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Chapter 14
key terms
35
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04/28/2008

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Term
research utilization
Definition
the process of synthesizing, disseminating, and using research-generated knowledge to make an impact on or change in the existing practices in society
Term
evidence-based practice
Definition
the conscientious integration of best research evidence with clinical expertise and patient values and needs in the delivery of quality, cost-effective health care
Term
best research evidence
Definition

produced by the conduct and synthesis of numerous, high-quality studies in a specific health area

focuses on health promotion, illness prevention; and the assessment, diagnosis, and management of acute and chronic illness

Term
clinical expertise
Definition
includes a practitioner's knowledge, skills, and past experience in accurately assessing, diagnosing, and managing an individual patient's health needs
Term
innovation
Definition
idea, practice, or object that is developed through research
Term

Metasynthesis

Definition
____ is conducted to synthesize qualitative research and involves the critical analysis for primary qualitative studies and synthesis of findings into a new theory or framework for the topic of interest.
Term
Rogers' Theory of Diffusion of Innovations
Definition
include 5-stage process: (1) knowledge (2) persuasion (3) decision (4) implementation (5) confirmation
Term
knowledge stage
Definition
the first awaremess of the existence of an innovation or a new idea for use in practice
Term
innovators
Definition
people who read research and want to make changes in practice based on empirical evidence
Term
persuasion stage
Definition

an individual person or agency develps either a favorable or unfavorable attitude toward the change or innovation

Term

Meta-analysis

Definition
_____ statistically pools the results from previous studies into a single quantitative analysis that provides the highest level of evidence for an intervention's efficacy.
Term
relative advantage
Definition
the extent to which the innovation is perceived to be better than current perceived to be better than current practice
Term
compatability
Definition
the degree to which the innovation is perceived to be consistent with current values, past experience, and priority of needs
Term
Metasummary
Definition
A synthesis of multiple primary qualitative studies to produce a narrative about a selected phenomenon.
Term
Systematic review of research
Definition
___ ___ _ ___ is a narrowly focused synthesis of the findings from quantitative studies focused on a particular practice intervention or problem.
Term
complexibility
Definition
the degree to which the innovation is perceived to be difficult to understand or use.
Term
trialability
Definition
the extent to which an individual person or agency can try out the idea on a limited basis, with the option of returning to previous practices
Term
observability
Definition
the extent to which the results of an innovation are visible to others
Term
decision stage
Definition
the innovation is either dropped or rejected
Term
Research Evidence
Definition
Knowledge generated from the synthesis of research findings from several quality studies.
Term
adoption
Definition
involves full acceptance and the implementation of the innovation or intervention in practice; can be continued indefinately or can be discontinued based on evaluation of the intervention's effectiveness for patients and the health care agency
Term
Cognitive clustering
Definition
The integreation of findings from scientifically sound research to determine what is currently known or not
Term
rejection
Definition
decision not to use an innovation; can be active or passive
Term
active rejection
Definition
indicates that the intervention was examined and a decision was made not to adopt it
Term
passive rejection
Definition
indicateds that the intervention was never seriously considered
Term
implementation
Definition
the intervention is put to use by an individual, a clinic, a hospital unit, many units in a hospital, or a group of hospitals
Term
direct application
Definition
occurs when an intervention is used exactly as it was developed
Term
research-based protocol
Definition
provides detailed guidelines that are documented with research sources for implementing an intervention in practice
Term
reinvention
Definition
occurs when adopters modify the intervention to meet their own needs
Term
indirect effect
Definition
use of research findings by citing them in clinical papers and textbooks and incorporating them to strengthen arguments; research knowledge is incorporated into people's thinking and combined with their experience, education, and current values
Term
confirmation stage
Definition
nurses evaluate the effectiveness of the change in practice and decide to either continue or discontiue it
Term
continuance
Definition
decision to continue using an innovation and include the protocol in the procedures manual
Term
discontinuance
Definition

2 types: replacement and disenchantment

decision to stop or discontinue an innovation

Term
replacement discontinuance
Definition

the intervention is rejected to adopt a better idea

Term
Disenchantment discontinuance
Definition

____ ____ occurs when an idea is rejected because the user is dissatisfied with its outcome.

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