Chapter 4-6 - Nursing Research
Chapter 4-6 - Nursing Research
Chapter 4-6 - Nursing Research
Chapter 4 - 6
By Bella P. Magnaye
Comparison of Quantitative and Qualitative Research
Methods Uses structured procedures and Does not attempt to control, the context
formal instruments to collect of the research but attempts to capture
information the context in its entirety
Objectivity Emphasizes objectivity in collection Attempts to capitalize on subjective data
vs and analysis of information as a means for understanding and
subjectivity interpreting human experiences
Analysis Analyzes numeric information Analyzes narrative information in an
through statistical procedure organized, but intuitive fashion
Comparison of Quantitative and Qualitative Research
Research problem
- troubling condition that an investigator wants to
solve
Research question
- specific queries or questions that the researcher
wants to answer by his study
Statement of the problem
- explicit and precise expression of the dilemma or
research question to address , that indicates a
need for a study to provide understanding and
direction
Elements of a Research Problem
Research
Problem
Feasibility of Addressing
Researcher Interest
the Problem
Significance of the Problem
• Evidence from the study should have the
potential of contributing meaningfully to
nursing practice
• In evaluating the significance of an idea, the
following questions should be posed:
– Is the problem an important one?
– Will patients, nurses or the broader health care community benefit
from the evidence that will be produced?
– Will the results lead to practical applications?
– Will the problem challenge untested assumptions?
– Will the study help to formulate or alter nursing practices?
Researchability of the Problem
• Not all problems are amenable to research
inquiry
• A problem is researchable and manageable if:
– Data are available and accessible
– Data meet the standards of accuracy, objectivity,
and verifiability
– Answers to specific questions can be found
– Hypotheses formulated are testable
– Equipment and instruments for research are
available and can give reliable results
Feasibility of Addressing the Problem
• The scope of the problem should be
Time and Timing sufficiently restricted that enough time
will be available
• Description of studies
Primary written by the researchers
Source who conducted them
• Descriptions of studies
Secondary prepared by someone
Source other than the original
researcher
Factors in doing literature review
Fact
Ø most basic, irreducible term in research to refer
a phenomenon that is known to be true
Ø building blocks of concept
Concept
Ø refers to things and their properties, a mental
idea may be concrete (patient, man, drug) or
abstract (health, pain, grief, coping)
Ø building blocks of the theory
Conceptual Framework
Ø utilizes specific and well-defined concepts and
constructs that describe ideas, plans, design,
strategies
Construct
Ø highly abstract and phenomenon
Ø always abstract
Theory
Ø set of statement that attempt to explain or define
the relationships between certain group of
concept and preposition
Ø Abstract generalization that offers a systematic
explanation about how phenomena are
interrelated
TYPES OF THEORY
1. Grand Theory
Ø articulates a broad range of significant
relationships among concepts of a discipline
2. Midlevel theory
Ø focuses on the exploration of concepts such
as pain , learning, self-esteem
3. Critical Theory
Øelucidates how social structures affect a wide
variety of human experiences
Theoretical Framework
Paradigm
- shared understanding and assumptions about
reality and the world
- visual pattern
- diagram that presents the underlying theory, with
all its structures and parts, principles and concept
of a particular study
- visual grammatical picture of the study variables
and their relationships and interrelations
Identification of the Study Assumptions
Assumptions
• basic preposition that is
taken to be true based
on logic or reason
• no proof or verification
• positive assertions or
statements that serve as
starting point which the
study proceeds
Types of Assumptions
Universal Assumptions
Ø researchers knowledge from observed facts
related to the problem, and are presumed true
based on experience and observations
eg. Smoking is harmful to one’s health
Hand washing prevents infectious
diseases
Types of Assumptions
Study Assumptions
Ø positive assertions necessary to carry out
the study
Ø serve as starting point from which the
study proceeds and serve as basis for
stating the study hypotheses
Eg. Maternal attitudes and behavior affects
toilet training of toddlers
Position during labor influences the
progress of labor
Patient faces surgery has fears and
anxieties
Types of Assumptions
Theory/ Research-Based Assumptions
Ø premise on the specific theory applicable
to the study
Ø may come researches that need further
validation
Eg. Patient’s basic physiologic needs must
first be met before providing client
teaching.(Maslow’s Hierarchy of needs)
The perceived susceptibility to a certain
disease or condition influences
behavioral changes
Study, Scope and Delimitation
Delimitation
Ø characteristics that limit the scope of the
investigation
Ø determined by researcher’s conscious
inclusionary and exclusionary decision
Eg. It seeks to determine the effect of separation anxiety
among hospitalized children.
