Module-Nursing Research-1
Module-Nursing Research-1
Modules on
Nursing Research 1
Prepared by:
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Research
• Etymology: Old French term re – “again” ; serche / ceirsher – “to search”
• A process of executing various mental acts for discovering and examining facts
and information to prove accuracy or truthfulness of a claims or conclusions
about the topic of research
Nursing Research
• Scientific process that validates and refines existing knowledge and generates
new knowledge that directly and indirectly influences the delivery of evidence-
based nursing (Barcelo, 2018).
“Thus says the Lord who made the earth, the Lord who formed it to establish it –
the Lord is His name: Call to me and I will answer you, and will tell you great and
hidden things that you have not known.” Jeremiah 33: 2-3
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Quantitative
• Formal, objective, systematic methodology that counts or measures to
(1) describe variables,
(2) test relationships between them, and
(3) examine cause-and-effect interaction among variables (Barcelo, 2018).
Qualitative
• Rigorous, scholarly, interactive, holistic, subjective research approach used to
describe life experiences, cultures, and social processes from the perspectives
of the persons involved (Barcelo, 2018)
Mixed Methods
• Combination of quantitative and qualitative research methods
Table 1
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Belief about reality Social world is similar to Social world can only be
& research activity other sciences and open to known through an
measurement by the individual’s experience and
researcher understanding to it
Data collection tool Emphasis on accuracy and Tool is used flexibly and
consistency to ensure continually developing, it is
reliability and validity impossible to pilot to
determine consistency and
accuracy
Sample referred to
as Subjects Informants
Analytical approach
Deductive Inductive
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Product of data
analysis Results Findings
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PKUP Framework
Problem
• Refers to the dependent/ outcome variable
• It is the seriousness or magnitude of the problem – presented by statistical
data/ prevalence/ incidence
– Global scenario
– National scenario
– Local scenario (pertaining to the school/ community/ organization/
institution itself)
Known
• It defines or clarifies the terms/ variables/ phenomenon used in the study –
taken from the review of related theories, conceptual literature, and research
literature
Unknown
• It defines or clarifies the terms/ variables/ phenomenon used in the study –
taken from the review of related theories, conceptual literature, and research
literature
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• Use the following statements but not limited to the following to express
research gaps:
– “The problem is that….”
– “Little research is available today about….”
– “Little is known about….”
– “Available research has failed to….”
– “No study has been found that has….”
Purpose
• Refers to the purpose or reason to conduct the/ of the present study
• Sample phrases that help express the statement of the problem:
– “The main purpose of this study….”
– “The aim of this study….”
– “The main thrust of this study….”
– “The goal of this study….”
– “The main objective of this study….”
– “This study aims….”
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Anatomy of a Theory
Theory
• Derived from the Greek word, theoria, which means “vision”
Types:
Concrete
• Realities or actual instances
Abstract
• Focuses on more general things
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Samples:
Abstract Concrete
Pain Acute, sharp penetrating sensation in the
Health lower right abdominal pain
Grief
Coping
Concept
• Abstractly describes and names an object, idea, or phenomenon, thus providing
it with a separate identity or meaning
Variable
• QUALITIES, PROPERTIES, OR CHARACTERISTICS of persons, things, or
situations that change or vary in VALUE, LEVEL, DEGREE, SCALE, or
MAGNITUDE over time and are manipulated or measured in research
• Defined so that it is measurable and suggests that numerical values of the term
are able to vary from one instance to another
Construct
• Concepts at very high levels of abstraction that have general meanings
Samples:
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Statement
• Express CLAIMS that are important to the theory
Types:
Existence statement
• DECLARES that a given concept exists or that a given relationship
between concepts occurs
Relational statement
• CLARIFIES the type of relationship that exists between or among
concepts
Samples:
Existence Relational
