Nursing Research
Nursing Research
RESEARCH AGENDA
NURSING RESEARCH
A research agenda allows a conventional way of
In the field of nursing, nursing research is a systematic summarizing specific issues and ideas of different
inquiry used by nurses that validates and enhances groups in any field of study. It serves as a guide as to
existing knowledge and generate new information and what issues to tackle first and what issues can be
concepts that established our theories. postponed until another time. Research agendas are
Grove and Gray (2019) described nursing research as a adaptive in a way that its contents can be modified
systematic procedure that confirms and enhance according to priorities.
existing knowledge and creates a new knowledge that The National Unified Health Research Agenda or
directly and indirectly impacts clinical nursing practice. commonly called as NUHRA is a vital document created
Similarly, Polit and Beck (2006) came out with their by the Research Agenda Committee (RAC) of the
definition of nursing research as a scientific exploration Philippine National Health Research System (PNHRS). It
intended to established knowledge about important is the template for health research and development
nursing profession issues in the nursing practice, efforts.
education, administration, and informatics. The PNHRS launched the NUHRA in September 2006 to
• Nursing research can be a basis to test knowledge serve as a guide in the country’s template for health
and serve as a guide to nursing practice through research and development addressing some topics that
examining questions and validating interventions needs to be addressed in a 5-year scope. It is regularly
based on human practices (Martinez; National updated through a mid-year period of the 5-year
Center for Nursing Research, 1998). agenda to account for the current developments.
• Lastly, the Philippine Nurses Association The College of Nursing Research Agenda as guided by
committee on research stated that research is a the National Higher Education Research Agenda
true scientific investigation designed for the (NHERA), is based on the shared vision of the Regional
purpose of learning new facts or to create new Unified Health Research Agenda (RUHRA) and the
relations amongst the existing facts to contribute NUHRA of PNHRS and Philippine Council for Health
in the current knowledge and can lead to an Research and Development (PCHRD) under
effective solution of the current problem. Careful Department of Science and Technology (DOST). These
critical thinking should be taken into are all incorporated in the Western Mindanao State
consideration in revising the accepted University (WMSU) Research and Development
conclusions, previous concepts and established Agenda.
principles.
• Through nursing research, the lifespan, people REVIEW OF RELATED LITERATURE
with health problems and disabilities have A literature review is intended to provide a summary of
improved. It also helped in the ability of the sources you have searched while probing a certain
individuals in responding effectively to actual or topic and to show to your readers how your research
potential health problems (Institute of Medicine, study is relevant within an extensive discipline of study.
1983). It includes examining of books, pedagogical articles and
• The importance of nursing research also balances of sources that is relevant to a particular topic, concept
or help in the biomedical researches whose or theory and other areas of research that will provide
concerned with the causes and treatments of a detail, encapsulation and evaluation of the whole
diseases. Through these researches, life thing in regard to the problem being explored (Fink,
expectancy has improved especially those 2014).
suffering from serious injuries or terminal illness.
• There are various types of nursing researches A literature review provides a summary of present
made in order to improve clinical interventions to information, allowing you to recognize pertinent
help those who require nursing care. Nursing concepts, processes and differences in the existing
research is complex and being broad in scope research. Bueno (2016) stated that literature reviews
consists articles taken from books, magazines, journals
and other forms while related studies are lifted from 2. Develop and coordinate funded research
published and unpublished theses/dissertations programs
research journals.
NURSING RESEARCH PRIORITIES
Writing a literature review or related studies involves
looking into relevant books or journal articles and To Improve:
critically analyzing them and at the same time - Nursing as a profession
explaining the findings. In doing so, McCombes (2020) - Nursing practice
suggested that there are five steps in writing a - Patient outcomes
literature review and these are:
Importance of Research in Nursing
1. Search for interrelated studies
-EBP increases the need or importance for
2. Evaluate references nursing research
- EBP demands high quality/rigorous nursing
3. Identify common ideas, disputes and differences
research
4. Outline the framework - EBP indicated clinically appropriate, cost-
effective and result in positive outcomes for
5. Write the literature review/related studies
clients.
Summarizing, analyzing, synthesizing and critically
• Why is Research Important in Nursing?
evaluating the sources to give a clear idea of the extent
- Like bed sore occur in the old people due to
of knowledge on the subject makes a good literature.
lack of mobility
Prediction: A nurse could predict the outcome
• Role of Nurse in Research Participation at Various on the bases of interventions
Levels of Education Preparation (ANA-1989) Control: Ability to write a prescription to
produce the desire result.
