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Effective: Late Spring 8-Week, 2017/2018

NURS 409: Nursing Research And Evidence-Based Practice

Course Description

This theory course introduces the language and processes of research within the nursing profession. The research competencies to be examined include interpreting and using research in nursing practice, evaluating research, and conducting research. Course content focuses on retrieving, reading, evaluating, disseminating, and using research in nursing practice. This course will focus on current review of nursing literature and research utilization through evidence-based practice.

Prerequisite: Admission to the Online RN to BSN or the Bachelor Level Nursing program; MATH 250 or BIOL 324/PSYC 324/SOCI 324

Proctored Exams: None



Syllabus Contents

Textbooks

Required

  • LoBiondo-Wood, G. & Haber, J.. (2014). Nursing research: Methods for evidence-based practice (8th). Elsevier: Mosby.
    • [ISBN-978-0-323-10086-1]
  • American Psychological Association. (2009). Publication manual of the American psychological association (6th). Washington, D.C.: American Psychological Association.
    • [ISBN-978-1-4338-0561-5]

MBS Information

Textbooks for the course may be ordered from MBS Direct. You can order

For additional information about the bookstore, visit http://www.mbsbooks.com.


Course Overview

Research is a major factor that is utilized to change nursing practice, education, and health policy. It is important for all nurses to have a strong understanding of research methods in the development and implementation of evidence-based practice. Nurses must possess the ability to critically appraise and synthesize research evidence in the delivery of health care to ensure safe, quality, and cost-efficient care. This course will provide the RN-BSN student with the research concepts necessary to meet the goals of enriched evidence-based practice.



Technology Requirements

Participation in this course will require the basic technology for all online classes at Columbia College:
  • A computer with reliable Internet access
  • A web browser
  • Acrobat Reader
  • Microsoft Office or another word processor such as Open Office

You can find more details about standard technical requirements for our courses on our site.


Course Objectives

  • To examine areas of high priority for nursing research related to the health care consumer’s health, safety and barriers to health.
  • To examine the ethical dimensions of a research project/article/report.
  • To examine how the process of scientific inquiry has contributed to the development of knowledge for nursing practice.
  • To identify areas of high priority for nursing research to improve nursing practice.
  • To use research for the purpose of advancing health potentials for groups of clients.

Measurable Learning Outcomes

  • Examine the significance of research in building an evidence-based practice for nursing.
  • Discuss the historical development of nursing research.
  • Explain the concepts relevant to quantitative and qualitative research.
  • Examine the methods of formulating a research problem, developing objectives, reviewing relevant literature, identifying questions, writing hypothesis, assessing for variables, discussing methods for determining a sample population, examining principles of statistical analysis, and interpreting results.
  • Appraise the implications of ethics in research

Grading

Grading Scale
Grade Points Percent
A 698-775 90-100%
B 620-697 80-89%
C 542-619 70-79%
D 465-541 60-69%
F 0-464 0-59%
Grade Weights
Assignment Category Points Percent
Discussions (7) 95 12%
PICOTS Search Strategy 5 1%
CINAHL Research Worksheet 5 1%
Research Elements (5) 250 32%
Evidence-Based Practice Brief 200 26%
Quizzes (8) 220 28%
Total 775 100%


Schedule of Due Dates

Week 1
Assignment Points Due
Introduction Discussion 5 Wednesday
Discussion 1 Post & Response 15 Tuesday/Thursday
Syllabus and Handbook Quiz - Prior to submitting the Literature Review
Research Elements: Literature Review 50 Friday
Quiz 1 30 Saturday
EBP Brief Step 1 5
PICOTS Search Strategy Worksheet 5 Sunday
Week 2
Assignment Points Due
Discussion 2 Post & Response 15 Tuesday/Thursday
Research Elements: Critiquing Qualitative Research 50 Friday
Guided CINAHL Research Worksheet 5 Saturday
Quiz 2 30
EBP Brief Step 2 5
Week 3
Assignment Points Due
Discussion 3 Post & Response 15 Tuesday/Thursday
Research Elements: Correlational and Quasi-Experimental Studies 50 Friday
Quiz 3 30 Saturday
EBP Brief Step 3 - Prior to EBP Brief Step 4
Week 4
Assignment Points Due
Quiz 4 30 Saturday
EBP Brief Step 4 100
Week 5
Assignment Points Due
Discussion 4 Post & Response 15 Tuesday/Thursday
Research Elements: Legal and Ethical Issues 50 Friday
Quiz 5 20 Saturday
Week 6
Assignment Points Due
Discussion 5 Post & Response 15 Tuesday/Thursday
Research Elements: Methodology 50 Friday
EBP Brief Step 5 50 Saturday
Quiz 6 30
Week 7
Assignment Points Due
Discussion 6 Post & Response 15 Tuesday/Thursday
Research Elements: Critical Appraisal 50 Friday
EBP Brief Step 6 - Saturday
Quiz 7 30
Week 8
Assignment Points Due
EBP Brief Step 7 (Final Version) 40 Saturday
Quiz 8 20
Total Points 825