Concept of stress and concept of health High levels of stress are related to
declining levels of health
Proposition
• Abstract statements that FURTHER clarify the relationship between two
concepts in theories
Map or model
• Developed to explain the concepts contributing to or partially causing an
outcome
• Schematic drawing
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Assumption
• Statements taken for granted or considered true, even though they have not
been scientifically proven
Types:
Universal
• Comes from the researcher’s knowledge and from the observed facts
related to the problem, and are presumed true based on experience and
observations
Study
• Positive assertions necessary to carry out the study; basis for stating the
study hypothesis
Theory- or research-based
• Premised on the specific theory applicable to the study
Samples:
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Framework
• Overall conceptual underpinnings of the study
• Similar to a skeleton
Classification:
Theoretical framework
• Study based on theory
Conceptual framework
• Study that has its roots in a specified conceptual model
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Terminologies
Variable
• Characteristic that changes or varies over time and/or for different individuals or
objects under consideration
Research variable
• Refer to the varying characteristics, properties, or qualities of people, things,
phenomena, situations, events or condition under investigation which can be
quantitatively or qualitatively assessed
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ü Obtained by measurement
ü Obtained by counting
(countable)
ü Stand alone
ü Manipulated
ü Relying on something
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ü Changes as a result of
manipulation/ intervention/
experiment
Independent Dependent
Cause Effect
Stimulus Response
Input Output
Predictor Criterion
Experimental Outcome
Treatment Consequences
Manipulation
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Description Examples
Nominal ü Provide a label, categorization, • Gender
or classification • Religion
• Occupation
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Research question
• Specific questions that needs to be addressed
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Photovoice What are the lived experiences of teen mothers before and
during their pregnancy, and during motherhood?
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Terminologies
Hypothesis
• A prediction or a testable statement about the relationship between two or
more variables which a researcher aims to test to see if it is supported or
rejected
Purposes of Hypothesis
• Guide the scientific inquiry in the advancement of knowledge
• Provide direction for the research design and the collection, analysis, and
interpretation of data
Characteristics of Hypothesis
• Present tense
Classification of Hypothesis
• Research hypothesis
• Null hypothesis
• Alternative (or experimental) hypothesis
Research hypothesis
• Also referred to as (1) scientific, (2) substantive or (3) declarative hypothesis
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Samples:
Null hypothesis
• Also known as statistical hypothesis
Samples:
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Symbols Meaning
H Hypothesis
H0 Null hypothesis
HA Alternative hypothesis
H1 First (of possible several) research hypothesis
H2 Second (of possible several) research hypothesis
Types of hypothesis
• Simple and complex hypotheses
• Associative and causal hypotheses
• Directional and non-directional hypotheses
Simple hypothesis
• Also called univariate hypothesis
• States the relationship between two variables (one independent and one
dependent)
Samples:
ü Teachers with more work experience provide better teaching skills than
teachers with less working experience.
Complex hypothesis
• Also referred to as multivariate hypothesis
• States the relationship between two or more independent variables and two or
more dependent
• Types:
(1) multiple independent variables,
(2) multiple dependent variables,
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Samples:
ü The personal and professional profiles of senior high school students affect their
level of academic performance and the NAT rating.
Associative hypothesis
• Proposes relationships among variables that occur or exist together in the real
world, so that when one variables changes, the other changes
Causal hypothesis
• Cause-and-effect interaction between two or more variables (IV and DV)
Directional hypothesis
• States the DIRECTION of the relationship between variables
Samples:
ü The higher the intake of fibers, the lower is the weight of physical mass.
ü Women who have higher levels of depressive symptoms will report fewer
positive health practices.
