Professional Documents
Culture Documents
Materials:
LESSON TITLE: SAMPLING Book, pen and notebook
Textbook:
LEARNING OUTCOMES:
Upon completion of this lesson, the nursing student will be able Barrientos-Tan, C. (2011). A Research Guide in
to: Nursing Education: Building an Evidence-Based
Practice. Pasay City: Philippines, Visprint Inc.
1. Identify research terminologies in sampling.
2. Apply knowledge in sampling terminologies.
References:
Polit, Denise F. & Beck, Cheryl T. (2012). Nursing
research: Generating and assessing evidence for
nursing research (9th ed.), Philadelphia, PA:
Wolters Kluwer Health/ Lippincott Williams &
Wilkins.
Sampling is the process of selecting a portion of the population to represent the entire population so that inferences
about the population can be made. This is a practical and efficient means of ensuring the quality of data that will be
gathered.
Element is the most basic unit about which information is collected.
Example: Nurse A from the Geriatric Ward
A sampling unit refers to a specific area or place which can be used during the sampling process.
A sampling frame comprises a complete list of sampling units from which sample is drawn.
Example:
If there are a total of 10 clinical areas in a hospital only 2 or 3 areas are sampled
Sampling bias refers to the systematic overrepresentation or underrepresentation of some segment of the population
in terms of a characteristic relevant to the research question
1. Universe
The universe is a totality of elements to which research findings may apply. This also refers to the target
population, the group of people or objects from which the researcher intends to collect data and generalize the
findings of the study.
2. Population
Population refers to the accessible group of individuals from which the samples will be drawn by the researcher,
consistent with specific criteria, or the total possible participation of the group in the study.
a. Target Population
This is the group of individuals or objects which is of interest to the researcher and about which speculative
information is desired.
Example:
All student nurses of X College of Nursing
All patients in the Medical-Surgical Ward
Example:
BSN IV or the graduating student nurses of X College of Nursing
c. Stratum
This term describes a mutually exclusive segment of the population, distinguished by one or more trait or
qualifications.
Example:
Age – youngest to oldest
Civil status – single or married
ANSWER: __________________________
ANSWER: __________________________
ANSWER: __________________________
4. OB-Gyne Unit
ANSWER: __________________________
ANSWER: __________________________
6. Covid Ward
ANSWER: __________________________
ANSWER: __________________________
8. Frontliners
ANSWER: __________________________
ANSWER: __________________________
ANSWER: __________________________
RATIONALIZATION ACTIVITY
The instructor will now rationalize the answers to the students and will encourage them to ask questions and to discuss
among their classmates.
1. ANSWER: ________________________________
RATIONALE:___________________________________________________________________________________
_____________________________________________________________________________________________
_________________________________________________________________________
2. ANSWER: ________________________________________
RATIONALE:___________________________________________________________________________________
_____________________________________________________________________________________________
_________________________________________________________________________
3. ANSWER: ________________________________________
RATIONALE:___________________________________________________________________________________
_____________________________________________________________________________________________
_________________________________________________________________________
4. ANSWER: ________
RATIONALE:___________________________________________________________________________________
_____________________________________________________________________________________________
_________________________________________________________________________
5. ANSWER: ________________________________________
RATIONALE:___________________________________________________________________________________
_____________________________________________________________________________________________
_________________________________________________________________________
6. ANSWER: ________________________________________
RATIONALE:___________________________________________________________________________________
_____________________________________________________________________________________________
_________________________________________________________________________
7. ANSWER: ________________________________________
RATIONALE:___________________________________________________________________________________
_____________________________________________________________________________________________
_________________________________________________________________________
8. ANSWER: ________________________________________
RATIONALE:___________________________________________________________________________________
_____________________________________________________________________________________________
_________________________________________________________________________
9. ANSWER: ________________________________________
RATIONALE:___________________________________________________________________________________
_____________________________________________________________________________________________
_________________________________________________________________________
You are done with the session! Let’s track your progress.
The teacher will flash some cards to reactivate and deepen your prior knowledge on sampling terminologies and
procedure. A series of cards will be flashed to make the class answer in unison for mastery. The pace will be quick so that
all will enjoy being part of the group. Occasionally, the teacher will say. “Say it with power” or “More energy please” to
maintain group energy.