Assignment Overview

General Guidelines

All work submitted in this course should be at the bachelor degree in nursing level quality and original to the student. Students are expected to keep up with the level of work in the class and submit assignments on time. All assignments in the course are due at 11:59 pm Central Standard Time.

Students are to use the American Psychological Association (APA) manual (6th ed.) for guidelines for formatting and citation of written work.

To locate high quality resources for your assignments, Stafford Library has several article databases available. Nursing and Medicine sites are: CINAHL with Full Text, Consumer Health Complete, and MEDLINE.  Links to the Nursing Resources guide and the main library page are available on the home page of the course.


Discussions

Each week you will participate in a discussion that is designed to help you apply course concepts and interact with classmates and your instructor. Discussion assignments must be completed in two parts:

  1. you will submit an initial post synthesizing information related to the assigned topic no later than 11:59 pm CT on Tuesday of the assigned week
  2. you will then post a reply to at least one other classmate’s posted responses to the assigned topic no later than 11:59 pm CT on Thursday of the assigned week. 

Discussion postings should reflect a depth and quality that emulates the bachelor of nursing standards of excellence. All work should illustrate evidence of synthesis of information and appropriate application. Grading of all discussion assignments will be guided by the specific assignment rubric. Discussions that are not completed and posted by the stated deadline will receive a grade of “0” (zero). No late assignments are accepted.


Research Elements Assignments

The majority of the Research Elements assignments are related to specific research articles. The assignments require you to analyze and critique specific research processes in the articles.  These dropbox assignments are to be thoroughly completed and must include cited resources. Your textbook can be considered as a resource. Additional resources must be from professional journals/websites. APA format must be implemented (refer to the Publication manual of the American Psychological Association for guidance).

Grading of these assignments will be guided by a specific assignment rubric. Assignments that are not submitted to the Dropbox by the stated deadline will receive a grade of “0” (zero). No late assignments are accepted.


Evidence-Based Practice Brief

The purpose of the Evidence-Based Practice Brief (EBP Brief) is to further your knowledge and understanding of the best nursing practices for any given nursing problem or concern. You will select a clinical question, research the evidence, analyze, and summarize your results in the Brief. The EBP Brief will be completed in a series of steps, culminating in the production of a final, combined Brief.    

Evidence-based models use a process for framing research questions. The PICOTS process is used for the Evidence-Based Practice Brief assignments. You will be learning about this process in week 1 as you begin working on this assignment.

Most steps of the EBP Brief (except for Step 3 and Step 6) are dropbox assignments to be thoroughly completed and must include cited resources. Your textbook can be considered as a resource. Additional resources must be from professional journals/websites. APA format must be implemented (refer to the Publication Manual of the American Psychological Association for guidance). Full details for each step are located in the Content assignment pages.

Grading of these assignments will be guided by a specific assignment rubric. Assignments that are not submitted to the Dropbox by the stated deadline will receive a grade of “0” (zero). No late assignments are accepted.


Quizzes

There are eight quizzes in the course. Each quiz includes material covered in that week’s reading assignment. Quizzes are 20-30 points each and consist of multiple choice questions. You will have 90 minutes to complete each quiz.



Course Outline

Click on each week to view details about the activities scheduled for that week.

Week 1: Overview of Research and Evidence-Based Practice
Readings

LoBiondo-Woods and Haber: Chapters 1-4

Learn about the PICOTS model of framing questions by reviewing the PICOTS tutorial. See the week 1 assignment page for a link to the tutorial.

Introduction Discussion

Introduce yourself in this topic. Topics you might include are your current occupation, family, where you live, your experience with online classes, or anything else you would like us to know about you.  Then discuss how you currently use, or have used, evidence-based practice in your own nursing practice. Due Wednesday.

