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1Copyright © 2013, 2009, 2005, 2001, 1997 by Saunders, an imprint of Elsevier Inc.
Chapter 26
Interpreting Research
Outcomes
2Copyright © 2013, 2009, 2005, 2001, 1997 by Saunders, an imprint of Elsevier Inc.
Interpreting Research Outcomes
(Cont’d)
 Requires abstract thinking
 Introspection, reasoning, and intuition
 Usually the final chapter of theses or
dissertations/“Discussion” section of research
papers
 Aided by discussion with others
3Copyright © 2013, 2009, 2005, 2001, 1997 by Saunders, an imprint of Elsevier Inc.
Process of Interpreting Research
Outcomes
 For quantitative, outcomes, and intervention
studies
 Examining study evidence
 Determining findings
 Forming conclusions
 Identifying limitations
 Generalizing the findings
 Considering implications for practice
 Suggesting further studies
4Copyright © 2013, 2009, 2005, 2001, 1997 by Saunders, an imprint of Elsevier Inc.
Examining Evidence
 Identify the limitations of study and consider
how these might affect study findings and
conclusions
 Limitations in a research article are Not flaws,
per se, but rather
 Limitations to the believability of results
 Limitations to generalization
5Copyright © 2013, 2009, 2005, 2001, 1997 by Saunders, an imprint of Elsevier Inc.
Evidence from the Research Plan
 Does study hold up logically?
 How good are the operationalizations?
 Did the framework really support understanding of variable
connections?
 Were study concepts really what were being measured?
 Was the sample representative? And of what was it
representative?
 Did extraneous variables intrude?
 Were statistical analyses appropriate to
 Levels of measurement?
 Distribution of data?
 Research questions?
6Copyright © 2013, 2009, 2005, 2001, 1997 by Saunders, an imprint of Elsevier Inc.
Evidence from Measurement
 Again, how well did operational definitions fit
framework?
 Were the measurements valid and reliable?
 Were validity and reliability established for
this study?
 What was the effect size?
7Copyright © 2013, 2009, 2005, 2001, 1997 by Saunders, an imprint of Elsevier Inc.
Evidence from the Data
Collection Process
 Subject refusal rate
 Subject attrition
 Sample size sufficiency
 Sample representativeness
 Intervention fidelity
 Unforeseen events
 Consistency of measurement techniques
8Copyright © 2013, 2009, 2005, 2001, 1997 by Saunders, an imprint of Elsevier Inc.
Evidence from the Data Analysis
Process
 Accuracy of data collection, recording,
transcription
 Missing data management
 Accuracy of analyses and mention of
statistical package used, if any
 Adherence to assumptions of statistical tests
 Appropriateness of statistical tests
9Copyright © 2013, 2009, 2005, 2001, 1997 by Saunders, an imprint of Elsevier Inc.
Evidence from Data Analysis
Results
 Most direct evidence of the results
 Interpretation of results from quasi-
experimental and experimental studies, often
based on decision theory
10Copyright © 2013, 2009, 2005, 2001, 1997 by Saunders, an imprint of Elsevier Inc.
Evidence from Data Analysis
Results (Cont’d)
 Five possible types of results:
 Significant results in keeping with those predicted
by the researcher
 Nonsignificant results
 Significant results that oppose those predicted by
the researcher
 Mixed results
 Unexpected results
11Copyright © 2013, 2009, 2005, 2001, 1997 by Saunders, an imprint of Elsevier Inc.
Significant and Predicted Results
 Support logical links developed by researcher
among the purpose, framework, questions,
variables, and measurement methods
 Researcher needs to consider alternative
explanations for positive findings
12Copyright © 2013, 2009, 2005, 2001, 1997 by Saunders, an imprint of Elsevier Inc.
Nonsignificant Results
 Double-check statistics, to make sure + and –
not reversed
 Double-check data entry, to make sure
reverse-coding occurred, if needed
 Re-calculate power analysis, to reflect actual
effect size (of this study)
 Report results For This Study, not as a
general truth
13Copyright © 2013, 2009, 2005, 2001, 1997 by Saunders, an imprint of Elsevier Inc.
