Lecture Notes on Nursing Research
Prepared By: Mark Fredderick R Abejo R.N, MAN



                                                                              Theoretical sources can be found in periodicals
                                                                               and monographs.

                                                                           Data – Based (Research) Reports
                                                                            Consists of reports of research and includes
                                                                               published studies in journals or book, critique
                                                                               reviews, professional and government reports
                                                                               and unpublished studies.

                                                                      Conceptual Literature          Data – Based Reports
                                                                     Published articles,             Published
                    NURSING RESEARCH                                  documents, chapters in book.      quantitative and
                                                                     Literature reviews of             qualitative studies.
                             CHAPTER 2                                concepts.                       Unpublished studies
                                                                     Proceedings and audiotapes      Unpublished
           Review of Related Literature & Studies                     and videotapes from               research abstract or
                                                                      scholarly conferences.            entire studies from
       Lecturer: Mark Fredderick R. Abejo RN, MAN                    Web-based online articles         print, audio, online,
________________________________________________                      and information from              conferences etc.
                                                                      professional organizations
Literature – consists of all written sources relevant to the          and agencies.
topic that is selected for research.
                                                                      B.   Primary and Secondary Sources
Literature Review
     Is an organized critique of the important scholarly                   Primary Sources
     literature that supports a study and a key step in the                 A source written by a person who originated or
     research process.                                                         is responsible for generating the ideas
     Is useful in developing the researcher’s understanding                    published.
     and background and is particularly essential when the                  This is the person who conducted the study,
     researcher is not completely familiar with studies                        developed the theory or prepared the scholarly
     previously done within the problem area.                                  discussion on the concept, topic, issue and
     It links past researches to existing knowledge to form                    problem.
     foundation for future direction.                                       Can be published or unpublished
     A review of literature provides the researcher with the                A primary data-research source is written by a
     current theoretical and scientific knowledge about                        person who conducted the research while a
     particular problem and resulting in a synthesis of what is                primary conceptual source is written by the
     known and not known.                                                      theorist who developed the theory or
                                                                               conceptual content.
     The review should be organized into sections that present
     themes or identify trends. The purpose is not to list all
                                                                           Secondary Sources
     material published but instead, the review of literature
                                                                                This is someone other than the original
     should synthesize and evaluate it based on the focus of
                                                                                   author who writes or present the author’s
     the study.
                                                                                   original work. The material is usually in
     A literature review must do these things:
                                                                                   the form of a summary or critique of
     1. Be organized around and related directly to the                            someone else’s scholarly work.
           thesis or research question you are developing                       Can be published or unpublished
     2. Synthesize results into a summary of what is and is                     A secondary source often represents a
           not known                                                               response to or a summary or critique of a
     3. Identify areas of controversy in the literature                            theorist’s or researcher’s works.
     4. Formulate questions that need further research
                                                                  Indexes and Journals that publish reports on nursing and
                                                                  related literature
SOURCES INCLUDED IN A LITERATURE REVIEW
                                                                  (USA)
                                                                          Nursing Research
      A.    Conceptual (Theoretical ) Literature and Data-                Nursing Outlook
            based (Research) Reports                                      Nursing Science
                                                                          Nursing Forum
            Conceptual (Theoretical) Literature                           Journal of Nursing Education
             Includes concept analysis, models, theories and             American Journal of Nursing
                conceptual frameworks that support a selected             Journal of American Hospital Asso.
                research problem and purpose.                             American Journal of Public Health
             Can be articles that comprise an author’s theory            Hospital Management and Journal of Nursing
                or it can be a discussion of a particular                  Service Administration
                concepts, theory or topic.
Review of Related Literature and Study                                                                    Abejo
Lecture Notes on Nursing Research
Prepared By: Mark Fredderick R Abejo R.N, MAN