This study will use as subject mothers who are
pregnant for the first time and mothers in 20 to 40
weeks gestation. It also delimited to the following
demographic profile; 18-28 yrs. Old, married and high
school graduate
Formulation of Hypothesis
hypothesis
- predicted answer to the queries
Example:
Does a sexual abuse in childhood affects the
behaviour of a child hen he grow up?
Eating junk foods is a predictor of being obese?
2. Null Hypothesis
Ø formal statement indicating that there is no
relationship between the independent and the
dependent variable
Ø hypothesis of no difference and states that there
is no difference or correlation in the scores of the
population in the study
Research Hypothesis(general declarative prediction)
Eg. There is a relationship between the
woman’s walking during labor and the
duration of first stage of labor.
The older the person, the greater the risk that he or she will
acquire influenza
Discrete variable
- small range of values or finite number of values
between any two points
Midterm Period
Lecture- Quiz #1 –done. Activity #1 Journal Reading -done
- Quiz #2-done. Activity #2-Brainstorming- done
-Quiz #3- (open forum)
-Quiz #4- Activity #3-Research Title- Done
End of Midterm
Design and Planning Phase
Step 2
Step 6: Selecting a Research
Design
Research Design
Ø overall plan, or the blue
print created by the
researcher to answer the
research questions.
Ø Guides the researcher in
conducting the study
Design and Planning Phase
Research Design
Ø how often data will be
collected
ØTypes o comparison
ØWhere the study will take
place
ØMinimizing bias
Design and Planning Phase
(Method section)
Ø describe the research design
Ø sampling plan
Ø methods of data collection and
specific instrument
Ø study procedure (ethical
safeguard)
ØAnalytic procedure and methods
Research Design- method section
Sources of data:
- Observation
- In-depth interview
- Existing documents
3. Grounded Theory Research: Focusing
on development evolution of social
experiences
- Study of social processes, social
structure, evolution of social
experience, psychological stages and
phases that characterize a
particular event or episode
Grounded theory Features:
- Data collection, data analysis,
sampling of study participants
occur simultaneously
Sources of Data:
• observation
• in-depth interviews
D. Grounded Theory Studies
• Data are collected and analyzed and then a theory is
developed that is grounded on the data.
• Method : purposeful sampling, done in field/naturalistic
setting
• Concerned with theory generation rather than testing of
hypothesis. Uses purposeful sampling
Grounded Theory
• Eating burger – obesity
• Eating French fries – obesity
• Eating pizza – obesity
Therefore: eating fast food =
obesity
Historical Research
4. Historical Research: Focusing on the
past
- Attempts to answer questions about
cause, effects or trends related to
past events, issues or condition that
may explain current behavioral
practices
4. Historical Research: Involves
systematic collection, critical
evaluation, and interpretation of
historical evidence, with end goal of
discovering new knowledge
Forms of historical research
1. social histories
2. biographical histories
3. intellectual histories
Types of evaluation of historical data
1. external criticism- evaluates the
authenticity of the data
2. internal criticism- evaluates the
worth of the data focusing on the
truth and accuracy of the content
of the evidence
Sources of data of historical
research:
• written records such as letters,
diaries, newspaper, legal
documents, photograph, film &
tapes, physical remains, sometimes
interviews
e. Historical studies
•Identification, location, evaluation,
&synthesis of data from the past
•End purpose: to relate the past to the present
and the future
Case Studies
5. Case Studies: Focusing on single case
or entity
- in-depth investigation for a single
entity or social unit – the individual,
family, group, institution,
organization, community in which the
core of inquiry is the case itself
Case Studies
The greatest strength is its depth of
investigation, which makes available
an abundance of intimate knowledge
of a person’s condition, thoughts,
feelings, and behavior.