(REMINDER: Students will be asked to bring calculator for the next meeting)
Materials:
LESSON TITLE: SAMPLING DESIGN Book, pen and notebook
Textbook:
LEARNING OUTCOME:
Upon completion of this lesson, the nursing student will be Barrientos-Tan, C. (2011). A Research Guide in
able to: Nursing Education: Building an Evidence-Based
Practice. Pasay City: Philippines, Visprint Inc.
1. Apply Slovin’s formula in computing sample size.
References:
Polit, Denise F. & Beck, Cheryl T. (2012). Nursing
research: Generating and assessing evidence for
nursing research (9th ed.), Philadelphia, PA:
Wolters Kluwer Health/ Lippincott Williams &
Wilkins.
Sampling Design
The sampling design is the scheme that specifies the number of samples drawn from the population, the inclusion and
exclusion criteria for their choice and the sampling technique used, such as purposive, random sampling, stratified and
convenience sampling, among others.
To get the sample size from the population, the Slovin formula may be used:
n = ____N____
1+( N x e2)
Sampling Size
This is the total number of samples who will participate in the study after the sampling design was completed.
Sampling error may arise when the value of one sample size differ from another drawn from the same population.
EXAMPLE:
Answers:
N= 44+47+47=138
Answers: ( Note: Formula- 2 points, final answer in whole number- 2 points, 1 point for the rest of the solution).
You are done with the session! Let’s track your progress.
AL Strategy: Microlecture
The teacher will ask some students to choose and recite an outcome sentence. The following are the outcome
sentences:
I learned………
I was surprised…….
I rediscovered……………..
Materials:
LESSON TITLE: PROBABILITY SAMPLING Book, pen and notebook
Textbook:
LEARNING OUTCOMES:
Upon completion of this lesson, the nursing student will be able Barrientos-Tan, C. (2011). A Research Guide in
to: Nursing Education: Building an Evidence-Based
Practice. Pasay City: Philippines, Visprint Inc.
1. Explain probability sampling.
2. Identify types of probability sampling.
References:
Polit, Denise F. & Beck, Cheryl T. (2012). Nursing
research: Generating and assessing evidence for
nursing research (9th ed.), Philadelphia, PA:
Wolters Kluwer Health/ Lippincott Williams &
Wilkins.
Probability Sampling
It involves the random selection of subjects or elements of the population. The goal is to examine representative elements
of the population. It is also called randomized sampling.
Each unit in the population has a known, non-zero chance of being included in the sample
Lottery draw
Example:
Pick out 200 samples from a 5,000 elements in a population, then group them according to age, sex, civil
status and occupation
Example:
Province municipality village Individual respondent
At each stage, simple random, systematic and stratified techniques may be used.
The sample can also be drawn from a sampling list. Sequence of selection can also be done in odd or even
numbered names on the sampling list. The researcher picks out the first name by chance, then proceed to every
5th or 10th name, takes every nth person on a list.
FORMULA:
k = N/n
1. Sampling interval
ANSWER: __________________________
2. Multi-stage sampling
ANSWER: __________________________
3. Stratification
ANSWER: __________________________
4. Nth person
ANSWER: __________________________
5. Sequential sampling
ANSWER: __________________________
6. Non-zero chance
ANSWER: __________________________
ANSWER: __________________________
ANSWER: __________________________
9. Lottery draw
ANSWER: __________________________
ANSWER: __________________________
RATIONALIZATION ACTIVITY
The instructor will now rationalize the answers to the students and will encourage them to ask questions and to discuss
among their classmates.
1. ANSWER: ________________________________
RATIONALE:___________________________________________________________________________________
_____________________________________________________________________________________________
_________________________________________________________________________
2. ANSWER: ________________________________________
RATIONALE:___________________________________________________________________________________
_____________________________________________________________________________________________
_________________________________________________________________________
3. ANSWER: ________________________________________
RATIONALE:___________________________________________________________________________________
_____________________________________________________________________________________________
_________________________________________________________________________
4. ANSWER: ________
RATIONALE:___________________________________________________________________________________
_____________________________________________________________________________________________
_________________________________________________________________________
5. ANSWER: ________________________________________
RATIONALE:___________________________________________________________________________________
_____________________________________________________________________________________________
_________________________________________________________________________
6. ANSWER: ________________________________________
RATIONALE:___________________________________________________________________________________
_____________________________________________________________________________________________
_________________________________________________________________________
7. ANSWER: ________________________________________
RATIONALE:___________________________________________________________________________________
_____________________________________________________________________________________________
_________________________________________________________________________
8. ANSWER: ________________________________________
RATIONALE:___________________________________________________________________________________
_____________________________________________________________________________________________
_________________________________________________________________________
9. ANSWER: ________________________________________
RATIONALE:___________________________________________________________________________________
_____________________________________________________________________________________________
_________________________________________________________________________
You are done with the session! Let’s track your progress.
