff’s wellbeing. Workplace incivility, characterized by discourteous and disrespectful actions, is typical in the nursing practice. It is among the issues that adversely affect nurses’ confidence and interprofessional collaboration. Anxiety is also high in workplaces where nursing incivility is not effectively controlled, fueling burnout and turnover (Shi et al., 2018). Effective control of nursing incivility is vital to optimizing care quality and patient safety. Since interventions should be evidence-based, it is crucial to search for evidence from credible research as summarized in the matrix worksheet.
Full citation of selected article
Article #1
Article #2
Article #3
Article #4
Kile, D., Eaton, M., deValpine, M., & Gilbert, R. (2019). The effectiveness of education and cognitive rehearsal in managing nurse‐to‐nurse incivility: A pilot study. Journal of Nursing Management, 27(3), 543-552. https://doi.org/10.1111/jonm.12709
Abdollahzadeh, F., Asghari, E., Ebrahimi, H., Rahmani, A., & Vahidi, M. (2017). How to prevent workplace incivility?: Nurses’ perspective. Iranian Journal of Nursing and Midwifery Research, 22(2), 157-163. https://doi.org/10.4103/1735-9066.205966
Armstrong, N. (2018). Management of nursing workplace incivility in the health care settings: A systematic review. Workplace Health & Safety, 66(8), 403-410. https://doi.org/10.1177%2F2165079918771106
Shi, Y., Guo, H., Zhang, S., Xie, F., Wang, J., Sun, Z., … & Fan, L. (2018). Impact of workplace incivility against new nurses on job burn-out: A cross-sectional study in China. BMJ Open, 8(4), e020461. doi:10.1136/ bmjopen-2017-020461
Why you chose this article and/or how it relates to the clinical issue of interest (include a brief explanation of the ethics of research related to your clinical issue of interest)
It is a comprehensive article exploring the importance of enhanced awareness through educational programs in reducing nurse-to-nurse incivility. The article explains how cognitive rehearsal techniques can help nurses to cope with incivility. Al-Ghabeesh and Qattom (2018) also supported the role of cognitive rehearsal in helping nurses to cope with workplace problems since it prepares them mentally to cope with stressing situations. Regarding ethics, participation was voluntary and participants’ information treated anonymously.
The article depicts workplace incivility as a disturbing phenomenon, detrimental to clinicians’ health and care delivered. Due to incivility’s psychological and somatic effects, the article investigates how it can be managed from a nurse’s perspect
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