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Chapter 4��Reading and Critiquing Research Reports

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Types of Research Reports

  • Theses, dissertations, books
  • Presentations at professional conferences
    • Oral reports: 10-20 min to describe the key features of study
    • Poster sessions: visual displays summarizing the study
  • Journal articles
    • Papers often subjected to peer review (2 or more)
    • Peer reviews are often blind (reviewers are not told names of authors and vice versa)
    • Acceptance rate 5%

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Content of Research Journal Articles

  • IMRAD Format:
    • Title and Abstract
      • Introduction
      • Method
      • Results
      • And Discussion
  • References

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The title and abstract:

  • The title conveys the nature of the study in 15 or fewer words.
    • In quantitative studies it includes: variables and population
    • In qualitative studies, it includes: the central phenomenon and group under investigation.

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Abstract

  • The abstract is a brief description of the study placed at the beginning of the article (100-150 words).
  • Brief description of major features of a study at the beginning of a journal article
  • Content are ………
    • Old style—single paragraph, about 100 to 150 words
    • New style (stuctured)—more detailed, with specific headings

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Introduction

  • Description of:
    • Central phenomena, concepts, or variables
    • Study purpose, research questions, or hypotheses
    • Review of literature
    • Theoretical/conceptual framework
    • Study significance, need for study

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Method Section

  • Methods to answer the research question
  • Quantitative Studies:
    • Research design
    • Sampling plan and characteristics of study participants
    • Methods of operationalizing variables and collecting data
    • Study procedures, including procedures to protect participants
    • Analytic methods and procedures

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Method Section (cont.)

  • Qualitative Studies:
    • Research tradition
    • Sampling approach and description of study participants
    • Setting and context
    • Data collection approaches
    • Study procedures
    • Analytic strategies

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Question

Is the following statement True or False?

  • The review of literature is typically found in the Method section of the research report.

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Answer

  • False
    • The review of literature is usually found in the Introduction of the research report.

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Results Section

  • Findings:
    • Quantitative Studies:
      • Descriptive information (e.g., description of subjects, key veriables)
      • Results of statistical analyses
        • Names of statistical tests (prcedures for testing hypotheses)
        • Value of calculated statistics
      • Level of statistical significance
        • Significance means: findings are true and replicable
      • Precision and magnitude of effects: precision of effect and effect size (important finding or not)

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Results Section (cont.)

  • Findings (cont.)
    • Quantitative Studies (cont.):
      • Level of statistical significance—index of how probable it is that the findings are reliable
      • For example, p < .05: Probability is less than 5 in 100 that the findings are spurious (probability is 95 in 100 that the findings are “real” and replicable)

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Results Section (cont.)

  • Findings (cont.)
    • Qualitative Studies:
      • Findings often organized according to major themes, processes, or categories identified in the analysis
      • Almost always includes raw data—quotes directly from study participants

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Discussion

  • Interpretation of the results
  • Implications for nursing practice and for further research
  • Study limitations

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Question

Is the following statement True or False?

  • A researcher would describe the limitations of the study in the Results section of the report.

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Answer

  • False
    • The study limitations are typically described in the Discussion section of the report.

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Style of Research Journal Articles

  • Why are research articles so hard to read?
  • Often difficult to glean the “story” being told, because of:
    • Compactness—page constraints
    • Jargon: research terms
    • Objectivity, impersonality (use passive voice)
    • Statistical information
      • Last two especially prominent in quantitative research articles

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Tips on Digesting Research Reports

  • Read regularly, get used to style
  • Read copied articles—underline, highlight, write notes
  • Read slowly
  • Read actively: monitor yourself to determine whether you understand what you are reading.
  • Look up technical terms in glossary: text books glossary
  • Don’t be intimidated by statistics—grasp gist (general idea) of story
  • “Translate” articles or abstracts: to more familiar terms

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Research Critiques

  • Careful and objective appraisals of the strengths and limitations of a study
  • Critiques of individual studies can be done for a variety of reasons (e.g., for a student assignment; for making decisions about whether or not to publish a manuscript; for EBP purposes)
  • Vary in scope, length, and form, depending on purpose

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Research Critiques (cont.)

  1. Can be comprehensive, appraising the:
        • substantive: significant and important
        • Methodologic: rigorous, appropriate, the findings sound
        • Theoretical: the framework sound
        • Ethical: participants rights
        • Interpretive: appropriate interpretations and defensible conclusions
        • and stylistic aspects of both the study and the report (e.g., students can critique a single study to demonstrate their research skills): clear correct and organized
  2. Noncomprehensive critiques tend to focus on key substantive and methodologic issues, focusing on the integrity of the study’s evidence.

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Research Critiques (cont.)

  • Critiques can be facilitated by:
    1. Using a formal protocol or critiquing guideline—although a one-size-fits-all guideline does not typically work perfectly (see guidelines for quantitative and qualitative studies in this chapter as models)
    2. Reviewing a model of a good critique

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Title

  • Good one
  • Suggesting the key variables and population

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Abstract

  • Clear
  • Concise
  • Summaries the main feature of the report

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Statement of the problem

  • Easy to identify
  • Persuasive
  • Significant: important
  • Method are appropriate to the problem

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Hypothesis or research questions

  • Explicitly states; if not why?
  • Appropriately worded; clear variables; population present
  • Consistent with literature review and conceptual framework

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Literature review

  • Up-to-date
  • Primary source
  • State-of-the-art synthesis of evidence
  • Solid bases for a new study

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Conceptual / theoretical framework

  • Conceptual definition is adequate
  • Rational for it and it is appropriate
  • If absent: is it justified?