The instructor will flash some cards to reactivate and deepen your prior knowledge on probability sampling. A
series of cards will be flashed to make the class answer in unison for mastery. The pace will be quick so that all will enjoy
being part of the group. Occasionally, the instructor will say. “Say it with power” or “More energy please” to maintain
group energy.
Materials:
LESSON TITLE: NON-PROBABILITY SAMPLING Book, pen and notebook
Textbook:
LEARNING OUTCOMES:
Upon completion of this lesson, the nursing student will be able Barrientos-Tan, C. (2011). A Research Guide in
to: Nursing Education: Building an Evidence-Based
Practice. Pasay City: Philippines, Visprint Inc.
1. Explain non-probability sampling.
2. Identify the types of non-probability sampling.
References:
Polit, Denise F. & Beck, Cheryl T. (2012). Nursing
research: Generating and assessing evidence for
nursing research (9th ed.), Philadelphia, PA:
Wolters Kluwer Health/ Lippincott Williams &
Wilkins.
Non-Probability Sampling
Respondents or subjects are selected in a non-random way. The researcher desires to use available subjects at his
convenience anytime during the period of the study.
The results are best utilized only for descriptive purposes rather than for making generalizations or inferences about the
target population. Purposely chosen for an in-depth understanding of a particular experience, situation, cultural element,
or misconduct
However, in general, convenience sample cannot be considered representative of any population and should be avoided
if at all possible unless this is the only choice available. It is considered the weakest form of sampling and is subject to
bias. It can be used for pilot testing.
b. Quota Sampling
The researcher identifies the population to be studied and determines the proportion needed in the population. Quota
Sampling divides the population into homogenous sub-population to ensure the presence of representative proportions of
The population is first divided into strata. Then, instead of the doing random samples from each stratum, the researcher
simply takes a pre-determined quota from the different strata. The sample within the prescribed quota is selected
based on the personal judgment of the researcher.
Males 40%
Females 60%
A “representative sample” of the population is selected based on an expert’s subjective judgment or on some pre-
specified criteria. It is the handpicking supposedly typical or interesting cases. With a purposive sample, the researcher is
likely to get the opinions of the target population, but may also put undue weight on subgroups in the population that are
more readily accessible.
Snowball means the effort that start on a small scale and intensifies in the process. However, a problem may occur in this
method if there is limited number of qualified samples and the extent of trust and cooperation of the referred samples with
the researcher.
f. Theoretical Sampling
Theoretical sampling is a term coined by Barney Glaser and Anselm Strauss (1967). It seeks to discover categories and
their properties in order to explain interrelationships that exist within the theory that has already been studied. It is one of
the tool of qualitative research.
The researcher’s goal of theoretical sampling is not the same as with probability sampling nor the representative capture
of all possible elements, but to gain a deeper understanding of the phenomena under study and facilitate the development
of theory.
Example:
In a study of mothers of twins, 16 mothers were interviewed to describe the “blur period.” At first, the
researcher identified those who had 1 yr. old twins. But since these mothers could not adequately
describe the “blur period” as it was a blur, the researcher then next interviewed mother of 3 month old
twins to determine if they could still recall how the “blur period” was like regarding the phase of
mothering twins (Polit & Beck, 2002).
ANSWER: __________________________
2. Volunteer samples
ANSWER: __________________________
3. Opportunity sampling
ANSWER: __________________________
4. Non-randomized sampling
ANSWER: __________________________
5. Pre-determined quota
ANSWER: __________________________
6. Chain sampling
7. Representative sample
ANSWER: __________________________
8. Haphazard sampling
ANSWER: __________________________
9. Interrelationship
ANSWER: __________________________
ANSWER: __________________________
RATIONALIZATION ACTIVITY
The instructor will now rationalize the answers to the students and will encourage them to ask questions and to discuss
among their classmates.