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Directional Indicators
Non-directional hypothesis
• States the relationship between variables but has NO specific direction
• Used when past research studies provide conflicting results or when the
direction of the relationship is unknown
Samples:
ü Male students differ from female students with respect to scores in the
Academic performance and National Achievement Test
Hypothesis testing
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Dimension: Purpose
• General
Samples:
ü Newton’s law
ü Boyle’s law
ü Charle’s law
Applied research
o Establishing new knowledge as well as knowledge that can be applied in
practical settings; referred to as “practical application of the theoretica”
o Finding solutions to existing problem
Samples:
ü PowerPoint presentation vs. video presentation: Their influence
information retention among senior high school students
• Specific (DEEC)
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Descriptive research
o Systematically describes a problem, situation, phenomenon or illustrate
attitudes towards a problem or an issue
Samples:
ü Health behaviors among senior high school students
Exploratory research
o Explores areas about which very little information is available, or probes
if a particular research study can be undertaken
Samples:
ü Factors influencing academic performance of senior high school students
Explanatory research
o Attempts to explicate the relationship between certain aspects of a
situation or phenomenon; tries to answer the how’s and why’s of such
relationships
Samples:
ü Testing a model of post-stroke exercise behavior (Shaugnessy, Resnick
and Macko, 2006)
Correlational research
o Establishing a relationship or determining whether a relationship exists
between 2 or more facets of a phenomenon
Samples:
ü Correlates of eating habits and quality of sleep on academic
performance among senior high school
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Dimension: Data
• Quantitative research
o Need of precise measurement and quantification; involves a rigorous and
controlled design
Descriptive-survey
o Designed to obtain information about the prevalence, distribution, and
interrelations of variables within a population
Types:
Community survey
Normative survey
Social survey
School survey
Descriptive-status
o Determines the prevailing conditions in a group of cases chosen for study
Descriptive-analysis
o Describes the nature of an object by separating it into parts
Descriptive-classification
o Applied in natural sciences subjects like Botany, Zoology, Biology,
Ichthyology, Phycology, Mycology, Microbiology, Conchology, and the
like
Descriptive-comparative
o Considers two variables (not manipulated) and establishes a formal
procedure to compare the variables and conclude that one is better than
the other
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Descriptive-evaluative
o Tests the quality, effectiveness and efficiency of products, treatments,
procedures, or methods
Secondary analysis
o Used of gathered data in a previous study to test new hypotheses or
explore new relationships in a typical study
Meta-analysis
o Findings from multiple studies on the same topic are combined by the
use of various statistical methods to establish their significance or validity
Delphi surveys
o Method of problem solving in which several rounds of questionnaires are
mailed to a panel of experts. Feedback for previous questionnaires is
provided with each new questionnaire so that the experts’ opinions can
converge to a consensus in subsequent rounds.
Developmental
o Satisfies felt needs and answers questions by developing new and more
effective and efficient products, treatments, procedures, or methods
Feasibility study
o Serves the purpose of determining the viability of undertaking a business
venture, establishing a project or institution, or constructing
infrastructure
Dimension: Time
Cross-sectional research
o Study in which data are collected at one point in time, with no follow-up
Samples:
ü Electronic cigarettes and conventional cigarette use among US
adolescents: a cross-sectional study (Dutra & Glantz, 2014).
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Longitudinal research
o Study in which data are collected at different points in time
Samples:
ü A longitudinal study of electronic cigarette users (Etter & Bullen, 2014)
Retrospective research
o Examines data collected in the past, through review of medical records
Samples:
ü Incidences of needle prick injury among healthcare providers in selected
hospital
Prospective research
o Examines data collected at present
Samples:
ü Mobile phone use and risk of brain neoplasms and other cancers:
prospective study (Benson et al., 2013)
Dimension: Design
Experimental research
o Intervention or treatment is introduced by the researcher
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True Experimental
Types Equation
Pretest-posttest controlled group R O1 X O2 (experimental group)
design R O1 O2 (control group)
Quasi- experimental
Types Equation
Non-equivalent controlled group O1 X O2 (experimental group)
design O1 O2 (control group)
Time-series design O1 O2 O3 X O1 O2 O3
(multiple observations)
Legend: O = observation; X = treatment
Pre-experimental
Types Equation
One-shot case study X O
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Dimension: Settings
Laboratory
o Highly controlled environment; experimental researches are done
Naturalistic/ field
o Less controlled environment where research studies are conducted like in
people’s home, workplace, health centers, school
Quantitative
• Refer to the above mentioned designs
Qualitative
Mixed methods
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for quantitative