Significant and not Predicted
Results
 Double-check statistics, to make sure + and –
not reversed
 Double-check data entry, to make sure
reverse-coding occurred, if needed
 Think the logic through again, from concepts
to operational definitions
14Copyright © 2013, 2009, 2005, 2001, 1997 by Saunders, an imprint of Elsevier Inc.
Mixed Results
 Most common outcome
 Double-check statistics
 Recalculate effect size for each variable
 Re-estimate needed sample sizes for each
test, to check for type II error
 Additional research is indicated to examine
mixed study results
15Copyright © 2013, 2009, 2005, 2001, 1997 by Saunders, an imprint of Elsevier Inc.
Unexpected (Serendipitous)
Results
 Relationships not in study hypotheses
 Re-examine theoretical ideas, especially
when explaining
 Focus on study hypotheses, but include
serendipitous results in report, too
 Use these findings to develop or refine
theories and to formulate later studies
16Copyright © 2013, 2009, 2005, 2001, 1997 by Saunders, an imprint of Elsevier Inc.
Evidence from Previous Studies
 Comparison of this study with similar studies
 Is a pattern present?
 Inconsistencies explained, as far as possible
17Copyright © 2013, 2009, 2005, 2001, 1997 by Saunders, an imprint of Elsevier Inc.
Determining Findings
 Developed by evaluating evidence and
translating and interpreting study results
 Often organized by objectives or hypotheses
 Dialogue with colleagues or mentors to clarify
meaning or expand implications of research
findings
18Copyright © 2013, 2009, 2005, 2001, 1997 by Saunders, an imprint of Elsevier Inc.
Forming Conclusions
 Synthesis, conjoining, expansion of findings
 Remember that research never proves
anything
 Correlation is Never causation
 Suggestions for subsequent research that
extend findings
 Descriptive research is generalizable only to
very similar populations
19Copyright © 2013, 2009, 2005, 2001, 1997 by Saunders, an imprint of Elsevier Inc.
Identifying Limitations
 Restrictions or problems in a study that may
decrease the generalizability of the findings
 Theoretical limitations
 Methodological limitations
20Copyright © 2013, 2009, 2005, 2001, 1997 by Saunders, an imprint of Elsevier Inc.
Theoretical Limitations
 Framework weaknesses or unsuitability
 Variable definition weaknesses
 Framework-to-variable connection shaky
21Copyright © 2013, 2009, 2005, 2001, 1997 by Saunders, an imprint of Elsevier Inc.
Methodological Limitations
 Limit credibility of the findings
 Weak design
 Limited control over treatment (intervention)
implementation
 Instruments with limited reliability and validity
 Limited control over data collection
 Improper use of statistical analyses
 Restrict generalizability
 Non-representative sample
 Single setting
22Copyright © 2013, 2009, 2005, 2001, 1997 by Saunders, an imprint of Elsevier Inc.
Generalizing the Findings
 Extends implications of findings from sample
studied to larger population or from situation
studied to larger situation
 Use caution when choosing extent to
generalize
 Empirical generalizations
 Based on accumulated evidence from many
studies
 Important for verifying or developing theory
23Copyright © 2013, 2009, 2005, 2001, 1997 by Saunders, an imprint of Elsevier Inc.
Considering Implications
 Meanings of conclusions for body of nursing:
knowledge, theory, and practice
 What will change, because of this study?
 At Worst: contributes to body of knowledge
 At Best: contributes to theory, or to actual
clinical practice In The Population From
Which Sample Was Drawn
24Copyright © 2013, 2009, 2005, 2001, 1997 by Saunders, an imprint of Elsevier Inc.