Discussion 1 Post & Response

Discuss the evolution of nursing research in the last century. Include the nurse’s role in research, nursing research contributions to nursing as well as other practice areas, relationship to educational preparation, and importance of attending research presentations. Post a reply to at least one other classmate’s post. Due Tuesday/Thursday.

Syllabus and Handbook Quiz

In order to access the Literature Review Dropbox, you will need to do the following:

  1. Review the course syllabus (located in the "Start Here" section of the Course Content area)
  2. Review the RN to BSN Student Handbook (located in the "Start Here" section of the Course Content area)
  3. Score 100% on the Syllabus and Handbook Quiz (located in the Quizzes area)

The Dropbox folder for the Literature Review will not appear until all three actions have been completed.

Research Elements: Literature Review

In this assignment, you will critique the quality of the literature reviews conducted for a nursing research article of your choice.  In the document that you submit, include answers to each question that is in the LoBiondo-Wood & Haber textbook, page 72, Critiquing Criteria, Review of the Literature. Each question is to professionally and thoroughly answered. Due Friday.

Quiz 1

This 30 point quiz covers information from LoBiondo-Woods and Haber: Chapters 1-4. Due Saturday.

EBP Brief Step 1

Step 1 of the EBP Brief involves defining your PICOTS question, providing background information, and stating your goals. See the weekly assignment page for complete instructions. Due Saturday.

PICOTS Search Strategy Worksheet

This worksheet will help you analyze your research question and prepare you to search for evidence-based research articles. Locate the worksheet in the week 1 Content area of the course. Download it, complete and save it, and submit it to the corresponding Dropbox. Due Sunday.

Week 2: Processes and Evidence Related to Qualitative Research
Readings

LoBiondo-Woods and Haber: Chapters 5-7

Discussion 2 Post & Response

Discuss how researchers select objectives, questions, or hypotheses for a study. Due Tuesday/Thursday.

Research Elements: Critiquing Qualitative Research

In this assignment, you will critique the quality of the qualitative research article provided in the course Content area. In the document that you submit, include answers to each question that is in the LoBiondo-Wood & Haber textbook, page 135, Critiquing Criteria, Qualitative Research. Each question is to professionally and thoroughly answered.  Due Friday.

Guided CINAHL Research Worksheet

This worksheet will provide guidance on searching CINAHL, and a format to help you document your search procedures needed for the EBP Brief Step 2. Locate the worksheet in the week 2 Content area of the course. Download it, complete and save it, and submit it to the corresponding Dropbox.  Due Saturday.

Quiz 2

This 30 point quiz covers information from LoBiondo-Woods and Haber: Chapters 5-7. Due Saturday.

EBP Brief Step 2

This step of the Brief requires you to provide an overview of your research evidence search. See the weekly assignment page for complete instructions. Due Saturday.

Week 3: Introduction to Quantitative Research, Experimental and Quasi-Experimental Designs
Readings

LoBiondo-Woods and Haber: Chapters 8-9

Discussion 3 Post & Response

Discuss your viewpoints on how HIPAA impacts nursing research. Due Tuesday/Thursday.

Research Elements: Correlational and Quasi-Experimental Studies

Using the two studies listed in the course Content area (a correlational and a quasi-experimental study), identify the specific design used in each study. Compare and contrast the two designs. Analyze the quality of each design. Due Friday.

Quiz 3

This 30 point quiz covers information from LoBiondo-Woods and Haber: Chapters 8-9. Due Saturday.

EBP Brief Step 3

For this step of the EBP Brief, you will be performing unguided research for expert evidence. You will be summarizing your findings in Step 4 of the Brief, due next week. There is nothing to submit this week. See the weekly assignment page for complete instructions.

Week 4: Nonexperimental Designs, Systematic Reviews and Clinical Practice Guidelines, Sampling
Readings

LoBiondo-Woods and Haber: Chapters 10-12

Quiz 4

This 30 point quiz covers information from LoBiondo-Woods and Haber: Chapters 10-12. Due Saturday.

EBP Brief Step 4

This step of the EBP Brief requires you to submit summaries of both your research evidence and expert evidence located in Steps 2 and 3. See the weekly assignment page for complete instructions. Due Saturday.

Week 5: Legal and Ethical Issues, Data Collection Methods
Readings

LoBiondo-Woods and Haber: Chapters 13-14

Discussion 4 Post & Response

When social or moral issues or emotional topics are present in a qualitative research study article, how should the researchers demonstrate their awareness of these topics? Due Tuesday/Thursday.