1. ANSWER: ________________________________
RATIONALE:___________________________________________________________________________________
_____________________________________________________________________________________________
_________________________________________________________________________
2. ANSWER: ________________________________________
RATIONALE:___________________________________________________________________________________
_____________________________________________________________________________________________
_________________________________________________________________________
3. ANSWER: ________________________________________
RATIONALE:___________________________________________________________________________________
_____________________________________________________________________________________________
_________________________________________________________________________
4. ANSWER: ________
RATIONALE:___________________________________________________________________________________
_____________________________________________________________________________________________
_________________________________________________________________________
5. ANSWER: ________________________________________
RATIONALE:___________________________________________________________________________________
_____________________________________________________________________________________________
_________________________________________________________________________
6. ANSWER: ________________________________________
RATIONALE:___________________________________________________________________________________
_____________________________________________________________________________________________
_________________________________________________________________________
7. ANSWER: ________________________________________
RATIONALE:___________________________________________________________________________________
_____________________________________________________________________________________________
_________________________________________________________________________
9. ANSWER: ________________________________________
RATIONALE:___________________________________________________________________________________
_____________________________________________________________________________________________
_________________________________________________________________________
You are done with the session! Let’s track your progress.
After the lesson, each of you will be asked to write in a one fourth sheet of paper the following:
1. ______________________________________________________
2. ______________________________________________________
3. ______________________________________________________
1. ______________________________________________________
2. ______________________________________________________
1. ______________________________________________________
The instructor collects the papers and will answer your queries before the class dismissed.
Materials:
LESSON TITLE: RESEARCH INSTRUMENTS Book, pen and notebook
Textbook:
LEARNING OUTCOMES:
Upon completion of this lesson, the nursing student will be able Barrientos-Tan, C. (2011). A Research Guide in
to: Nursing Education: Building an Evidence-Based
Practice. Pasay City: Philippines, Visprint Inc.
1. Describe research instruments.
2. Discuss questionnaire and its types.
3. Explain the procedure in formulating questions. References:
Polit, Denise F. & Beck, Cheryl T. (2012). Nursing
research: Generating and assessing evidence for
nursing research (9th ed.), Philadelphia, PA:
Wolters Kluwer Health/ Lippincott Williams &
Wilkins.
Research Instruments
Research instruments serve as measurement tools and are an integral component of any nursing research study.
Instruments are specially prepared tools or devices used to collect needed data or information and facilitate observations
and measurement of research variables, consistent with the purpose of the study. Research instrument must be valid and
reliable to avoid inaccurate data and consequent spurious results. These are administered to the subjects or respondents
after being proven valid and reliable by means of pre-test or dry runs.
Questionnaire is the most frequently used clerical research instrument to gather needed data from the respondents
pertinent to the purpose of the study.
Questionnaire measures information levels, opinions, attitudes, beliefs, ideas, feelings and perceptual assessment of the
respondents regarding the variables of the study. This also include factual information on the demographic profile of the
respondents such as age, sex, civil status, educational level and income, among others.
Types of Questionnaire
Formulating Questions
1 2 3 4 5
ANSWER: __________________________
ANSWER: __________________________
3. Options given in the questionnaire should be based from the researcher’s personal knowledge.
ANSWER: __________________________
4. A structured questionnaire will yield more accurate data than the unstructured questionnaire.
ANSWER: __________________________
5. Nursing jargons can be included in a research instrument when the respondents are nurses.
ANSWER: __________________________
ANSWER: __________________________
7. An example of a double barreled question is: Is Nursing Research 1 a challenging and interesting course?
ANSWER: __________________________
8. Personal profile of respondents like year level and number of subjects enrolled can be part of a questionnaire.
ANSWER: __________________________
ANSWER: __________________________
10. A questionnaire is translated in the language/dialect most familiar to the researcher for easy interpretation.
ANSWER: __________________________
RATIONALIZATION ACTIVITY
The instructor will now rationalize the answers to the students and will encourage them to ask questions and to discuss
among their classmates.