Recommending Further Research
 Routine assessment, for purposes of certainty or
application
 Is the evidence now enough for widespread
generalization? If not, one of these is next:
 Replication
 Extension of study
 Change in methodology to establish evidence for practice
 Regarding current study
 Better design, measures, variables
 Avoidance of pitfalls (logical, human)

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Chapter 026

  • 1. 1Copyright © 2013, 2009, 2005, 2001, 1997 by Saunders, an imprint of Elsevier Inc. Chapter 26 Interpreting Research Outcomes
  • 2. 2Copyright © 2013, 2009, 2005, 2001, 1997 by Saunders, an imprint of Elsevier Inc. Interpreting Research Outcomes (Cont’d)  Requires abstract thinking  Introspection, reasoning, and intuition  Usually the final chapter of theses or dissertations/“Discussion” section of research papers  Aided by discussion with others
  • 3. 3Copyright © 2013, 2009, 2005, 2001, 1997 by Saunders, an imprint of Elsevier Inc. Process of Interpreting Research Outcomes  For quantitative, outcomes, and intervention studies  Examining study evidence  Determining findings  Forming conclusions  Identifying limitations  Generalizing the findings  Considering implications for practice  Suggesting further studies
  • 4. 4Copyright © 2013, 2009, 2005, 2001, 1997 by Saunders, an imprint of Elsevier Inc. Examining Evidence  Identify the limitations of study and consider how these might affect study findings and conclusions  Limitations in a research article are Not flaws, per se, but rather  Limitations to the believability of results  Limitations to generalization
  • 5. 5Copyright © 2013, 2009, 2005, 2001, 1997 by Saunders, an imprint of Elsevier Inc. Evidence from the Research Plan  Does study hold up logically?  How good are the operationalizations?  Did the framework really support understanding of variable connections?  Were study concepts really what were being measured?  Was the sample representative? And of what was it representative?  Did extraneous variables intrude?  Were statistical analyses appropriate to  Levels of measurement?  Distribution of data?  Research questions?
  • 6. 6Copyright © 2013, 2009, 2005, 2001, 1997 by Saunders, an imprint of Elsevier Inc. Evidence from Measurement  Again, how well did operational definitions fit framework?  Were the measurements valid and reliable?  Were validity and reliability established for this study?  What was the effect size?
  • 7. 7Copyright © 2013, 2009, 2005, 2001, 1997 by Saunders, an imprint of Elsevier Inc. Evidence from the Data Collection Process  Subject refusal rate  Subject attrition  Sample size sufficiency  Sample representativeness  Intervention fidelity  Unforeseen events  Consistency of measurement techniques
  • 8. 8Copyright © 2013, 2009, 2005, 2001, 1997 by Saunders, an imprint of Elsevier Inc. Evidence from the Data Analysis Process  Accuracy of data collection, recording, transcription  Missing data management  Accuracy of analyses and mention of statistical package used, if any  Adherence to assumptions of statistical tests  Appropriateness of statistical tests
  • 9. 9Copyright © 2013, 2009, 2005, 2001, 1997 by Saunders, an imprint of Elsevier Inc. Evidence from Data Analysis Results  Most direct evidence of the results  Interpretation of results from quasi- experimental and experimental studies, often based on decision theory
  • 10. 10Copyright © 2013, 2009, 2005, 2001, 1997 by Saunders, an imprint of Elsevier Inc. Evidence from Data Analysis Results (Cont’d)  Five possible types of results:  Significant results in keeping with those predicted by the researcher  Nonsignificant results  Significant results that oppose those predicted by the researcher  Mixed results  Unexpected results
  • 11. 11Copyright © 2013, 2009, 2005, 2001, 1997 by Saunders, an imprint of Elsevier Inc. Significant and Predicted Results  Support logical links developed by researcher among the purpose, framework, questions, variables, and measurement methods  Researcher needs to consider alternative explanations for positive findings
  • 12. 12Copyright © 2013, 2009, 2005, 2001, 1997 by Saunders, an imprint of Elsevier Inc. Nonsignificant Results  Double-check statistics, to make sure + and – not reversed  Double-check data entry, to make sure reverse-coding occurred, if needed  Re-calculate power analysis, to reflect actual effect size (of this study)  Report results For This Study, not as a general truth