Research Elements: Legal and Ethical Issues

First, read the history related to the Nuremberg Code.  Then Review Table 13-2 Protection of Human Rights.  Answer the following questions:

1. Discuss each of the following research cases (links found in the course Content area) referencing the Nuremberg Code and the Protection of Human Rights guidelines. Include the research problem, subjects, methodology, results, and the ethical misconduct.

  • The Tuskegee Syphilis Study
  • The Willowbrook Study
  • Laud Humphrey's "Tearoom sex" study

2. How does the Nuremberg Code influence modern day informed consent?

3. Discuss the roll of the Institutional Review Board (IRB) in College and University venues.

Submit your paper to the Research Elements: Ethical & Legal Issues Dropbox. Due Friday.

Quiz 5

This 20 point quiz covers information from LoBiondo-Woods and Haber: Chapters 13-14. Due Saturday.

Week 6: Reliability and Validity, Data Analysis
Readings

LoBiondo-Woods and Haber: Chapters 15-16

Discussion 5 Post & Response

What is an outlier, and how do outliers affect research findings? How do researchers handle outliers? Due Tuesday/Thursday.

Research Elements: Methodology

Using the study located in the course Content area, critique the methodology of the research article to include research design, sampling, instruments and data collection. Include the following information:

  1. What design was used for this study? Do you think that the design is appropriate for the research question and purpose?
  2. Is the target population carefully described? Was the sample selection procedure clearly outlined? Are there potential sample biases? Is the sample size justified? Is the sample size adequate? To whom can the research results be generalized?
  3. What instruments were used for data collection? Was rationale provided for the use of the chosen instruments? Are the instruments appropriate for the research question and study sample? Were the instruments tested for reliability and validity?

Due Friday.

EBP Brief Step 5

This step of the brief is a critical analysis of the evidence you’ve located. See the weekly assignment page for complete instructions. Due Saturday.

Quiz 6

This 30 point quiz covers information from LoBiondo-Woods and Haber: Chapters 15-16. Due Saturday.

Course Evaluation
Please evaluate the course. You will have an opportunity to evaluate the course near the end of the session. A link sent to your CougarMail will allow you to access the evaluation. Please note that these evaluations are provided so that I can improve the course, find out what students perceive to be its strengths and weaknesses, and in general assess the success of the course. Please do take the time to fill this out.
Week 7: Understanding Research Findings, Appraising Quantitative Research
Readings

LoBiondo-Woods and Haber: Chapters 17-18

Discussion 6 Post & Response

Can findings from a single study be used to change practice? Provide a rationale for your response. Due Tuesday/Thursday.

Research Elements: Critical Appraisal

In this assignment, you will critically appraise a published evidence-based practice article.

After reading your chosen research article, complete the Summary of Major Content Sections of a Research Report and Related Critical Appraisal Guidelines (Table 18-1). Refer to Page 373 for an example of a critique.

In a Word document, indicate for each step whether the step was or was not complete. Then comment on the quality of the step and your rationale for deciding if it was complete or incomplete.

Include the APA cited reference for your article.  Due Friday.

EBP Brief Step 6

This week you should be adding the final elements to your fully complete Brief, including recommendations, a discussion of stakeholders who may be affected by your recommendations, and its feasibility. If you’d like to gather classmate’s feedback on your Brief, submit it to the optional Peer Review Discussion. Take the time to also write constructive comments for your fellow classmates. See the weekly assignment page for complete instructions. Due Saturday.

Quiz 7

This 30 point quiz covers information from LoBiondo-Woods and Haber: Chapters 17-18. Due Saturday.

Week 8: Application of Research: Evidence-Based Practice
Readings

LoBiondo-Woods and Haber: Chapters 19-21

EBP Brief Step 7 (Final Version)

Last week you may have elicited peer comments on your completed Brief. Ensure that all 6 steps have been compiled into one document and carefully review and edit your finalized EBP Brief. Submit the final product for grading to the appropriate Dropbox. Due Saturday.

Quiz 8

This 20 point quiz covers information from LoBiondo-Woods and Haber: Chapters 19-21. Due Saturday.