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Protection of participants rights

  • Appropriate procedures
  • IRB
  • Risk/benefit ratio

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Research design

  • Most rigorous used
  • Appropriate comparisons made to enhance interpretability of the findings
  • Appropriate data collection points
  • Minimize biases

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Population and sample

  • Population identified
  • Sufficient description of the sample
  • Best possible sampling design
  • Sample biases decreased
  • Adequate sample size
  • Power analysis used

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Data collection and measurement

  • Operation and conceptual definition were congruent
  • Key variable operationalized using the best method with justification
  • Full description of the instrument and was it appropriate
  • Valid
  • Reliable

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Procedures

  • Adequate description of the intervention
  • Appropriate implementation
  • All the subjects received the intervention
  • Minimize bias
  • Staff training

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Data analysis

  • Done for each question and hypothesis
  • Appropriate statistical method
  • Most powerful method used
  • Minimize type I and type II error

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Findings

  • Statistical significance mentioned
  • Effect size and Precision
  • Adequate summary of the findings
  • Good use of figures and tables
  • Sufficient for meta-analysis and EBP

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Interpretation of the findings

  • All major findings interpreted within the context of previous studies and conceptual framework
  • Justification for casual relationships
  • Consistent with the results and limitation
  • Generalizability was addressed

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Implication and recommendation

  • For clinical
  • Further research
  • Was it reasonable and complete

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Presentation

  • Well written
  • Well organised
  • Written in a manner that is accessible for nurses
  • CONSORT flaw chart for participants was used

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Researcher credibility

  • Qualified
  • Has experience

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Summary assessment

  • Valid findings despite the limitations
  • The study has meaningful evidence that can be used in nursing practice

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Key Challenges of Doing Research

  • Researchers face numerous challenges and make many decisions:
    • Conceptual definition
    • Financial
    • Ethical
    • Practical
    • Methodological

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Question

Is the following statement True or False?�

  • Research critiques are done to evaluate the strengths and limitations of a study.

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Answer

  • True
    • Although there are a wide variety of reasons for critiquing research, research critiques provide careful and objective appraisals of the strengths and limitations of a study.

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Major Methodologic Challenge

  • Designing studies to support inferences (conclusions) that are:
    • Reliable and valid (quantitative studies)
    • Trustworthy (qualitative studies): the participants experience not the researcher perceptions

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Criteria for Evaluating Quantitative Research

  • Reliability
    • The accuracy and consistency of obtained information
  • Validity
    • The soundness of the evidence—whether findings are convincing, well-grounded, and support the desired inferences

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Evaluative Criteria in Qualitative Studies

  • Trustworthiness
    • The overall integrity of the study’s evidence

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Trustworthiness

  • Dimensions of trustworthiness:
    • Credibilitya key criterion, achieved to the extent that researchers can engender confidence in the truth of the data and their interpretations
    • Confirmability: objectivity of data
    • Dependability: stability of data over time
    • Transferability: to new setting
    • Authenticity: show a range of different realities and transfer the feeling tone of lives as they are lived

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Triangulation

  • Triangulation is the use of multiple sources or referents to draw conclusions about what constitutes the truth.
    • Triangulation can contribute to credibility.
    • Triangulation is a useful strategy in both qualitative and quantitative research.

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Question

Which of the following would be a key aspect of trustworthiness?

  1. Triangulation
  2. Reliability
  3. Credibility
  4. Validity

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Answer

c. Credibility

    • Credibility is a key criterion for trustworthiness. Reliability and validity are key for evaluating quantitative research. Triangulation is the use of multiple sources or referents to draw conclusions.

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Bias

  • An influence producing an error and distortion in study results
  • Examples of factors creating bias:
    • Lack of participants’ candor (honesty)
    • Faulty methods of data collection
    • Researcher’s preconceptions
    • Participants’ awareness of being in a special study
    • Faulty study design

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Research Control

  • In quantitative studies, research control involves holding constant extraneous factors (confounding variables) that influence the dependent variable, to better understand relationships between the independent and dependent variables.

  • Research control is one method of addressing bias.

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Randomness

  • Randomness—allowing certain aspects of the study to be left to chance rather than to researcher or participant choice
  • An important tool for achieving control over
    1. confounding variables
    2. and for avoiding bias

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Masking (Blinding)

  • Masking—or blinding—involves concealing information (usually about the study hypotheses or about participants’ status in different groups) from those playing a role in the study.

  • Used in quantitative studies to reduce biases stemming from awareness

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Masking (Blinding), cont.

  • Single blindonly one group is blinded (e.g., study participants)

  • Double blind—two groups (e.g., study participants and people collecting the outcome data) are blinded

  • A study without blinding is sometimes called an open study, while a study with blinding may be referred to as a closed study.

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Reflexivity

  • To control personal bias
  • The process of
      • reflecting critically on the self,
      • and of attending to personal values that could affect data collection and interpretations of the data

  • A strategy used primarily by qualitative researchers (e.g., they may maintain an ongoing journal to record their reflections before and during the study)

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Question

Is the following statement True or False?�

  • Blinding is used in qualitative studies.

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Answer

  • False.
    • Blinding is used in quantitative studies to reduce bias that results from awareness.

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Generalizability and Transferability

  • Generalizability (Quantitative research): The extent to which study findings are valid for others not in the study
  • Transferability (Qualitative research): The extent to which qualitative findings can be transferred to other settings
  • Thick description (Qualitative research): thorough description of the setting and process, it supports transferability.

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End of Presentation

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