  • 13. 13Copyright © 2013, 2009, 2005, 2001, 1997 by Saunders, an imprint of Elsevier Inc. Significant and not Predicted Results  Double-check statistics, to make sure + and – not reversed  Double-check data entry, to make sure reverse-coding occurred, if needed  Think the logic through again, from concepts to operational definitions
  • 14. 14Copyright © 2013, 2009, 2005, 2001, 1997 by Saunders, an imprint of Elsevier Inc. Mixed Results  Most common outcome  Double-check statistics  Recalculate effect size for each variable  Re-estimate needed sample sizes for each test, to check for type II error  Additional research is indicated to examine mixed study results
  • 15. 15Copyright © 2013, 2009, 2005, 2001, 1997 by Saunders, an imprint of Elsevier Inc. Unexpected (Serendipitous) Results  Relationships not in study hypotheses  Re-examine theoretical ideas, especially when explaining  Focus on study hypotheses, but include serendipitous results in report, too  Use these findings to develop or refine theories and to formulate later studies
  • 16. 16Copyright © 2013, 2009, 2005, 2001, 1997 by Saunders, an imprint of Elsevier Inc. Evidence from Previous Studies  Comparison of this study with similar studies  Is a pattern present?  Inconsistencies explained, as far as possible
  • 17. 17Copyright © 2013, 2009, 2005, 2001, 1997 by Saunders, an imprint of Elsevier Inc. Determining Findings  Developed by evaluating evidence and translating and interpreting study results  Often organized by objectives or hypotheses  Dialogue with colleagues or mentors to clarify meaning or expand implications of research findings
  • 18. 18Copyright © 2013, 2009, 2005, 2001, 1997 by Saunders, an imprint of Elsevier Inc. Forming Conclusions  Synthesis, conjoining, expansion of findings  Remember that research never proves anything  Correlation is Never causation  Suggestions for subsequent research that extend findings  Descriptive research is generalizable only to very similar populations
  • 19. 19Copyright © 2013, 2009, 2005, 2001, 1997 by Saunders, an imprint of Elsevier Inc. Identifying Limitations  Restrictions or problems in a study that may decrease the generalizability of the findings  Theoretical limitations  Methodological limitations
  • 20. 20Copyright © 2013, 2009, 2005, 2001, 1997 by Saunders, an imprint of Elsevier Inc. Theoretical Limitations  Framework weaknesses or unsuitability  Variable definition weaknesses  Framework-to-variable connection shaky
  • 21. 21Copyright © 2013, 2009, 2005, 2001, 1997 by Saunders, an imprint of Elsevier Inc. Methodological Limitations  Limit credibility of the findings  Weak design  Limited control over treatment (intervention) implementation  Instruments with limited reliability and validity  Limited control over data collection  Improper use of statistical analyses  Restrict generalizability  Non-representative sample  Single setting
  • 22. 22Copyright © 2013, 2009, 2005, 2001, 1997 by Saunders, an imprint of Elsevier Inc. Generalizing the Findings  Extends implications of findings from sample studied to larger population or from situation studied to larger situation  Use caution when choosing extent to generalize  Empirical generalizations  Based on accumulated evidence from many studies  Important for verifying or developing theory
  • 23. 23Copyright © 2013, 2009, 2005, 2001, 1997 by Saunders, an imprint of Elsevier Inc. Considering Implications  Meanings of conclusions for body of nursing: knowledge, theory, and practice  What will change, because of this study?  At Worst: contributes to body of knowledge  At Best: contributes to theory, or to actual clinical practice In The Population From Which Sample Was Drawn
  • 24. 24Copyright © 2013, 2009, 2005, 2001, 1997 by Saunders, an imprint of Elsevier Inc. Recommending Further Research  Routine assessment, for purposes of certainty or application  Is the evidence now enough for widespread generalization? If not, one of these is next:  Replication  Extension of study  Change in methodology to establish evidence for practice  Regarding current study  Better design, measures, variables  Avoidance of pitfalls (logical, human)