                                                                         7.  Has the author evaluated the literature relevant to the
In the Philippines:                                                          problem/issue? Does the author include literature
                                                                             taking positions she or he does not agree with?
           Academy of Nursing in the Philippines                        8. In a research study, how good are the basic
           Newsette of the National League of Government                    components of the study design (e.g., population,
            Nurses
                                                                             intervention, outcome)? How accurate and valid are
           The Philippine Journal of Nursing
                                                                             the measurements? Is the analysis of the data
                                                                             accurate and relevant to the research question? Are
                                                                             the conclusions validly based upon the data and
                                                                             analysis?
The Literature Review: A Few Tips On Conducting It                       9. In material written for a popular readership, does the
                                                                             author use appeals to emotion, one-sided examples,
                                                                             or rhetorically-charged language and tone? Is there
                                                                             an objective basis to the reasoning, or is the author
Ask yourself questions like these:                                           merely "proving" what he or she already believes?
                                                                         10. How does the author structure the argument? Can
      1.    What is the specific thesis, problem, or research                you "deconstruct" the flow of the argument to see
            question that my literature review helps to define?              whether or where it breaks down logically (e.g., in
      2.    What type of literature review am I conducting? Am               establishing cause-effect relationships)?
            I looking at issues of theory? methodology? policy?          11. In what ways does this book or article contribute to
            quantitative research (e.g. on the effectiveness of a            our understanding of the problem under study, and
            new procedure)? qualitative research (e.g., studies )?           in what ways is it useful for practice? What are the
      3.    What is the scope of my literature review? What                  strengths and limitations?
            types of publications am I using (e.g., journals,            12. How does this book or article relate to the specific
            books, government documents, popular media)?                     thesis or question I am developing?
            What discipline am I working in (e.g., nursing
            psychology, sociology, medicine)?
      4.    How good was my information seeking? Has my
            search been wide enough to ensure I've found all the     PURPOSE OF LITERATURE REVIEW
            relevant material? Has it been narrow enough to
            exclude irrelevant material? Is the number of
            sources I've used appropriate for the length of my
            paper?                                                   Major Goal:
                                                                               The major goal of a literature review is to develop a
      5.    Have I critically analysed the literature I use? Do I
                                                                     strong knowledge base to carry out research and other
            follow through a set of concepts and questions,          scholarly education and clinical practice activities.
            comparing items to each other in the ways they deal
            with them? Instead of just listing and summarizing       A review of the literature also dies the following:
            items, do I assess them, discussing strengths and              Determines what is known and unknown about a
            weaknesses?                                                       subject, concept or problem.
      6.    Have I cited and discussed studies contrary to my              Determine gaps, consistencies and inconstancies in
            perspective?                                                      the literature about a subject, concept or problem.
      7.    Will the reader find my literature review relevant,            Uncovers research findings that support evidence-
            appropriate, and useful?                                          based practice.
                                                                           Discover conceptual traditions used to examine
                                                                              problems.
Ask yourself questions like these about each book or                       Uncovers a new practice interventions or gains
article you include:                                                          supporting evidence for current intervention,
                                                                              protocols and policies.
      1.    Has the author formulated a problem/issue?                     Promotes evidence-based revision and development
      2.    Is it clearly defined? Is its significance (scope,                of new practice protocols, policies etc. related to
            severity, relevance) clearly established?                         nursing practice.
      3.    Could the problem have been approached more                    Generates useful research question and hypotheses
            effectively from another perspective?                          Determine an appropriate research design,
      4.    What is the author's research orientation (e.g.,                  methodology and analysis for answering the
                                                                              research question or hypotheses.
            interpretive, critical science, combination)?
                                                                           Determines the need for replication of a study or
      5.    What is the author's theoretical framework (e.g.,
                                                                              refinement of a study.
            psychological, developmental, feminist)?                       Synthesis the strengths and weaknesses and findings
      6.    What is the relationship between the theoretical and              of available studies on a topic / problem.
            research perspectives?


Review of Related Literature and Study                                                                          Abejo
Lecture Notes on Nursing Research
Prepared By: Mark Fredderick R Abejo R.N, MAN




