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Quiz_1 nursing Research questions and answers

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Quiz 1 Research  Question 1 What is the first step in the critical appraisal of a study? Answer s: a. Identifying the research design b. Determine the strengths and weaknesses c. Discussing the implications for nursing practice d. Identification of the steps of the research process Response Feedback: p.43 6  Question 2 A research study contains the following in its Introduction section: “This study was undertaken to explore the effect of massage on total hours of sleep per 24- hour day, in persons averaging fewer than 7 hours of sleep per night, attributable to insomnia. . . . Presumably by increasing endorphin levels, massage seems to provide an immediate relaxation and an ability to sleep immediately following the session, but it is unclear whether these benefits actually extend to total sleep, despite anecdotal support. The claim that massage increases total hours of sleep has been inadequately researched. . . . Does massage increase the total number of hours of daily sleep? . . . It was posited that provision of daily late-morning massage would affect total hours of sleep per 24-hour day. The study’s causational explanation was based on the physiologic matrix of McCarthy, which includes effects of endorphins on sleep, learning ability, pain, digestive function, and cardiac output. . . . It was taken as established fact that massage is pleasant, that research subjects getting fewer than 7 hours of sleep per night were sleep-deprived, and that endorphins mediated the changes observed.” What is the purpose of the study? Answer s: a. The study’s causational explanation was based on the physiologic matrix of McCarthy, which includes effects of endorphins on sleep, learning ability, pain, digestive function, and cardiac output. b. This study was undertaken to explore the effect of massage on total hours of sleep per 24-hour day, in persons averaging fewer than 7 hours of sleep per night, attributable to insomnia. c. Presumably by increasing endorphin levels, massage seems to provide an immediate relaxation and an ability to sleep immediately following the session, but it is unclear whether these benefits actually extend to total sleep, despite anecdotal support. The claim that massage increases total hours of sleep has been inadequately researched. d. It was posited that provision of daily late-morning massage would affect total hours of sleep per 24-hour day. Response Feedback : The research purpose is generated from the problem and identifies the specific focus or aim of the study. The focus of the study might be to identify, describe, explain, or predict a solution to a situation. The purpose often indicates the type of study to be conducted (descriptive, correlational, quasi-experimental, or experimental) and usually includes the variables, population, and setting for the study. p. 48  Question 3 A graduate student receives a mailed survey asking her to participate in research about unpleasant experiences in graduate school. She is asked to return the survey, and the instructions say, “Return of this instrument implies consent.” Why does this constitute consent? Answer s: a. Only interventional research requires consent. b. The study is anonymous, so there is no risk of disclosure. c. Studies like this are exempt from institutional review board oversight, so consent is not required. d. Not returning the survey constitutes refusal, and subjects may indeed refuse by not completing the survey. The opposite is equally true. Response Feedback: The requirements for written consent may be waived in research that “presents no more than minimal risk of harm to subjects and involves no procedures for which written consent is normally required outside of the research context.” For example, if questionnaires are used to collect relatively harmless data, a signed consent form from the subjects would not be required. The subject’s completion of the questionnaire may serve as consent. The top of the questionnaire might contain a statement such as “Your completion of this questionnaire indicates your consent to participate in this study.” p. 179  Question 4 A research study contains the following in its Introduction section: “This study was undertaken to explore the effect of massage on total hours of sleep per 24- hour day, in persons averaging fewer than 7 hours of sleep per night, attributable to insomnia. . . . Presumably by increasing endorphin levels, massage seems to provide an immediate relaxation and an ability to sleep immediately following the session, but it is unclear whether these benefits actually extend to total sleep, despite anecdotal support. The claim that massage increases total hours of sleep has been inadequately researched. . . . Does massage increase the total number of hours of daily sleep? . . . It was posited that provision of daily late-morning massage would affect total hours of sleep per 24-hour day. The study’s causational explanation was based on the physiologic matrix of McCarthy, which includes effects of endorphins on sleep, learning ability, pain, digestive function, and cardiac output. . . . It was taken as established fact that massage is pleasant, that research subjects getting fewer than 7 hours of sleep per night were sleep-deprived, and that endorphins mediated the changes observed.” What is the research problem? Answer s: a. Presumably by increasing endorphin levels, massage seems to provide an immediate relaxation and an ability to sleep immediately following the session, but it is unclear whether these benefits actually extend to total sleep, despite anecdotal support. b. This study was undertaken to explore the effect of massage on total hours of sleep per 24-hour day, in persons averaging fewer than 7 hours of sleep per night, attributable to insomnia. c. It was posited that provision of daily late-morning massage would affect total hours of sleep per 24-hour day. d. It was taken as established fact that massage is pleasant, that research subjects getting fewer than 7 hours of sleep per night were sleep-deprived, and that endorphins mediated the changes observed. Response Feedback: A research problem is an area of concern or phenomenon of interest about which there is a gap in the knowledge base needed for nursing practice. The problem identifies an area of concern or phenomenon of interest for a particular population and often indicates the concepts to be studied. p. 47  Question 5 The right an individual has to be told that he is a potential participant in a research study and may decide not to be so best defines which of the following human rights? Answer s: a. Privacy b. Selfdetermination c. Justice d. Beneficence Response Feedback : The right to self-determination holds that because humans are capable of self-determination, or controlling their own destiny, they should be treated as autonomous agents who have the freedom to conduct their lives as they choose without external controls. Privacy is an individual’s right to determine the time, extent, and general circumstances under which personal information will be shared with or withheld from others.Justice holds that each person should be treated fairly and should receive what he or she is due or owed. The right to protection from discomfort and harm is based on the ethical principle of beneficence, which holds that one should do good and, above all, do no harm. p. 162

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