The Research Process
in Nursing
SIXTH
EDITION
Edited by
Kate Gerrish
PhD, MSc, BNurs, RN, RM, NDN Cert
Professor of Nursing, Sheffield Hallam University and
Sheffield Teaching Hospitals NHS Foundation Trust
An
...
The Research Process
in Nursing
SIXTH
EDITION
Edited by
Kate Gerrish
PhD, MSc, BNurs, RN, RM, NDN Cert
Professor of Nursing, Sheffield Hallam University and
Sheffield Teaching Hospitals NHS Foundation Trust
Anne Lacey
DPhil, MSc, BSc Hons, RGN, CertEd (FE)
Diocesan Health Coordinator,
Diocese of Madi and West Nile, Uganda,
Honorary Senior Research Fellow, University of Sheffield
Section 1 Setting the Scene
Chapter 1 Research and Development in Nursing 3
Kate Gerrish and Anne Lacey
Introduction 3
Nursing research and development 4
Developing nursing knowledge 6
Research awareness, utilisation and
activity 8
Research and nursing practice 9
Conclusions 10
References 11
Websites 11
Chapter 2 The Research Process 13
Anne Lacey
Introduction 13
Developing the research question 14
Using a hypothesis 18
Searching and evaluating the literature 18
Choice of methodology, research design 19
Preparing a research proposal 20
Gaining access to the data 21
Sampling 22
Pilot study 22
Data collection 23
Data analysis 23
Dissemination of the results 24
Implementation of the results 24
Ensuring rigour 24
Conclusions 25
References 25
Websites 26
Chapter 3 Research Ethics 27
Martin Johnson and Tony Long
The importance of ethics in research 27
Issues for researchers to address 28
Strategies for ethical research 32
Conclusions 34
References 34
Websites 35
Chapter 4 User Involvement in Research 36
Gordon Grant and Paul Ramcharan
Introduction 36
A brief history of user involvement in
research 37
Mapping user involvement in nursing
research 38
Challenges for user involvement in
nursing research 44
Weighing user experiences – learning
disability as a case example 45
Shifting the focus from processes to
outcomes 46
Conclusions 46
References 47
Further reading 48
Websites 48
Chapter 5 Research for a Multi-ethnic Society 50
Sarah Salway and George Ellison
Introduction 50
The concept of ethnicity 52
Identifying a research focus 54
Ethnic categories and labels 55
Sampling 57
Data collection 58
Data analysis and interpretation 59
Ethical issues 59
Conclusions 60
References 60
Further reading 61
Websites 61
Section 2 Preparing the Ground
Chapter 6 Finding the Evidence 65
Claire Beecroft, Andrew Booth
and Angie Rees
Introduction 65
Electronic information resources
and the internet 65
The research literature 66
Accessing the literature 67
Planning a literature search 69
Searching the literature 72
Specialist information sources 74
Writing a literature review 75
Managing references 75
Conclusions 77
References 77
Further reading 78
Websites 78
Chapter 7 Critical Appraisal of the Evidence 79
Angie Rees, Claire Beecroft
and Andrew Booth
Introduction 79
What is critical appraisal? 80
The need for critical appraisal 81
Validity of research designs 81
How to appraise quantitative research
studies 82
How to appraise qualitative research
studies 83
How to appraise systematic reviews,
practice guidelines and economic
analysis 89
Applying the results of critical appraisal 89
Conclusions 91
References 91
Further reading 92
Chapter 8 Preparing a Research Proposal 93
Julie Taylor
Introduction 93
Identifying a research idea 94
Identifying sources of funding 94
The research proposal 95
Submission requirements 101
Maximising success 101
Conclusions 102
Reference 102
Further reading 102
Websites 103
Chapter 9 Planning and Managing
a Research Project 104
Carol Haigh
Introduction 104
Identifying and finding funding 104
Academic and practical support 105
Types of supervisor 106
Supervision selection criteria 107
The responsibilities of the supervisor 107
The responsibilities of the student 109
Sources of emotional and peer support 111
Conclusions 112
References 112
Websites 113
Chapter 10 Gaining Access to the Research
Site 114
Leslie Gelling
Introduction 114
The need for regulation of research 115
Research ethics 116
R&D approval 122
Informal access to research sites 123
Building the approval process into
research planning 124
Conclusions 125
References 125
Further reading 125
Websites 125
Section 3 Choosing the Right Approach
Chapter 11 The Quantitative–Qualitative
Continuum 129
Annie Topping
Introduction 129
The characteristics of quantitative
and qualitative research 130
Influences and contributions to the
development of nursing research 130
Empiricism and the scientific method 131
Quantitative research 134
Qualitative research 135
Critical accounts of research
epistemology 137
Blending quantitative and qualitative
approaches
Judging the quality of quantitative
and qualitative research 138
Conclusions 139
References 139
Websites 141
Chapter 12 Sampling 142
Susan Procter, Teresa Allan
and Anne Lacey
Introduction 142
Populations and samples 142
Types of sampling 144