     Quantitative Research                  Qualitative Research                   c.   Using Reference Management Software
     Is conducted to direct                Use of literature review                    Reference management software is a type
      the planning and                       for a particular                               of a software that can be used to conduct
      implementation of a                    approach:                                      searches and to store the information on
      study.                             Phenomenological                                   all search fields for each reference
                                         -   Compare and combine                            obtained.
                                             findings from the study                     RefWorks (www.refworks.com), a
                                             with the lit. to determine                     software that does not require researchers
                                             current knowledge of a                         to purchase or install the software in their
                                             phenomenon.                                    computer since it operates directly from
                                         Grounded theory                                    the internet.
                                         -   Explain, support and
                                             extend the theory            C.   Locating Relevant Literature
                                             generated in the study.            Performing Complex Searches
                                         Ethnographic                               In a complex search, two or more concepts or
                                         -   Provide a background                       synonyms are combined in one search.
                                             for conducting the study.              The following are several ways to arrange
                                                                                        terms and combine them.
                                                                                            The word AND is used to combined terms
                                                                                            For topics that reveal too many useless
PERFORMING A LITERATURE REVIEW                                                              hits because selected term includes
                                                                                            another topic that of no interest, use the
A.    Using the Library                                                                     word NOT
       Major categories of library:                                                        The word OR is useful when searching for
          a. Public Library                                                                 synonymous or concept.
          b. Academic Library
          c. Special Library                                                      Limiting the Search
                                                                                  Selecting Search Fields
B.    Identifying Relevant Research Studies                                       Linking
       Researchers should be aware that before they begin                          Allows the researcher from one website to
          searching the literature, they should consider exactly                        another.
          what information they are looking for.
                                                                                  Searching Electric Journal
           A written plan that includes:                                           Electronic journals are published only in
            a. Selecting Databases to Search                                           electronic form.
                 Bibliographical Database, a compilation                           These journals may have more current
                      of citations that provides the information                       information on the topic than traditional
                      necessary to locate a reference.                                 journals since articles submitted by authors are
                 The following are the three most useful                              reviewed and published within three to four
                      electronic databases for nurse researchers:                      months.
                      Cumulative Index to Nursing and Allied
                      Health Literature (CINAHL)                                  Search the World Wide Web
                           www.ebscohost.com/cinahl                                 An advantage of information found from the
                      Medical Literature On-Line                                       Web is that it is likely to be more current than
                           (MEDLINE)                                                   materials found in the books.
                           www.ncbi.nlm.nih.gov/pubmed                              The disadvantage is that information is uneven
                      Institute for Scientific Information                             in terms of accuracy and validity of the sources.
                           (ISI)                                                    Metasearchers, these are programs that can
                           www.isiwebofknowledge.com                                   perform a search using multiple search engines,
                                                                                       allowing a single search to cover more of the
            b.    Selecting Key Words                                                  Web. www.metacrawler.com
                   Keywords are the major concepts or
                       variables of a research problem or topic.
                       These terms will be what the researcher
                       will enter to begin a search                       READING AND CRITIQUING SOURCES
                       1. Phrases and single terms can also be
                            used.
                       2. Synonyms or alternative terms for
                            concept or variables.                         A.   Skimming Sources
                       3. Truncating or shortening/abbreviating                 Is quickly reviewing a source to gain a broad
                            terms may also allow researcher to                     overview of its content.
                            locate.                                             Skimming allows researchers to make preliminary
                       4. The author’s name can also be used.                      judgment about the value of a source and determine
                                                                                   whether it is a primary or secondary.
Review of Related Literature and Study                                                                              Abejo
Lecture Notes on Nursing Research
Prepared By: Mark Fredderick R Abejo R.N, MAN




B.    Comprehending Sources
       Comprehending a source requires one to read the
         whole article carefully.
               Focus on understanding major concepts and the
               logical flow of ideas within the source.
               Highlights the content that is considered
               important.
               Practice writing notes that indicate whether the
               information from the source will be used in
               developing a research proposal.
       Record quotations that can be used in a review of
         literature section.

C.    Analyzing Sources
       Determining the value of a source for particular
          study is done through analysis.
       There are two stage in analyzing sources:
               The first stage involves the critiquing of
               individual studies wherein the relevant content
               in the source is clearly identified and sources
               are sorted into refined system of categories.
               The second stage involves making comparisons
               between studies, which allows the researchers
               to critique the existing body of knowledge in
               relation to the research problem.

D.    Synthesizing Sources
       Involves clarifying the meaning obtained from the
          source as a whole.
       Clustering and interrelating ideas from several
          sources to form a gestalt are done through synthesis.