findings
Systematic reviews
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Historical background
Literary Digest – pioneering survey about the American citizens’ favorite among the
1920 presidential candidates
Terminologies
Sampling
• Refers to the method or process of selecting respondents or people to answer
questions meant to yield data for the study
Sample
• Subset of the population selected by the researcher to participate in a research
project
Population
• Entire sum of subject, persons, families, species, or orders of plants or animals
that possess some common characteristics
2 Groups of population:
Accessible population
• Specific study population
Target population
• Entire group of people or objects to which the findings of the study
generally apply
Sampling frame
• Listing of all the elements in the population from which the sample is drawn
Sampling bias
• Systematic overrepresentation or underrepresentation of some segment of the
population in terms of characteristics relevant to the research question
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Sampling error
• Pertains to the differences in proportion values and sample values
Benefits of sampling
Sampling Categories
Probability sampling
• Also referred to as unbiased or scientific sampling
• An equal chance of participation in the sampling or selection process given to
every member of the population
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Advantages of probability
• Viable method of obtaining representative samples
• Allows researcher to estimate the magnitude of sampling error
Disadvantages of probability
• Expensive
• Inconvenient
Non-probability sampling
• Disregards random selection of subjects
• Based on the availability of the subjects or the purpose of the study
• Discretion of the researcher
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and then
continues to
enroll or recruit
subjects on the
basis of
referrals until
the desired
number of
participants
reached
Non-probability
ü Convenience sampling Quantitative and qualitative research
ü Quota sampling Quantitative and rarely qualitative research
ü Purposive sampling Qualitative research and sometimes quantitative
research
ü Snowball sampling Qualitative research and sometimes quantitative
research
ü Theoretical sampling Qualitative research
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Sample size may be determined based on the approach of the study or the data
collection method used.
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Things to consider:
Use of formulas
• Yamane’s formula
• Calmorin’s formula
• Cochran’s formula
Other considerations
• Sample size as small as 30 are generally adequate to ensure that the sampling
distribution of the mean will approximate the normal curve (Shott, 1990)
• When the total population is equal to or less than 100, this same number may
serve as the sample size. This is called universal sampling.
• The following are the acceptable sizes for different types of research (Gay,
1976)
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Topic Three: Specifying methods to measure, gather, analyze and assess variables/
data
Terminologies
Statistics
• Branch of mathematics that transforms data into useful information for decision
makers
Descriptive statistics
• Branch of statistics that collects, summarizes, and presents data
Inferential statistics
• Branch of statistics that uses sample data to draw conclusion about an entire
population
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UNIVARIATE
Tables Frequency and Frequency and Frequency and Frequency and
percentage percentage percentage percentage
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BIVARIATE
Tables Crosstabs Crosstabs None None
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Dispersion/ Variation:
Range, standard
deviation, variance,
absolute distance
Test of Difference
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Example 1
Research Title: Safety Competence and Culture of Staff Nurses in Selected Private
Health Care Institutions
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Example 2
Research Title: Association of Church Attendance and Spiritual Well-being of Senior
High School Students
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Example 3
Research Title: School Engagement of Junior High School Students in Public and
Private Schools: A Comparative Study
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Example 4
Research Title: Comparison of Sugar Intake of Elementary Pupils in Urban and Rural
Setting
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Example 5
Research Title: Internet Usage and Satisfaction of Dormitorians at a Tertiary Institution
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Questionnaire
• Most commonly used research instrument
Advantages Disadvantages
Economy of time and money Costly printing and mailing
Open-ended question
• Allows respondents to respond in their own words, in narrative fashion
Closed-ended
• Offers respondents response options, from which they must choose the one
that most closely matches the appropriate answer
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Rank order • Ranking concepts along a Below are key nursing values.
question continuum, such as most to Choose 5 that you deem most
least important important and rank them
accordingly.
___ Care
___ Empathy
___ Collaboration
___ Independence
___ Competence
___ Efficiency
___ Courtesy
___ Obedience
___ Knowledge
___ Accountability
Forced choice • Choosing between two Which statement best
question statements that represent represents your point of view?
polar positions or
characteristics ( ) What happens to me is my
own doing.