BSN Degree
1. Critiquing & synthesizing research findings
from nursing profession and other discipline
TYPES OF RESEARCH
for use in practice. 1. QUANTITATIVE RESEARCH
2. Provide valuable assistance in identifying - Is a formal, objective, systematic process in
research problems and collecting data for which numerical data are used to obtain
studies. information about the world
Master’s Degree - Is “hard science” it is perceived as rigorous
1. To lead healthcare teams (exact), systematic and objective focusing on
o Making essential changes in nursing numerical data and using statistical analysis
practice and controls to eliminate bias
o Healthcare system based on research - It is conducted to test theory by:
2. Conduct investigations o Describing variables
3. Initial studies in collaboration with other o Examining relationship among
investigators variables
4. Facilitate research and provide consultation o Determine cause and effect
Doctoral Degree interaction between variables
1. Assume a major role in the conduct of research - Types of Quantitative Research:
2. Generation of nursing knowledge in a selected ➢ Descriptive – explore new
area of interest areas/describe situations
o Extend scientific basis ➢ Co-relational – examine relationships
o Develop methods to measure nursing ➢ Quasi-experimental – effectiveness of
phenomena intervention
Post-Doctoral Degree ➢ Experimental – producing positive
1. Assumed a full researcher role and has a outcomes
funded program of research 2. QUALITATIVE RESEARCH
- Is a systematic, subjective approach used to 11. Statistical analysis Individual
describe life experiences and situation and to interpretation
give them meaning. 12. Generalization Uniqueness
- “Mode of systematic inquiry concerned with
understanding human beings and the nature of
their transaction with themselves and with
their surround” (Benoliel, 1984).
- Types of Qualitative Research:
➢ Phenomenological – describes
experience as lived
➢ Grounded theory – formulate, test and
refine a theory about a phenomena
➢ Ethnographic – investigates cultures in
depth
➢ Historical – description analysis of
events that occurred in the past
OUTCOME RESEARCH
Is focused on examining the end results of care or
determining the changes in health status for the
patient.
CHARACTERISTICS
QUANTITATIVE QUALITATIVE
RESEARCH RESEARCH
1. Hard Science Soft Science
2. Focus: Concise and Focus: Complex and • Grounded Theory
Narrow Broad - Was developed in the 1960s by two
3. Reductionistic Holistic sociologists Glaser & Strauss.
4. Objective Subjective - Focus is on a developing social experience,
5. Reasoning: Logistic, Reasoning: Dialect,
social & psychological stages and phases that
Deducting Inductive
characterize a particular event or episode.
6. Basis of Knowledge: Basis of Knowledge:
- Major component is the discovery of a core
Cause and effects, meaning discovery
relationships variable.
7. Test theory Develops theory • Phenomenology
8. Control Shared interpretation - Rooted in a philosophical tradition
9. Instruments Communication and - Developed by Husserl and Heidegger
observation - Concerned with lived experiences of humans
10. Basic elements of Basic elements of - It is an approach to thinking about what life
analysis: Numbers analysis: words experiences of people are like and what they
mean
• Ethnography o Collecting the data
- Primary research tradition within o Obtaining informed consent
anthropology o Conducting a pilot study
- Provide framework for studying the patterns, C. Empirical Phase
life ways, and experiences of a cultural group • It is the phase of analyzing (e.g.,
in a wholistic fashion. statistical analysis) and interpreting the
- Aim of ethnographers is to learn from data
members of a cultural group, to understand D. Analytical Phase
their world view as they perceive & live it to • The phase in which the researcher:
describe their customs & norms o Organizes and makes sense of
the data
o Tests the research hypothesis
THE CONSUMER-PRODUCER CONTINUUM IN
E. Dissemination Phase
NURSING RESEARCH
• The phase in which the findings from the
• Consumers of Nursing Research: Read
study are presented and possible
research reports to develop new skills
recommended.
and to search for relevant findings that
may affect their practice.
• Producers of Nursing Research: Nurses THE CONCEPTUAL PHASE
who actively participate in designing and
implementing studies. ➢ Identification of research problem
➢ Literature review
➢ Developing a theoretical framework
PHASES OF RESEARCH PROCESS
a. Choose your Topic
• Kerlinger (1973) said: If one wants to
solve a problem, one must generally
know what the problem is
• Research topics are concepts,
phenomena of interest, or broad
problem areas that researchers can
focus on to enhance evidence-based
nursing.
• Identify a broad field or subject area of
interest to you (ex. Health Education,
A. Conceptual Phase Emergency Room, ER Nurses)
• The researcher develops the question to • Must have clear idea about what you
be studied. It includes: want to find
o Identification of research • Make sure that idea is researchable
problem
o Literature review b. Pinpoint a Problem
o Developing a theoretical • Should be specific enough so that
framework research tasks can be easily and quickly
B. Design & Planning Phase accomplished
• The phase of making methodology to • Select what is of most interest to you
use in collecting the data and analyze • Dissect the broad area into subareas;
them. It includes: narrow the scope of study (Ex. How ER
o Selecting a research design nurses deliver health education in the
o Identifying the population emergency room)
o Designing the sampling plan • A research problem is an area of
o Specifying the methods to concern where there is a gap in the
measure the variables
knowledge base needed for nursing o Literature Review: Reviewing research articles
practice. enables you to identify an area of interest and
c. Formulate Research Objectives or Questions determine what is known and not known in
• Formulate one or more research this area. It is also a way to identify a study to
objectives that will answer what you replicate.