                                                                  _________________________________________

                                                                  References:

                                                                  1.   Venzon. 2004. Introduction to Nursing Research: Quest for Quality
                                                                       Nursing, 1st ed. Philippines: C&E Publishing Inc.
                                                                  2.   Barrientos-Tan. 2006. A Research Guide in Nursing Education, 3rd
                                                                       ed. Philippines: Visual Print Enterprises.
                                                                  3.   Reyes & Layug. 2009. Comprehensive Reviewer for the Nurse
                                                                       Licensure Exam, Philippines: East West Educational Specialists,
                                                                       C&E Publishing Inc.
                                                                  4.   Calmorin & Piedad. 2008. Nursing Research. National Bookstore
                                                                       Publishing
                                                                  5.   Brink & Wood. 2001. Basic Steps in Planning Nursing Research,
                                                                       5th ed. Philippines: Jones and Bartlett Publisher Inc.
                                                                  6.   Burns & Grove. 2007. Understanding Nursing Research : Building
                                                                       an Evidence-Based Practice, 4th ed. China; Elsevier, Health
                                                                       Sciences.
                                                                  7.   LoBiondo-Wood & Haber. 2006. Nursing Research: Methods and
                                                                       Critical Appraisal for Evidence-Based Practice, 6th ed. USA: Mosby
                                                                       Inc.
                                                                  8.   Polit & Beck. 2008. Nursing Research: Generating and Assessing
                                                                       Evidence for Nursing Practice, 8th ed. Philadelphia: Lippincott
                                                                       Williams & Wilkins.




Review of Related Literature and Study                                                                          Abejo