( ) Sometimes I feel I don’t
have enough control over my
life.
Combination • Uses open and closed
ended questions
Scales
• Measuring instrument composed of several items that have a logical or
empirical relationship with each other.
Types:
Example:
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• The most reliable way to get information on people’s emotional attitude towards
a topic of interest
Example 1:
Direction: Please encircle the number to show your opinion about the school guidance
counselor
Emphatic 1 2 3 4 5 6 7 Apathetic
Approachable 1 2 3 4 5 6 7 Aloof
Understanding 1 2 3 4 5 6 7 Defensive
Unconditional 1 2 3 4 5 6 7 Conditional
Example 2:
Direction: Put a check on the number that correspond to your opinion about the
education at University M.
1 2 3 4 5
Structured Unstructured
Chosen Imposed
Formal Informal
Active Passive
Fun Boring
Dull Lively
Useless Useful
Hard Easy
Facts Ideas
Alone With others
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Guttman scale
Example 1:
Example 1:
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Agreement
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Frequency
Importance
Quality
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Likelihood
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Validity
• Ability of an instrument to measure what it purports to measure
Reliability
• Consistency of results
• Yields the same rank for individuals who take the test more than once
Types of validity:
Face validity
• Also known as logical validity
• Analysis of whether the instrument is using a valid scale
Content validity
• Studying the questions to see whether they are able to elicit the necessary
information
• Instrument is subjected to an analysis by a group of experts who have the
theoretical and practical knowledge of the subject (3-5 experts)
Construct validity
• Whether the test corresponds with its theoretical construct
• Concerned with the extent to which a particular measure relates to other
measures and to which it is consistent with the theoretically-derived
hypothesis
Types:
Concurrent validity
• Deals with measures that can be administered and validated at the same
time
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Predictive validity
• How well the tests predicts some future behaviors of the examinees
Methods in establishing reliability
Stability / test-retest
• Extent to which similar results are obtained on two separate administrations of
the instrument
Internal consistency
• Extent to which the items of an instrument measure the same trait or attribute
and nothing else
Equivalence
• Extent to which equivalent results are obtained by different observers
Reliability Validity
Stability Face validity
Internal consistency Content validity
Equivalence Construct validity
Criterion-related validity
• Predictive validity
• Concurrent validity
Comprehensibility
Objectivity
Reactivity
Sensitivity
Specificity
Simplicity
Speededness
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Terminologies
Ethics
• Science that deals with the nature of actions of intelligent beings in relation to
their moral qualities;
Human rights
• Claim and demand that have been justified in the eyes of an individual or by the
consensus of a group of people
Historical Background
• U.S. Public Health Service initiated a study of syphilis in African American men
in the small rural town of Tuskegee, Alabama
• Purpose: Determine the natural course of syphilis
• Subjects not informed about the purpose and procedure
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Other Events:
Ethical Principles
Autonomy
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Beneficence
• Do/ promote GOOD
• Involves positive action toward preventing or removing evil or harm
• Dimensions:
ü Freedom from harm and exploitation
ü Benefits from research, and
ü Risk-benefit ratio
Non-maleficence
• Do NO HARM
• Does no cause direct harm nor inflict unnecessary pain/ injury
• Forms of Harm:
ü Physical injury and incapacitation
ü Mental and psychological stress and anxiety
ü Social disability
ü Spiritual distress
Justice
• Fairness
• Non-discriminatory selection of research subjects
• Fair and equitable sharing of benefits and risks
Self-determination
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• Anonymity – guarantee that the identity cannot be linked with his/her individual
response; keeping individual nameless and limiting access to information
collected about a subject
Fair treatment
o Treated fairly and receive what they are due or owed before, during, and after
participation in the study
o Minimizing, if not totally eliminating, all types of discomfort and harm which
include physical, emotional, social or economic, or any combination
Informed Consent
Informing – the transmission of essential ideas and content from the investigator to
the prospective subject
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4. Explanation of procedures.
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6. Description of benefits.