Course Policies

Student Conduct

All Columbia College students, whether enrolled in a land-based or online course, are responsible for behaving in a manner consistent with Columbia College's Student Conduct Code and Acceptable Use Policy. Students violating these policies will be referred to the office of Student Affairs and/or the office of Academic Affairs for possible disciplinary action. The Student Code of Conduct and the Computer Use Policy for students can be found in the Columbia College Student Handbook. The Handbook is available online; you can also obtain a copy by calling the Student Affairs office (Campus Life) at 573-875-7400. The teacher maintains the right to manage a positive learning environment, and all students must adhere to the conventions of online etiquette.

Plagiarism

Your grade will be based in large part on the originality of your ideas and your written presentation of these ideas. Presenting the words, ideas, or expression of another in any form as your own is plagiarism. Students who fail to properly give credit for information contained in their written work (papers, journals, exams, etc.) are violating the intellectual property rights of the original author. For proper citation of the original authors, you should reference the appropriate publication manual for your degree program or course (APA, MLA, etc.). Violations are taken seriously in higher education and may result in a failing grade on the assignment, a grade of "F" for the course, or dismissal from the College.

Collaboration conducted between students without prior permission from the instructor is considered plagiarism and will be treated as such. Spouses and roommates taking the same course should be particularly careful.

All required papers may be submitted for textual similarity review to Turnitin.com for the detection of plagiarism. All submitted papers may be included in the Turnitin.com reference database for the purpose of detecting plagiarism. This service is subject to the Terms and Conditions of Use posted on the Turnitin.com site.

Non-Discrimination

There will be no discrimination on the basis of sex, race, color, national origin, sexual orientation, religion, ideology, political affiliation, veteran status, age, physical handicap, or marital status.

Student Accessibility Resources

Students with documented disabilities who may need academic services for this course are required to register with the office of Student Accessibility Resources. Until the student has been cleared through this office, accommodations do not have to be granted. If you are a student who has a documented disability, it is important for you to read the entire syllabus as soon as possible. The structure or the content of the course may make an accommodation not feasible. Student Accessibility Resources is located in Student Affairs in AHSC 215 and can be reached by phone at (573) 875-7626 or email at sar@ccis.edu.

Online Participation

You are expected to read the assigned texts and participate in the discussions and other course activities each week. Assignments should be posted by the due dates stated on the grading schedule in your syllabus. If an emergency arises that prevents you from participating in class, please let your instructor know as soon as possible.

Attendance Policy

Attendance for a week will be counted as having submitted any assigned activity for which points are earned. Attendance for the week is based upon the date work is submitted. A class week is defined as the period of time between Monday and Sunday (except for week 8, when the work and the course will end on Saturday at midnight.) The course and system deadlines are based on the Central Time Zone.

Cougar Email

All students are provided a CougarMail account when they enroll in classes at Columbia College. You are responsible for monitoring email from that account for important messages from the College and from your instructor. You may forward your Cougar email account to another account; however, the College cannot be held responsible for breaches in security or service interruptions with other email providers.

Students should use email for private messages to the instructor and other students. The class discussions are for public messages so the class members can each see what others have to say about any given topic and respond.

Late Assignment Policy

An online class requires regular participation and a commitment to your instructor and your classmates to regularly engage in the reading, discussion and writing assignments. Although most of the online communication for this course is asynchronous, you must be able to commit to the schedule of work for the class for the next eight weeks. You must keep up with the schedule of reading and writing to successfully complete the class.

No late discussion posts will be accepted.

No late assignments will be accepted.

Course Evaluation

You will have an opportunity to evaluate the course near the end of the session. A link will be sent to your CougarMail that will allow you to access the evaluation. Be assured that the evaluations are anonymous and that your instructor will not be able to see them until after final grades are submitted.


Additional Resources

Orientation for New Students

This course is offered online, using course management software provided by Desire2Learn and Columbia College. The course user guide provides details about taking an online course at Columbia College. You may also want to visit the course demonstration to view a sample course before this one opens.

Technical Support

If you have problems accessing the course or posting your assignments, contact your instructor, the Columbia College Helpdesk, or the D2L Helpdesk for assistance. Contact information is also available within the online course environment.

Online Tutoring

Smarthinking is a free online tutoring service available to all Columbia College students. Smarthinking provides real-time online tutoring and homework help for Math, English, and Writing. Smarthinking also provides access to live tutorials in writing and math, as well as a full range of study resources, including writing manuals, sample problems, and study skills manuals. You can access the service from wherever you have a connection to the Internet. I encourage you to take advantage of this free service provided by the college.

Access Smarthinking through CougarTrack under Students -> Academics -> Academic Resources.


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