Sampling schemes in quantitative
research 145
Calculating sample size in quantitative
research 147
Sources of bias in quantitative
sampling 148
Sampling in qualitative research 148
Calculating sample size in qualitative
research 150
Sampling strategies used in qualitative
and quantitative research 151
Conclusions 152
References 152
Further reading 152
Chapter 13 Grounded Theory 153
Immy Holloway and Les Todres
Introduction 153
The purpose and main features of
grounded theory 154
The relevance of grounded theory in
nursing research 154
The theoretical basis of grounded
theory: symbolic interactionism 155
Data collection and initial sampling 156
Data analysis 157
The theory 160
Writing memos 160
The use of literature in grounded theory 161
The choice between Glaserian and
Straussian grounded theory 161
Problems and strengths of grounded
theory 162
Conclusions 163
References 163
Further reading 164
Website 164
Chapter 14 Ethnography 165
Immy Holloway and Les Todres
Introduction 165
The characteristics of ethnography 166
The use of ethnography in nursing 167
Descriptive and critical ethnography 168
Selection of sample and setting 169
Data collection 170
Fieldwork and fieldnotes 172
Macro- and micro-ethnographies 172
Data analysis and interpretation 172
Relationships and problems in the
setting 174
The ethnographic report 174
Conclusions 175
References 175
Further reading 176
Chapter 15 Phenomenological Research 177
Les Todres and Immy Holloway
Introduction 177
The purpose of phenomenological
research 177
The use of phenomenology in nursing 179
Main features 179
Fieldwork 182
Analytical procedures 183
Strengths and limitations 185
Conclusions 186
References 187
Further reading 187
Websites 187
Chapter 16 Narrative Research 188
Dawn Freshwater and
Immy Holloway
Introduction 188
The nature and purpose of stories 189
Narrative inquiry in nursing 191
Illness narratives or stories of sickness 192
Ethical issues in narrative research 193
Collecting and analysing narrative data 194
Critical issues in narrative inquiry 195
Writing and reporting narrative research 196
Conclusions 197
References 197
Further reading 198
Chapter 17 Experimental Research 199
Andrea Nelson, Jo Dumville
and David Torgerson
Background 199
Experimental versus observational
studies 199
Characteristics of experimental design 200
Pre-/post-test studies 201
Interrupted time series
Controlled before and after studies 203
Controlled trials 203
The randomised controlled trial (RCT) 204
Randomised controlled trials and the
reduction of bias 206
Other experimental designs 209
Single-case experimental design
(n of 1 trial) 210
Reporting and reading of RCTs 212
Important considerations in using RCTs 212
Strengths and limitations of RCTs 213
Conclusions 214
References 214
Websites 215
Chapter 18 Surveys 216
Hugh McKenna, Felicity Hasson
and Sinead Keeney
Historical development of survey
research in health 216
Descriptive surveys 217
Correlational and comparative surveys 218
Longitudinal surveys and cohort
studies 219
Sources of data in survey research 220
Epidemiology 223
Conclusions 224
References 225
Further reading 225
Websites 226
Chapter 19 The Delphi Technique 227
Sinead Keeney
Introduction 227
Defining the Delphi technique 228
The expert panel 228
Delphi rounds 230
Response rates 231
Modifications of the Delphi technique 231
Time frame 232
Anonymity 232
Gaining consensus 233
Interpreting results 233
Skills of the researcher 233
Critique of the technique 234
Ethical considerations 234
Conclusions 235
References 235
Further reading 236
Websites 236
Chapter 20 Case Study Research 237
Charlotte L Clarke and Jan Reed
Introduction 237
Definitions of case study methodology 239
Research questions 240
Selection of cases 240
Research design 242
Data analysis 243
Presentation and reporting 246
Conclusions 247
References 247
Chapter 21 Evaluation Research 248
Colin Robson
What is evaluation? 248
Why evaluation research? 248
The satisfaction questionnaire 249
Models of evaluation 249
Quantitative or qualitative? 253
The political nature of evaluation 254
Evaluation research and
evidence-based practice 254
Conclusions 255
References 255
Further reading 256
Websites 256
Chapter 22 Action Research 257
Julienne Meyer
Principles of action research 257
Common models of working with
action research in nursing 258
Action research in healthcare
practice 259
The role of the researcher in action
research 263
Ethical issues 264
Methods of data collection 264
Assessing quality 266
Research as an agent of change 267
Advantages and disadvantages of
action research 268
Conclusions 269
References 269
Further reading 270
Websites 270
Chapter 23 Practitioner Research 271
Jan Reed
Introduction 271
Background to practitioner research 272
Insider and outsider positions 275
Reflecting on the practitioner
research process 276
Ethical issues 281
Conclusions 282
References
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