Research in Nursing Chapter 2

  • 1.
    Lecture Notes onNursing Research Prepared By: Mark Fredderick R Abejo R.N, MAN  Theoretical sources can be found in periodicals and monographs. Data – Based (Research) Reports  Consists of reports of research and includes published studies in journals or book, critique reviews, professional and government reports and unpublished studies. Conceptual Literature Data – Based Reports  Published articles,  Published NURSING RESEARCH documents, chapters in book. quantitative and  Literature reviews of qualitative studies. CHAPTER 2 concepts.  Unpublished studies  Proceedings and audiotapes  Unpublished Review of Related Literature & Studies and videotapes from research abstract or scholarly conferences. entire studies from Lecturer: Mark Fredderick R. Abejo RN, MAN  Web-based online articles print, audio, online, ________________________________________________ and information from conferences etc. professional organizations Literature – consists of all written sources relevant to the and agencies. topic that is selected for research. B. Primary and Secondary Sources Literature Review Is an organized critique of the important scholarly Primary Sources literature that supports a study and a key step in the  A source written by a person who originated or research process. is responsible for generating the ideas Is useful in developing the researcher’s understanding published. and background and is particularly essential when the  This is the person who conducted the study, researcher is not completely familiar with studies developed the theory or prepared the scholarly previously done within the problem area. discussion on the concept, topic, issue and It links past researches to existing knowledge to form problem. foundation for future direction.  Can be published or unpublished A review of literature provides the researcher with the  A primary data-research source is written by a current theoretical and scientific knowledge about person who conducted the research while a particular problem and resulting in a synthesis of what is primary conceptual source is written by the known and not known. theorist who developed the theory or conceptual content. The review should be organized into sections that present themes or identify trends. The purpose is not to list all Secondary Sources material published but instead, the review of literature  This is someone other than the original should synthesize and evaluate it based on the focus of author who writes or present the author’s the study. original work. The material is usually in A literature review must do these things: the form of a summary or critique of 1. Be organized around and related directly to the someone else’s scholarly work. thesis or research question you are developing  Can be published or unpublished 2. Synthesize results into a summary of what is and is  A secondary source often represents a not known response to or a summary or critique of a 3. Identify areas of controversy in the literature theorist’s or researcher’s works. 4. Formulate questions that need further research Indexes and Journals that publish reports on nursing and related literature SOURCES INCLUDED IN A LITERATURE REVIEW (USA)  Nursing Research A. Conceptual (Theoretical ) Literature and Data-  Nursing Outlook based (Research) Reports  Nursing Science  Nursing Forum Conceptual (Theoretical) Literature  Journal of Nursing Education  Includes concept analysis, models, theories and  American Journal of Nursing conceptual frameworks that support a selected  Journal of American Hospital Asso. research problem and purpose.  American Journal of Public Health  Can be articles that comprise an author’s theory  Hospital Management and Journal of Nursing or it can be a discussion of a particular Service Administration concepts, theory or topic. Review of Related Literature and Study Abejo
  • 2.
    Lecture Notes onNursing Research Prepared By: Mark Fredderick R Abejo R.N, MAN 7. Has the author evaluated the literature relevant to the In the Philippines: problem/issue? Does the author include literature taking positions she or he does not agree with?  Academy of Nursing in the Philippines 8. In a research study, how good are the basic  Newsette of the National League of Government components of the study design (e.g., population, Nurses intervention, outcome)? How accurate and valid are  The Philippine Journal of Nursing the measurements? Is the analysis of the data accurate and relevant to the research question? Are the conclusions validly based upon the data and analysis? The Literature Review: A Few Tips On Conducting It 9. In material written for a popular readership, does the author use appeals to emotion, one-sided examples, or rhetorically-charged language and tone? Is there an objective basis to the reasoning, or is the author Ask yourself questions like these: merely "proving" what he or she already believes? 10. How does the author structure the argument? Can 1. What is the specific thesis, problem, or research you "deconstruct" the flow of the argument to see question that my literature review helps to define? whether or where it breaks down logically (e.g., in 2. What type of literature review am I conducting? Am establishing cause-effect relationships)? I looking at issues of theory? methodology? policy? 11. In what ways does this book or article contribute to quantitative research (e.g. on the effectiveness of a our understanding of the problem under study, and new procedure)? qualitative research (e.g., studies )? in what ways is it useful for practice? What are the 3. What is the scope of my literature review? What strengths and limitations? types of publications am I using (e.g., journals, 12. How does this book or article relate to the specific books, government documents, popular media)? thesis or question I am developing? What discipline am I working in (e.g., nursing psychology, sociology, medicine)? 4. How good was my information seeking? Has my search been wide enough to ensure I've found all the PURPOSE OF LITERATURE REVIEW relevant material? Has it been narrow enough to exclude irrelevant material? Is the number of sources I've used appropriate for the length of my paper? Major Goal: The major goal of a literature review is to develop a 5. Have I critically analysed the literature I use? Do I strong knowledge base to carry out research and other follow through a set of concepts and questions, scholarly education and clinical practice activities. comparing items to each other in the ways they deal with them? Instead of just listing and summarizing A review of the literature also dies the following: items, do I assess them, discussing strengths and  Determines what is known and unknown about a weaknesses? subject, concept or problem. 6. Have I cited and discussed studies contrary to my  Determine gaps, consistencies and inconstancies in perspective? the literature about a subject, concept or problem. 7. Will the reader find my literature review relevant,  Uncovers research findings that support evidence- appropriate, and useful? based practice.  