Nursing Diagnosis Research for Students Chapter Five.
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Transcript of Nursing Diagnosis Research for Students Chapter Five.
![Page 1: Nursing Diagnosis Research for Students Chapter Five.](https://reader036.fdocuments.us/reader036/viewer/2022062305/56649ea45503460f94ba888c/html5/thumbnails/1.jpg)
Nursing Diagnosis Researchfor Students
Chapter Five
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Nursing Diagnosis Research for Students
ContributorMargaret Lunney
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For Decades, All New Nursing Diagnoses have been Based On Research = Evidence-Based Nursing
• Number and Types of Studies Vary for Individual Diagnoses
• Additional Studies are Needed for All Nursing Diagnoses:• Meaning and Use with Variety of Populations• Use with Interventions and Outcomes
• YOU can Help!
• Conduct Your Own Nursing Diagnosis Research - Examples Follow
The Importance of Research Support for Nursing Diagnosis
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Answers Research Questions Such as:
• What Meanings of the Concept are Described in the Literature?
• How is This Concept Distinguished from Other Related Concepts?
• What have Been the Uses for This Concept?
• Instructions on How to Conduct a Concept Analysis(Walker and Avant 2005)
Concept Analysis
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Answer Research Questions Such as:• What is the Meaning of the Concept with a Specific Population?
• What are the Defining Characteristics?
• What are the Related Factors?
• What are the Appropriate Uses for the Diagnosis(es)?
• Subjects:• Nurses Who Work with People Experiencing the Diagnosis• People Who Experience the Diagnosis – Considered as the Best
Type of Data
Content Validation Studies
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In Clinical Studies, Answer Research Questions Such as:• How Does a Specific Diagnosis Differ from Other Related Diagnoses?
• Does This Diagnosis Occur Under Certain Conditions?
• What is the Frequency of Occurrence Under Certain Conditions?
• How Consistently is the Diagnosis Used by Nurses?
• What Factors Influence Occurrence of the Diagnosis?
• To What Extent Do People with Risk Factors Experience the Diagnosis?
• What are the Outcomes When Interventions are Provided for This Diagnosis?
Construct and Criterion-Related Validity
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Answers Research Questions Such as:• To What Extent Do Experienced Nurses Agree Regarding the
Relevant Diagnoses for a Specific Population?
• Which Nursing Diagnoses Should be Included in Standards of Care for a Specific Population?
• Which Nursing Diagnoses Should be Available in the Front (Primary or Main) Screens of EHRs for a Specific Population?
• Which Diagnoses Should Routinely be Used in a Specific Health Care Setting?
Consensus Validation
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In Clinical Studies, Answer Research Questions Such as:• Which Defining Characteristics can Reliably Predict a Diagnosis?
• Which Defining Characteristics are Most Sensitive to Occurrence of a Diagnosis?
• Which Defining Characteristics are Major (Most Commonly Prevalent) Defining Characteristics?
• Which Defining Characteristics are Not Sensitive Enough to Predict a Diagnosis (Some Diagnoses have Too Many Defining Characteristics)?
Sensitivity, Specificity and Predictive Values
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Answers Research Questions Such as:• How Accurate are Nurses with Specific Education, Experience,
Types of Competencies, and So Forth?
• What Factors Impact on Accuracy in Specific Settings?
• What Factors in Three Categories Should be Modified or Mitigated to Positively Affect Accuracy?• The Situational Context• Types of Clinical Cases• Nurse Diagnosticians
Accuracy of Nurses’ Diagnoses
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Answer Research Questions Such as:
• What are the Frequencies of Using Specific Diagnoses?
• Under What Circumstances are Diagnoses Being Used?
• Which Nursing Interventions are Being Used with Diagnoses?
• What are the Effects on Patient Outcomes When Diagnoses and Interventions are Applied?
Implementation Studies
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Sources for Research Design• Books, Journals and Librarians• Teachers and Researchers
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Read Research Articles
Use Published Research as Models (e.g. Chapter in NANDA-I Book).
Develop Research Teams:• Colleagues• Administrators• Doctorally Prepared Nurses
Getting Started as a Researcher
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Getting Started as a Researcher• Reflect on Practice• Effort
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1. Knowledge Development for Nursing2. Contribution to Quality-Based Nursing Care
(Lunney 2008)
Rewards!
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ReferencesLunney M. (2008) The need for international nursing diagnosis research and a theoretical framework.
International Journal of Nursing Terminologies and Classifications 19(1), 28-34.Walker L, Avant K. (2005) Strategies for Theory Construction in Nursing, 4th edn. Norwalk, CT:
Appleton and Lange.