1. ANSWER: ________________________________
RATIONALE:___________________________________________________________________________________
_____________________________________________________________________________________________
_________________________________________________________________________
2. ANSWER: ________________________________________
RATIONALE:___________________________________________________________________________________
_____________________________________________________________________________________________
_________________________________________________________________________
3. ANSWER: ________________________________________
5. ANSWER: ________________________________________
RATIONALE:___________________________________________________________________________________
_____________________________________________________________________________________________
_________________________________________________________________________
6. ANSWER: ________________________________________
RATIONALE:___________________________________________________________________________________
_____________________________________________________________________________________________
_________________________________________________________________________
7. ANSWER: ________________________________________
RATIONALE:___________________________________________________________________________________
_____________________________________________________________________________________________
_________________________________________________________________________
8. ANSWER: ________________________________________
RATIONALE:___________________________________________________________________________________
_____________________________________________________________________________________________
_________________________________________________________________________
9. ANSWER: ________________________________________
RATIONALE:___________________________________________________________________________________
_____________________________________________________________________________________________
_________________________________________________________________________
You are done with the session! Let’s track your progress.
You will be paired up to the person to your right. The instructor will pose the question, “If your respondents are
from level 1 BSN, are jargon words allowed in a questionnaire? Why? Why Not?”. Each pair will share insights and
write it on a sheet of paper. Pairs will articulate their answer as the instructor calls them to recite.
Materials:
LESSON TITLE: OTHER TYPES OF RESEARCH Book, pen and notebook
INSTRUMENTS
Textbook:
LEARNING OUTCOME: Barrientos-Tan, C. (2011). A Research Guide in
Upon completion of this lesson, the nursing student will be able Nursing Education: Building an Evidence-Based
to: Practice. Pasay City: Philippines, Visprint Inc.
Interview
Interview is the next most used research instrument. The researcher, in a one-on-one dialogue with the subject, asks or
reads the questions to elicit answers from the latter. The researcher may use the following devices such as video camera
and tape recorder or other methods to ensure that data are accurately recorded. A research assistant may help record the
questions and answers during the interview.
An interview schedule is used for formal interviews. And interview guide consisting of pertinent questions is used in
informal interviews.
Types of Interview
a. Structured Interview
Specifically, this kind of interview is a dialogue in which the interviewer is guided by prepared questions to
gather needed data with ease from respondents or interviewees of the study.
b. Unstructured Interview
Here, the interviewer asks the questions at random but makes sure that needed data from the respondents
will give holistic information on the subject of the interview. The interviewer is free to direct the course of the
interview.
Methods of Interviewing
b. Telephone Interview
The most popular interviewing method through which people can be easily contacted.
c. Mail Surveys
This allows the respondent to answer during his or her leisure time or most convenient time. These are not
intrusive and considered the least expensive method.
E-mail Surveys
These are both efficient and economical and more people have full internet access with no cost involved once
more people have full internet access with no cost involved once the set-up is complete. The respondent an
attach pictures, sound files, but limited only to simple questions.
1. Responses are broad and varied 1. They can be time consuming and expensive
2. Respondents can give complete answers if 2. The schedule for interviews may be difficult to
questions are well structured make
3. Verbal and non-verbal behavior can be 3. Respondents’ answers may be influenced by
observed and the interviewer’s behavior and
4. There is flexibility in questions asked and 4. Interviewers need training
respondents reaction to these.
Scales
Scales are devices designed to assign a numeric score to people to place them on a continuum with respect to attributes
being measured. Social-psychological scales used in quantitative studies can discriminated among people having
different attitudes, fears, motives, perceptions, personality traits, and needs. The following are types of scales:
a. Likert scale consists of declarative statements or items that expresses viewpoint on a topic. The respondent shall
indicate the degree of agreement or disagreement.
b. Semantic Differential scale is another technique for measuring attitudes. Concepts are rated by the subjects or
respondents according to the degree by which the variables being measured affects them.
c. Visual analogue scale is used to measure subjective experiences of the respondents such as pain, fatigue and
nausea to name a few.
d. Graphic Rating Scale is a scale in which respondents are asked to rate something (e.g., concept or an issue)
along an ordered, numbered continuum, typically on a bipolar dimension
e. Q sorts is a sorting technique. Subjects are presented with a set of cards on which words, phrases or statements
are written. They are asked to sort the card along a specified bipolar dimension (Polit & Beck, 2008)
Self-reports
A Self-report is a measure where a person is asked to report his or her own behavior or mental contents. Self-report
measures include questions like “How happy are you on a scale of 1 to 10?” or “Do you dream in color?” Most people will
agree to answer such questions, but the results are not always dependable. In fact, self-report measure are notoriously
inaccurate and unreliable.
