Dam ing the research evidence cascade

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Dam ing the research evidence cascade
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Professor Jackie Crisp - David Coe Professor of
Child and Adolescent Nursing Sydney Childrens
Hospital and University of Technology Sydney
Conjoint Professor University of New South
Wales Research Fellow Victoria University
Wellington, New Zealand Professor Maralyn Foureur
Graduate School of Nursing and Midwifery
Victoria University Wellington Director of
Clinical Effectiveness Unit Capital and Coast
District Health Board, New Zealand
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Practice Landscape
Research Processes
Quality Processes
Pool of Evidence

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Returned to Practice
5 Steps
Grounded in practice
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Understanding Considering Individual /group
experiences expectations
Predicting Effecting Local clinical
practices and management systems
Practice Outcomes
People
Local processes, capacity desire for
change Challenging Changing
Practices
Puzzles
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THREE CATEGORIES OF QUESTIONS
THREE CLUSTERS OF RESEARCH APPROACHES
Predicting Effecting
Understanding Considering
Challenging Changing
Designs
Designs
Designs
Data
Data
Data
Analysis
Analysis
Analysis
Clinical Significance
Clinical Significance
Clinical Significance
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THREE CATEGORIES OF QUESTIONS
THREE CATEGORIES OF APPROACHES
Predicting Effecting
Understanding Considering
Challenging Changing
Designs
Designs
Designs
Data
Data
Data
Analysis
Analysis
Analysis
Clinical Significance
Clinical Significance
Clinical Significance
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Designs Descriptive What appears to
be? Correlational How
related? Relationships
RCT/Experimental What is
best? Group Differences
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ANCOVA
Coefficients
95 CI
_ x
Covariance

Chi squared
Plt.05
Logistic Regression
R2
Regression
MANOVA
t-test
Mann hitn
Descriptive Statistics
Correlation
Sign Test
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ANCOVA
Coefficients
95 CI
_ x
Covariance

Chi squared
Significance Plt.05
Logistic Regression
R2
Regression
MANOVA
t-test
Mann hitn
Descriptive Statistics
Correlation
Sign Test
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Continuous
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Continuous
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Probability Significance
 
Continuous
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Descriptive Statistics Outcomes


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Predicting Effecting Efficacy, Safety
Cost?
Understanding Considering Acceptability?
Practice Outcomes
People
Practices
Feasibility? Challenging Changing
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Thank you