wish to find out. o Theories: They are an important source for
• Ex: 1) To determine the experiences of generating research problems because they
emergency room (ER) nurses in set forth ideas about events and situations in
conducting health education inside the the real world that require testing (Chinn &
ER, and 2) to identify its most common Kramer, 2008)
barriers therein. o Research Priorities: identified by funding
• The objectives should start with words agencies and specialty groups. (refer to
such as “to determine”, “to find out”, NUHRA, RUHRA, WMSU & CN Research
“to ascertain”, “to measure”, “to Agenda for 2017-2022)
explore”, “to identify”
LITERATURE REVIEW
Research Questions
The literature review gives you a chance to:
• There are three basic types of questions
• Demonstrate your familiarity with the topic
that research projects can address:
and its scholarly context
o Descriptive: The study is designed
• Develop a theoretical framework and
primarily to describe what is going on
methodology for your research
or what exists
• Position your work in relation to other
o Comparative: The study analyzes the
researchers and theorists
difference between two or more
• Show how your research addresses a gap or
variables or groups.
contributes to a debate
o Relationship-Based: This study is
• Evaluate the current state of research and
directed toward identifying the
demonstrate your knowledge of the scholarly
causal relationships, associations,
debates around your topic
trends, and/pr interactions between
How to write a literature review:
two or more variables or between
Step 1: Search for Relevant Literature
variables and one or more groups.
• Before you begin searching for literature, you
• The research question/objective should
need to clarify defined topic
be specific enough to be strong and it is
answerable using applicable qualitative • Make a list of keywords/concepts and list any
or quantitative research methods synonyms and related terms. Use the
keywords to begin searching for sources.
• Define the concepts or terms/variables
used in the objectives/questions.
• Aside from a problem statement, a research
problem also includes significance and
background
• The significance of a problem indicates the
importance of the problem to patients and
families, nursing, healthcare system, and society
• The background for a research problem briefly
identifies what we know about the problem areas • Search for relevant sources
o Some useful search engines and
• SOURCES OF RESEARCH PROBLEMS databases to search for journals and
o Clinical Practice: Problems can evolve from articles include: PubMed, OVID,
clinical observations Ebscohost, ProQuest, Web of Science,
o Researcher and Peer Interactions: Interactions Science Direct, Scopus, Cochrane
with researchers and peers offer valuable Library, Google Scholar, Yahoo!, MSN
opportunities for generating research Search, PubMED, JSTOR, Medline (life
problems
sciences and biomedicine), and WMSU o Introduction – should clearly establish the
Library Catalogue focus and purpose of the literature
• You may use a search operator to help review
narrow down your search o Main body – may divide the body into
• Make sure to read the abstract to find out subsections. Use a subheading for each
whether an article is relevant to your theme, time period, or methodological
question. When you find a useful book or approach. Some tips:
article, you can check the bibliography to find ❖ Summarize and synthesize: give an
other relevant sources. overview of the main points of each
Step 2: Evaluate and select sources source and combine them into a
• Make sure the sources you use are credible coherent whole
• Take notes and cite your sources ❖ Analyze and interpret: don’t just
• Citations help readers locate your sources paraphrase other researches – add
and can help you avoid plagiarism your own interpretation where
Step 3: Identify themes, debates, and gaps possible, discussing the significance
• Based on your reading and notes, you can of findings in relation to the
look for: literature as a whole.
o Trends and patterns (in theory, method ❖ Critically evaluate: mention the
or results): do certain strengths and weaknesses of your
theories/approaches become popular sources
over time? ❖ Write in well-structure paragraphs:
o Themes: what questions or concepts use transition words and topic
recur across the literature? sentences to draw connections,
o Debates, conflicts and contradictions: comparisons and contrasts.
where do sources disagree? o Conclusion – summarize the key findings
o Pivotal Publications: are there any from the literature and emphasize their
influential theories or studies that significance.
changed the direction of the field?
o Gaps: what is missing from the DEVELOPING A THEORETICAL/CONCEPTUAL
literature? Are there weaknesses that FRAMEWORK
need to be addressed?
Step 4: Outline your literature review’s structure What is a theoretical framework?
• Chronological – the simplest approach is to • A theoretical framework is a foundational review
trace the development of the topic overtime. of existing theories that serves as a roadmap for
• Thematic – organize according to recurring developing the arguments you will use in your
central themes; you organize your literature own work.
review into subsections that address • In theoretical framework, you explain the
different aspects of your topic. existing theories that support your research,
• Methodological – use a variety of research showing that your work is grounded in
methods established ideas
• Theoretical – discuss various theories,
models, and definitions of key concepts. A
literature review is often the foundation for a How to write a theoretical framework
theoretical framework. 1. Identify Key Concepts
Step 5: Write your literature review • The first step is to pick out the key terms from
your problem statement and objective or
• Your literature review should have an research questions. Concepts often have
introduction, a main body, and a conclusion. multiple definitions, so your theoretical
What you include in each depends on the framework should also clearly define what you
objective of your literature review. mean by each term.
you want to study. Conceptual frameworks can be
written or visual and are generally developed
based on a literature review of existing studies
about your topic.