The least accurate type of self-report measure is one that asks a person to look back in time and remember details of a
behaviour or experience called the retrospective self-report. This combines the uncertainty of self-report with the
uncertainty of memory reconstruction. Even a person who exerts effort to tell the truth cannot necessarily distinguish
between a creative fabrication and a genuine memory.
ANSWER: __________________________
2. Visual analogue scale can be used to measure objective experiences of the respondents such as anxiety.
ANSWER: __________________________
3. A brief descriptions of a toddler’s reaction when a medication is given by a nurse dressed up like an astronaut is a
called a vignette.
ANSWER: __________________________
4. A retrospective self-report is found out to be the least accurate among all self-report data.
ANSWER: __________________________
ANSWER: __________________________
6. A Likert scale is consists of several declarative items that express a viewpoint on a topic.
ANSWER: __________________________
ANSWER: __________________________
ANSWER: __________________________
9. Scales are devices designed to assign a numeric score to people to place them on a continuum with respect to
attributes being measured.
ANSWER: __________________________
10. In Q sort, participants are presented with a set of cards on which words or phrases are written.
ANSWER: __________________________
RATIONALIZATION ACTIVITY
The instructor will now rationalize the answers to the students and will encourage them to ask questions and to discuss
among their classmates.
1. ANSWER: ________________________________
RATIONALE:___________________________________________________________________________________
_____________________________________________________________________________________________
_________________________________________________________________________
2. ANSWER: ________________________________________
RATIONALE:___________________________________________________________________________________
_____________________________________________________________________________________________
_________________________________________________________________________
3. ANSWER: ________________________________________
RATIONALE:___________________________________________________________________________________
_____________________________________________________________________________________________
_________________________________________________________________________
4. ANSWER: ________
RATIONALE:___________________________________________________________________________________
_____________________________________________________________________________________________
_________________________________________________________________________
5. ANSWER: ________________________________________
RATIONALE:___________________________________________________________________________________
_____________________________________________________________________________________________
_________________________________________________________________________
6. ANSWER: ________________________________________
RATIONALE:___________________________________________________________________________________
_____________________________________________________________________________________________
_________________________________________________________________________
7. ANSWER: ________________________________________
RATIONALE:___________________________________________________________________________________
_____________________________________________________________________________________________
_________________________________________________________________________
8. ANSWER: ________________________________________
RATIONALE:___________________________________________________________________________________
_____________________________________________________________________________________________
_________________________________________________________________________
You are done with the session! Let’s track your progress.
The instructor summarizes the lesson discussed leaving enough time for you to respond. You will be asked to
bring out ¼ sheet of pad paper to write on your answer when the instructor asks the following question:
The instructor collects the papers and answers the “unclear” part of the discussion before the class dismissed.
Materials:
LESSON TITLE: ETHICS IN RESEARCH Book, pen and notebook
Textbook:
LEARNING OUTCOMES:
Upon completion of this lesson, the nursing student will be able Barrientos-Tan, C. (2011). A Research Guide in
to: Nursing Education: Building an Evidence-Based
Practice. Pasay City: Philippines, Visprint Inc.
1. Explain the ethical aspect of research.
2. Illustrate the ethical standards in research.
References:
Polit, Denise F. & Beck, Cheryl T. (2012). Nursing
research: Generating and assessing evidence for
nursing research (9th ed.), Philadelphia, PA:
Wolters Kluwer Health/ Lippincott Williams &
Wilkins.
Nursing Research uses human beings as subjects, hence, the researcher must exercise caution to protect the rights of
the subjects against undue impositions. The complex nature of nursing research may place the researcher and the
participants of the study in a potentially compromising situation.
Because of these unethical activities in the name of science, several codes were developed examples of which are the
Nuremberg Code, Declaration of Helsinki, Council for International Organizations of Medical Sciences (CIOMS), Belmont
Report and Professional Code of Ethics for Nurses.
A. Nuremberg Code
This code was developed in 1949 borne out of the Nuremberg trials. This was done primarily due to sadistic treatment
of subjects by Nazi experimenters. Hence, rules were formulated to guide investigators in their conduct of research.
