Research for Advanced Practice Nurses: From Evidence to Practice

Description

Focused specifically on the APRN role in implementing evidence-based practice in the clinical environment The fourth edition of this award-winning text-written specifically for Advanced Practice Registered Nurses (APRN) and students devoted to scholarly investigation-describes essential ways to implement Evidence-Based Practice (EBP) and quality improvement skills into practical application. Step-by-step instructions walk the reader through the process of finding relevant evidence, appraising it, translating it into practice to improve patient care and outcomes, and disseminating it. This text delivers expert guidance on designing questionnaires and data-collection forms, and on analyzing qualitative and quantitative data. The authors also offer guidelines for evaluating research articles and a variety of EBP activities and protocols demonstrating how to integrate EBP into multiple clinical settings relevant to all APRN practice domains. New to the Fourth Edition: New chapter on Continuous Quality Improvement (CQI) includes information on models, processes, and toolsNew chapter filled with examples of APRN-led initiatives showcasing improved processes and health outcomes resulting from EBP and quality improvement (QI) projectsExpanded literature reviews including integrative and other types of literature reviews beyond systematic reviewIncreased focus on Doctor of Nursing (DNP) competencies and QI Key Features: Helpful in achieving hospital Magnet® statusIntegrates EBP concepts related to patient careExamples highlight application of evidence into practiceDescribes strategies for establishing and sustaining an organizational evidence-based practiceDiscusses issues of costs and ethics from EBP perspectivePurchase includes digital access for use on most mobile devices or computers Cover Title Copyright Contents Contributors Preface Part I: Evidence-Based Practice Chapter 1: Overview of Evidence-Based Practice Introduction EBP Definitions Barriers and Facilitators Evidence-Based Practice Competence and Competencies for Education and Practice Competency/Competence Definitions Existing EBP Competencies Additional Evidence-Based Practice Competencies for Education and Practice Proposed American Association of Colleges of Nursing Essentials Revisions Summary Suggested Learning Activities References Chapter 2: Searching for Evidence Introduction Phase I—Preparation and Planning Phase II—Mining the Literature Databases Phase III—Beyond the Literature Databases: Searching the Internet Phase IV—Pulling It All Together Summary Suggested Learning Activities References Chapter 3: Research and the Mandate for Evidence-Based Practice, Quality, and Patient Safety Introduction Shifts in Nursing Research Focus Changes in Nursing Research Overview: Research, Evidence-Based Practice, Quality, and Safety Problems in Healthcare Quality Quality and Evidence-Based Practice Nursing Progression: Research Utilization and Evidence-Based Practice Shift from Research Utilization to Evidence-Based Practice National Competencies in Evidence-Based Quality Improvement A Culture of Safety Safety Models in Nursing Risk Management Models Practice Scholarship Instruments, Tools, and Resources for Measuring Patient Safety The Future of Quality Improvement and Safety Research Quality Indicators, Measures, and Reporting The Agency for Healthcare Research and Quality's National Healthcare Quality Reports Quality Indicators: The National Quality Forum Selected Nursing Performance Quality Indicators Key Initiatives Contributing to Nursing Quality and Safety Summary Suggested Learning Activities Acknowledgments References Chapter 4: Continuous Quality Improvement The History of Quality Improvement in Healthcare Defining Characteristics of Quality Improvement in Healthcare Advanced Practice Registered Nurse Engagement in Quality Improvement Quality Improvement Competencies for Advanced Practice Registered Nurses Differences Among Research, Evidence-Based Practice, and Quality Improvement Quality Improvement as the Central Component of the Nursing Inquiry Process The Quality Improvement Process Quality Improvement Models FOCUS-PDCA Model Summary Suggested Learning Activity References Chapter 5: Establishing and Sustaining an Evidence-Based Practice Environment Introduction Infrastructure Summary Suggested Learning Activities References Part II: Building Blocks for Evidence Chapter 6: Critical Appraisal of Evidence Introduction Title Abstract Background (Introduction) and Significance Literature Review Methods Data Analysis Findings and Results Discussion Conclusions Limitations Generalizability Implications Summary Suggested Learning Activities References Additional Resources Chapter 7: Identifying a Focus of Practice Inquiry Introduction Sources of Topics and Problems Background Significance Purpose, Objectives, and Aims Research Questions Hypotheses Variables Summary Suggested