MAJOR CRITICISM
difficulty of attaining generaliability
because collected data and evidence
pertain only to a single entity
Narrative Analysis
6. Narrative analysis: Focusing on story
in studies
- in-depth investigation for a single
entity or social unit – the individual,
family, group, institution,
organization, community in which the
core of inquiry is the case itself
Premise of Narrative research: belief
that make people make sense of
their world and communicate these
meaning by constructing,
reconstructing, and narrating
stories.
3 Category typology of narrative
analysis:
1. First set of models: focuses on
the temporal order of events
2. second set of models: focuses on
the structure and coherence of
narratives
3. third set of models: focuses on
the cultural, social and psychological
contexts and functions of narrative
5 Primary dimensions of narrative
approach
1. people organize significant events
in terms of stories and make
meaning out of life experiences
through telling of these stories
2. time and plot are structural
properties of narrative with events
following sequences
3. narrative have a cultural contextual,
which means that they do not occur
by themselves
4. Narrative are relational with stories
told to other people
5. Narratives have the power to shape
human behavior and may be used to
produce a moral story of how people
are supposed to behave
Step #7 Developing Protocols for the Intervention
Brainstorming with
Be clear about the “Who” you want to
colleagues of “Who”
study problem study
you want to study
Sampling makes
possible the study of a Sampling is for
Sampling is for speed
large, heterogeneous economy
population
Element:
Students
2 kinds of Bias
1. selection bias occurs when the results is
in either overrepresentation
2. response bias or underrepresentation
2. practical concerns
3. subject’s abilityPractical
to participate in the study
Subjects ability Design
4.Cost
design considerations
concerns to participate consideration
Determination of Sample size in Quantitative Study
v ethnographic studies:
25-50 key informants chosen purposively
•Use power analysis (PA) to identify sample Observe the principle of data saturation
size Sample size should be based on information
needs
•Consider important factor when having a Sampling plan should be evaluated in terms
small sample size of:
•Homogeneity of sample • adequacy
•Effect size •appropriateness
•Sensitivity and accuracy of
measures/instrument
Identification of Sample
USE OF SPECIAL CODES
• TIME SAMPLING
• EVENT SAMPLING
• SITUATION SAMPLING
STEP #10 Specifying Methods
to Measure Variables
STEP #11 Developing Methods
to Safeguard Human/Animal
Rights
STEP #12 Reviewing and
Finalizing Research Plan
Conduct Pretesting and a Pilot Study
Types of Data
1. Existing data
1.1 raw data- records of admission or
discharge, birth or death, laboratory
records, treatment record
1.2 tabular data- total number of patient’s
admitted by quarter, total CS/year
2. Original data- data that are yet to be
gathered or collected from the subjects
using varied tool/instrument for collection
Continuous vs discrete data
1. Continuous data
- maybe found at any point along a
continuum or linear scale, cannot be
measured accurately.
Eg. Concept of bad, good
2. discrete data
- expressed in whole numbers and can be
measured accurately
Observational Data
- data is obtain thru visual observation of people’s
behavior and entails recording of events or
findings
• Characteristics/conditions of
individual
• Characteristics/conditions of
environment
• Communication- verbal/non-
verbal
Methods of Observation:
1. structured
2. Unstructured
Types of observers
1. Participant observer
1.1 overt observer- has full knowledge of
the subject who will be observed
1.2 covert observer- interacts with the
subjects and observes their behavior
without their full knowledge
Four Phases of Observer’s Role
1. Phase 1: Primarily observation/ learning the
ropes
- researchers observe and listen
- acquaintance
2. Phase 2: Primarily observation, with some
participation
- participates modestly in group
activities
Four Phases of Observer’s Role
3. Phase 3: Primarily participation with some
observation
- researchers learn by experience
- participates actively in group
activities
4. Phase 4: Reflective observation
- reflects on the total process of
what transpired and how people
interact with and reacted to them
Types of observers
2. Non-participant observer
2.1 overt non- participant- identifies himself
as investigator conducting research
and provides the subject with
information about the type of data to be
collected
2.2 covert non-participant- does not
identifies himself with the subject being
observe
NOTE: Consider Ethical implications that
may possibly lead to violations!