The code stipulated the following as essential requirements of ethical research which are voluntary consent,
withdrawal of subjects from study, protection of subjects from physical and mental suffering, injury, disability and
death, and balance of benefits and risks.
B. Declaration of Helsinki
This declaration was adopted by the World Medical Association in 1964. It was last updated in 2000. The main
contribution of this document was the introduction of the distinction between therapeutic and non-therapeutic
research. In therapeutic research the patient could benefit from experimental treatment that might have beneficial
results. In a non-therapeutic research, the main goal in the generation of new knowledge which might produce
beneficial results to future patients but less likely to the actual research subjects.
C. CIOMS
The CIOMs Guidelines, formally known as International Ethical Guidelines for Biomedical Research Involving Human
Subjects, is a set of ethical principles regarding human experimentation. It was created in 1993 by the Council for
International Organizations of Medical Science (CIOMS) and was updated in 2002. The 21 guidelines, fifteen of which
were in the original report, addressed issues including informed consent, standards for external review, recruitment of
participants and so on. The guidelines are general instructions and principles of ethical biomedical research.
D. Belmont Report
On July12, 1974, the National Research Act was signed into law thereby creating the National Commission for the
Protection of Human Subjects of Biomedical and Behavioural Research. The commission was to identify the basic
ethical principles that should underlie the conduct of biomedical and behavioural research involving human subjects
and to develop guidelines to assure that such research of this sort is conducted in accordance with those principles.
The report was published by the commission in 1979 titled The Belmont Report. This report had the following
considerations:
The boundaries between biomedical and behavioural research and the accepted routine practice of medicine;
The role of assessment of risk-benefit criteria in the determination of the appropriateness of research
involving human subjects;
Appropriate guidelines for the selection of human subjects for participation in such research
The nature and definition of informed consent in various research settings.
Situation
You are an investigator proposing to use data from a colleague’s database to conduct secondary analyses. You want to
examine the behaviour and attitudes of male students. Your colleague will provide coded data for your proposed studies,
and you and he enter into an agreement by which he will keep the key to the code and will have no other involvement in
the research. Therefore, your colleague is not an investigator in your research.
Questions:
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
ANSWERS:
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
You are done with the session! Let’s track your progress.
As part of the review of the lesson given, you will be grouped into 6. Each of you will be assigned of a number so that
each team has numbers 1, 2, 3, 4, 5, & 6. The following question will be asked by the instructor:
You will discuss your answer in your respective group. After your group discussion, the instructor calls out numbers.
The students standing are the speaker for their team.
Materials:
LESSON TITLE: ETHICAL THEORIES IN RESEARCH Book, pen and notebook
Textbook:
LEARNING OUTCOME:
Upon completion of this lesson, the nursing student will be able Barrientos-Tan, C. (2011). A Research Guide in
to: Nursing Education: Building an Evidence-Based
Practice. Pasay City: Philippines, Visprint Inc.
1. Explain the ethical theories in research.
References:
Polit, Denise F. & Beck, Cheryl T. (2012). Nursing
research: Generating and assessing evidence for
nursing research (9th ed.), Philadelphia, PA:
Wolters Kluwer Health/ Lippincott Williams &
Wilkins.
https://www.researchgate.net/publication/2281748
13_Three_General_Theories_of_Ethics_and_the_
Integrative_Role_of_Integrity_Theory
http://www.bbc.co.uk/ethics/introduction/intuitionis
m_1.shtml
Ethical Theories
Ethical principles have their basis on ethical theories. These standards by which man lives and acts are anchored on
certain principles such as goodness or rightness of an act or decision. In research and decision-making, one arrives at
either deductively or inductively.
1. Deductive approach
Under this approach, ‘a general theory or principle’ is applied to a particular case and the ‘right’ decision or course
of action is determined by a process of deducting from a general theory to a particular case (Houser, 2008). It is
the inverted pyramid. Three (3) thoughts run under this approach:
For example is “to tell the truth no matter who gets hurt.” Under this theory, the freedom of the individual is
recognized but the common good is also considered. This theory is associated with Immanuel Kant, a
German philosopher (1724-1804) who posited that morality is founded on ‘reason’ and the ultimate end of
reason is autonomous of an individual’s desires or preferences. .
Codes of professional conduct are deontological codes that state the duties of the profession. Research
codes demand informed consent from participants and demonstrate the reciprocity principle of treating others
as ends, never as means to an end such that nursing care intervention will promote client’s wellness.