Discover conceptual traditions used to examine problems. Ask yourself questions like these about each book or  Uncovers a new practice interventions or gains article you include: supporting evidence for current intervention, protocols and policies. 1. Has the author formulated a problem/issue?  Promotes evidence-based revision and development 2. Is it clearly defined? Is its significance (scope, of new practice protocols, policies etc. related to severity, relevance) clearly established? nursing practice. 3. Could the problem have been approached more  Generates useful research question and hypotheses effectively from another perspective?  Determine an appropriate research design, 4. What is the author's research orientation (e.g., methodology and analysis for answering the research question or hypotheses. interpretive, critical science, combination)?  Determines the need for replication of a study or 5. What is the author's theoretical framework (e.g., refinement of a study. psychological, developmental, feminist)?  Synthesis the strengths and weaknesses and findings 6. What is the relationship between the theoretical and of available studies on a topic / problem. research perspectives? Review of Related Literature and Study Abejo
  • 3.
    Lecture Notes onNursing Research Prepared By: Mark Fredderick R Abejo R.N, MAN Quantitative Research Qualitative Research c. Using Reference Management Software  Is conducted to direct  Use of literature review  Reference management software is a type the planning and for a particular of a software that can be used to conduct implementation of a approach: searches and to store the information on study. Phenomenological all search fields for each reference - Compare and combine obtained. findings from the study  RefWorks (www.refworks.com), a with the lit. to determine software that does not require researchers current knowledge of a to purchase or install the software in their phenomenon. computer since it operates directly from Grounded theory the internet. - Explain, support and extend the theory C. Locating Relevant Literature generated in the study.  Performing Complex Searches Ethnographic  In a complex search, two or more concepts or - Provide a background synonyms are combined in one search. for conducting the study.  The following are several ways to arrange terms and combine them. The word AND is used to combined terms For topics that reveal too many useless PERFORMING A LITERATURE REVIEW hits because selected term includes another topic that of no interest, use the A. Using the Library word NOT  Major categories of library: The word OR is useful when searching for a. Public Library synonymous or concept. b. Academic Library c. Special Library  Limiting the Search  Selecting Search Fields B. Identifying Relevant Research Studies  Linking  Researchers should be aware that before they begin  Allows the researcher from one website to searching the literature, they should consider exactly another. what information they are looking for.  Searching Electric Journal  A written plan that includes:  Electronic journals are published only in a. Selecting Databases to Search electronic form.  Bibliographical Database, a compilation  These journals may have more current of citations that provides the information information on the topic than traditional necessary to locate a reference. journals since articles submitted by authors are  The following are the three most useful reviewed and published within three to four electronic databases for nurse researchers: months. Cumulative Index to Nursing and Allied Health Literature (CINAHL)  Search the World Wide Web www.ebscohost.com/cinahl  An advantage of information found from the Medical Literature On-Line Web is that it is likely to be more current than (MEDLINE) materials found in the books. www.ncbi.nlm.nih.gov/pubmed  The disadvantage is that information is uneven Institute for Scientific Information in terms of accuracy and validity of the sources. (ISI)  Metasearchers, these are programs that can www.isiwebofknowledge.com perform a search using multiple search engines, allowing a single search to cover more of the b. Selecting Key Words Web. www.metacrawler.com  Keywords are the major concepts or variables of a research problem or topic. These terms will be what the researcher will enter to begin a search READING AND CRITIQUING SOURCES 1. Phrases and single terms can also be used. 2. Synonyms or alternative terms for concept or variables. A. Skimming Sources 3. Truncating or shortening/abbreviating  Is quickly reviewing a source to gain a broad terms may also allow researcher to overview of its content. locate.  Skimming allows researchers to make preliminary 4. The author’s name can also be used. judgment about the value of a source and determine whether it is a primary or secondary. Review of Related Literature and Study Abejo
  • 4.
    Lecture Notes onNursing Research Prepared By: Mark Fredderick R Abejo R.N, MAN B. Comprehending Sources  Comprehending a source requires one to read the whole article carefully. Focus on understanding major concepts and the logical flow of ideas within the source. Highlights the content that is considered important. Practice writing notes that indicate whether the information from the source will be used in developing a research proposal.  Record quotations that can be used in a review of literature section. C. Analyzing Sources  Determining the value of a source for particular study is done through analysis.  There are two stage in analyzing sources: The first stage involves the critiquing of individual studies wherein the relevant content in the source is clearly identified and sources are sorted into refined system of categories. The second stage involves making comparisons between studies, which allows the researchers to critique the existing body of knowledge in relation to the research problem. D. Synthesizing Sources  Involves clarifying the meaning obtained from the source as a whole.  Clustering and interrelating ideas from several sources to form a gestalt are done through synthesis. _________________________________________ References: 1. Venzon. 2004. Introduction to Nursing Research: Quest for Quality Nursing, 1st ed. Philippines: C&E Publishing Inc. 2. Barrientos-Tan. 2006. A Research Guide in Nursing Education, 3rd ed. Philippines: Visual Print Enterprises. 3. Reyes & Layug. 2009. Comprehensive Reviewer for the Nurse Licensure Exam, Philippines: East West Educational Specialists, C&E Publishing Inc. 4. Calmorin & Piedad. 2008. Nursing Research. National Bookstore Publishing 5. Brink & Wood. 2001. Basic Steps in Planning Nursing Research, 5th ed. Philippines: Jones and Bartlett Publisher Inc. 6. Burns & Grove. 2007. Understanding Nursing Research : Building an Evidence-Based Practice, 4th ed. China; Elsevier, Health Sciences. 7. LoBiondo-Wood & Haber. 2006. Nursing Research: Methods and Critical Appraisal for Evidence-Based Practice, 6th ed. USA: Mosby Inc. 8. Polit & Beck. 2008. Nursing Research: Generating and Assessing Evidence for Nursing Practice, 8th ed. Philadelphia: Lippincott Williams & Wilkins. Review of Related Literature and Study Abejo