Learning Activities References Chapter 8: Conceptual and Theoretical Frameworks Introduction Theoretical and Conceptual Frameworks Classification of Theories Components of Theories Theory Evaluation Theory/Practice/Research Summary Suggested Learning Activities References Chapter 9: Quantitative Designs for Practice Scholarship Introduction Study Variables Measurement Properties Understanding Data Sampling Study Design Nonexperimental Designs Quasi-Experimental Studies Experimental Designs Mixed Methods Other Design Concepts Sources of Bias in Quantitative Methods Threats to Internal and External Validity Implementing Research in the Clinical Setting Data Analysis Hypothesis Testing and Error Power Effect Size Data Management Using Clinical Research Summary Suggested Learning Activities References Chapter 10: Qualitative Approaches for Practice Scholarship Introduction Why Qualitative Research? Types of Qualitative Research Conducting a Qualitative Study Design of Qualitative Studies Summary Suggested Learning Activities References Chapter 11: Sampling Methods Introduction Terminology Methods: Sampling Procedures Probability and Nonprobability Sampling Related Concepts Critical Appraisal of Sampling in Published Research Sampling for Research Versus Quality Improvement Projects Summary Suggested Learning Activities References Chapter 12: Designing Questionnaires and Data Collection Forms Introduction General Considerations Appearance and Format Sections of the Questionnaire Following the Development of the Questionnaire Coding the Results Summary Suggested Learning Activities References Additional Readings Chapter 13: Physiological and Psychological Data Collection Methods Introduction Physiological Data Collection Methods Classification of Biomedical Instruments Categories of Physiological Variables Detected by Biomedical Instruments Components of the Organism–Instrument System Characteristics of Biomedical Instruments Using Biomedical Instrumentation for Research Purposes Summary Psychosocial Data Collection Methods Selection of Instruments Instrument Development Types and Characteristics of Instruments Summary Suggested Learning Activities References Part III: Using Available Evidence Chapter 14: Literature Reviews Introduction Systematic Reviews Definitions of Systematic Reviews Highlights of the Evolution of Systematic Reviews The Need for Systematic Reviews Fundamentals of Systematic Reviews Evaluating the Systematic Review as the Basis for Clinical Decision-Making Beyond the Systematic Review Summary Suggested Learning Activities References Chapter 15: Program Evaluation Introduction Overview and Principles of Program Evaluation Formative and Summative Evaluations Use of Process and Outcome Data Use of Qualitative and Quantitative Data Steps in Program Evaluation Planning and Conducting the Evaluation: Essential Steps Summary Suggested Learning Activities References Additional Resources Chapter 16: Implementing Evidence-Based Practice Introduction Definition of Terms Implementation Models Diffusion of Innovations Implementation Strategies Designing Implementation Studies Future Directions Summary Suggested Learning Activities References Part IV: Evaluating the Impact of Evidence-Based Practice, Ethical Aspects of a Study, and Communicating Results Chapter 17: Cost as a Dimension of Evidence-Based Practice Introduction The Definition of Cost Types of Cost Measuring Cost Types of Cost Analysis Conducting the Cost Analysis Special Considerations Advanced Technique: Monte Carlo Summary Suggested Learning Activities References Chapter 18: Evaluation of Outcomes Introduction Definition and Introduction of Terms Evaluating Outcomes Stakeholder Support for Outcome Evaluation Summary Suggested Learning Activities References Chapter 19: Ethical Aspects of Practice Scholarship Introduction Review Committees Levels of Review Research Misconduct Conflicts of Interest Summary Suggested Learning Activities References Web Resources Chapter 20: Communicating Practice Scholarship Through Oral Presentation Introduction Preparing the Presentation How to Develop Public Speaking Skills Poster Presentations Disseminating Research Findings Through Electronic Media Summary Suggested Learning Activities Acknowledgments References Chapter 21: Reporting Results Through Publications Introduction Starting the Process of Publication Selection of Publication Venue Successful Publishing Journal Selection Authorship Constructing and Submitting the Manuscript The Ethics of Dissemination Summary Suggested Learning Activities References Chapter 22: Exemplars of APRN-Led Initiatives Introduction Exemplar 1: Integration of Evidence-Based Practice at an Academic Medical Center Exemplar 2: Engaging Long-term Care Residents in Walking Activity: A Quality Improvement Project Exemplar 3: Fall Prevention Program in an Assisted Living Facility Exemplar 4: Integration of an Advance Care Planning Model in Home Health Summary References Index