Strategies to prevent Observational Biases
1. Hawthorne or Placebo Effect
2. Enhancement of contrast effect
- observer distort observation in the direction
of dividing content into clear cut entities
2.1 converse effect
2.2 assimilatory bias
3. Halo Effect
- may figure in observations using rating
scales
- tendency of the observers to be influenced
by one characteristics in judging other
unrelated characteristics
Strategies to prevent Observational Biases
3. Halo Effect
3.1 Error of Leniency- tendency of the
observer to rate every characteristics
positively
3.2 Error of Severity- tendency of the
observers to rate every characteristics
negatively or too harshly
Biophysical/Biophysiological Data
• biophysiologic measures specialized technical
instruments and techniques that assess the
subjects physiologic status and physical variable
of the study
• objective and are the most direct, precise, and
sensitive means of quantifying biologic
responses, thus yielding high quality data
Purpose:
1. to make improvement in the research project
(research refinement)
2. assess problem that must be corrected before
the actual study is attempted
THE INSTRUMENT
3 Aspects of Reliability:
2. Internal Consistency
- the extent to which the item of an
instrument measures the same trait or
attribute and nothing else
3. Equivalence
- the extent to which equivalent results
are obtained by different observers
Errors of Measurement
1. Method factors
1.1 Instrument factors
Ø Clarity of directions
Ø Clarity in wording and ordering of
questions
Ø Format of questions
Ø Poor item sampling
1.2 Situation factors
Ø poor lighting
Ø Extremes temperature
Ø Disturbing noise
ØLocation of data collection
Errors of Measurement
2. Trait factors
2.1 Respondent/Personal factors
Ø General characteristics: test taking skills,
ability to understand instructions
ØTemporary characteristics: emotional
state, fatigue, bias, motivation, hunger,
illness, mood
ØResponse-set bias: enduring
characteristics of the respondents
(social desirability, acquiescence
Errors of Measurement
3. Observer/examiner factors
2.1 Respondent/Personal factors
Ø General characteristics: level of ability,
observational skills, bias in grading
ØTemporary characteristics: emotional
state, fatigue, hunger, illness, mood,
interactions between examiner and test
taker
ØNon-adherence to data collection
methods: improvising questions,
alteration in coding categories, altering
time/duration of testing
Considerations to increase reliability of research
instrument
1. increase the number of items observation
2. eliminate items that are unclear
3. standardize the conditions under which the
test is taken
4. moderate the easiness and difficulty of test
5. minimize the effects of external events.
Postpone the assessment if the major
external event occur near the time of
testing measurement
Considerations to increase reliability of research
instrument
6. Standardize the instructions, and make sure
the subjects take the test under exactly same
conditions
7. keep scoring procedure consistent. Strive for
consistency in grading
VALIDITY
Validity
- degree to which an instrument
measure what is supposed to measure
- valid when it measure what it claims
as supported by evidence
Types of Validity
Advantages:
1. the respondents can seek clarification
2. interviewer can observe the non-verbal
communication during the interview session
Checklist
- the instrument used if a target behavior cannot be
adequately or accurately captured with the use of an
interview or a questionnaire
Example of categories
A- always
F- frequently
O- occasionally
S- seldom
N- never or as simple as “Yes” or “No”
The Ten Commandments of Data Collection
1. think about the type of data that will have to be
collected to answer the research questions as early as
you start planning to engage in the research process
2. think about where you will get the data
3. make sure that the data collection form you are using is
clear and easy to use
4. make a duplicate of the data file and keep it in a
separate location once you transfer scores to your data
form or sheets
5. do not rely on other people to collect or transfer your
data unless you have personally trained them and are
confident that they understand the data collection
process as well as you do
The Ten Commandments of Data Collection
6. plan a detailed schedule of when and where you will be
collecting your data. Be prepared for anything and
allocate 25% to 50% more time in your schedule for
unforeseen happenings
7. cultivate possible sources for your participant pool as
soon as possible
8. try to follow up on subjects who missed their testing
session or interview. Call them back and try to re-
schedule
9. never discard original data. Other researchers might
want to use the same database
10. Follow the previous 9. return to the original materials
for further information
Triangulation