The investigator describes any benefits to the subjects or to other people
or future patients that may reasonably be expected from research, including
any financial advantages or other rewards for participating in the study.
7. Disclosure of alternatives.
The investigator discloses the appropriate alternative procedures or
courses of treatment, if any, that might be advantageous to the subject.
10.Voluntary participation.
Consent form includes a statement that participation is voluntary and
that refusal to participate will involve no penalty or loss of benefits to which the
subjects is otherwise entitled.
11.Option to withdraw.
Subjects are informed that they may discontinue participation (withdraw
from a study) at any time without penalty or loss of benefits
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Vulnerable Groups
Case Studies
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2. Dr. Caleb has just discovered a mathematical error in his paper that has been
accepted for publication in a journal. The error does not affect the overall
results of his research, but it is potentially misleading. The journal has just gone
to press, so it is too late to catch the error before it appears in print. In order to
avoid embarrassment, Dr. Caleb decides to ignore the error.
• What ethical principle/s in research writing is/are violated? Why?
• What appropriate ethical action should Dr. Caleb performed?
4. You conduct a case study on a small school in a remote location. When you
write up the results, it is almost impossible to disguise the school, yet you
promised you would treat the data anonymously. How should you deal with
this?
5. You conduct an ethnographic study of a young adult over a long period. Your
fieldwork takes you to his home, his school, the bars he frequents, his church,
and so on. Over time, you become very attached to him. You find your
friendship leads to feelings toward him that you cannot control. You know that
getting too close is inappropriate, but you find it difficult to control your
feelings. What should you do?
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mistrustful. What should you do? How do you convince them that they need to
sign the form for you to continue?
7. You interview college students about life on campus. One student tells you that
his roommate seems seriously depressed and spends much time on the Internet
looking at sites for making bombs. Do you tell someone?
• Acknowledgement
• Citation or in-text citation
• References / bibliography
Research Misconduct
Plagiarism
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Types of Plagiarism
• Self-plagiarism
It’s a practice of presenting one’s own previously published work as though
it were new
• Duplicate plagiarism
Author submits a previously-published work as if it is an original manuscript
Fabrication
Falsification
Authorship
Types Description
Coercion authorship Use of intimidation tactics to gain authorship (Strange, 2008)
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Ghost authorship Papers written by individuals who are not included as authors
or acknowledged (Strange, 2008)
Anonymous Author can make a credible claim that attaching his or her
authorship name to the document could cause serious hardship (e.g.,
threat to personal safety or loss of employment)
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Textbooks:
Polit, D. F. & Beck, C. T. (2023). Nursing research: Generating and assessing evidence
for nursing practice. Wolters Klumer/ Lippincott Williams & Wilkins.
Gray, J. R., Grove, S. K. & Sutherland, S. (2018). Burns and Grove’s the practice of
nursing research: Appraisal, synthesis, and generation of evidence. 8th ed.
Elsevier.
Nieswiadomy, R. M. & Bailey, C. (2018). Foundations of nursing research. 7th ed.
Pearson.
Brown, S. J. (2018). Evidence-based nursing: The research-practice connection. Jones
& Bartlett Learning
Supplemental Materials:
American Psychological Association (2019). Publication manual of American
Psychological Association. 7th ed. American Psychological Association.
Denis, D. J. (2019). SPSS data analysis for univariate, bivariate, and multivariate
statistics. Wiley.
Keele, R. (2011). Nursing research and evidence-based practice: Ten steps to success.
Jones & Bartlett.
Mertler, C. A. & Reinhart, R. V. (2017). Advanced and multivariate statistical methods:
Practical application and interpretation. 6th ed. Routlegde Taylor and Francis
Group.
Trinidad, J. E. (2018). Researching Philippine realities: A guide to qualitative,
quantitative, and humanities research. Ateneo de Manila University Press.
Trinidad, J. E. (2019). Error-proofing your research: Common mistakes and how to
address them. Ateneo de Manila University Press.
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https://www.tandfonline.com/
https://doaj.org/
Nursing Research 81