Sometimes conflict with the duty to respect the same client’s autonomous wishes concerning treatments.
c. Intuitionism (insights)
Intuitionism is knowing what is right or wrong which is not a matter of rational thought of learning. It is the
power of the mind of knowing things without conscious reasoning and has quick and ready insights of what is
good for the client. For example, striking a demanding client need not be taught, however, it is the moral
insight of a nurse that dictates her own actions or responses to any situation. Intuitionism teaches three main
things:
There are real objective moral truths that are independent of human beings.
These are fundamental truths that can't be broken down into parts or defined by reference to anything
except other moral truths.
Human beings can discover these truths by using their minds in a particular, intuitive way.
2. Inductive approach
In this approach, justifications or judgments are rendered on particular cases. These specific case or particular
judgments can eventually serve as patterns for general cases. The inductive approaches to ethical decision
making tends to emphasize the particulars of the case at hand. There are two (2) ways involved in this approach..
a. Virtue ethics
The etymological origin of the term “vir-tue” can be traced back to both the Greek “arête” and the Latin
“virtus”. Arete means “virtue” and “ex-cellence.” This refers to someone‟s or something‟s ability to achieve a
specific goal. However, the Latin virtus means “manliness” or “bravery.”
This focuses on the moral character of an individual rather than on abstract principles. It does so by claiming
certain traits of character, the virtues are being in themselves morally valuable. Roach’s 5 C’s of caring are
examples of these virtues such as compassion, competence, conscience, concern and commitment.
Virtue ethics, in the case of nursing, emphasizes competency or excellence in performance as nursing moved
towards competency based practice. This is concerned with the development of expertise and excellence in
nursing practice.
b. Ethics of care
This is linked to virtue ethics and is concerned most on activities of caring which focuses the client-nurse
relationship. The moral emphasis in caring ethics is on the motives of any action or decision, how the person
performs those actions and or whether the actions promote or thwart positive relationship between the nurse
and her clients (Melia, 2004).
3. Reflective approach
Under this approach, one’s moral beliefs are a reflection of one’s perceptions in particular cases. It is more a
process than an outcome.
Beauchamp and Childress’ Principlism / coherence theory is an example of this approach. This theory suggests
that general principles can be applied with sensitivity to the particulars of the case. It emphasizes that principles
need to be made specific for cases, while analysis of particular cases can gain much illumination from general
principles. There are four principles that are intended to act as guides to action and decision making. These are
non-maleficence, beneficence, justice and respect for autonomy (Beauchamp and Childress, 2001).
RATIONALIZATION ACTIVITY
The instructor will now rationalize the answers to the students and will encourage them to ask questions and to discuss
among their classmates.
1. ANSWER: ________________________________
RATIONALE:___________________________________________________________________________________
_____________________________________________________________________________________________
_________________________________________________________________________
2. ANSWER: ________________________________________
RATIONALE:___________________________________________________________________________________
_____________________________________________________________________________________________
_________________________________________________________________________
3. ANSWER: ________________________________________
RATIONALE:___________________________________________________________________________________
_____________________________________________________________________________________________
_________________________________________________________________________
4. ANSWER: ________
RATIONALE:___________________________________________________________________________________
_____________________________________________________________________________________________
_________________________________________________________________________
5. ANSWER: ________________________________________
RATIONALE:___________________________________________________________________________________
_____________________________________________________________________________________________
_________________________________________________________________________
6. ANSWER: ________________________________________
RATIONALE:___________________________________________________________________________________
_____________________________________________________________________________________________
_________________________________________________________________________
7. ANSWER: ________________________________________
8. ANSWER: ________________________________________
RATIONALE:___________________________________________________________________________________
_____________________________________________________________________________________________
_________________________________________________________________________
9. ANSWER: ________________________________________
RATIONALE:___________________________________________________________________________________
_____________________________________________________________________________________________
_________________________________________________________________________
You are done with the session! Let’s track your progress.
The instructor will you to recite on the things learned during the discussion and will pose the question, “Who is
willing to risk an answer?”.This strategy will help less confident students move beyond their apprehensions and
participate fully and to remind students all students how risk taking serves learning in research.
Materials:
LESSON TITLE: ETHICAL PRINCIPLES AND GUILDELINES Book, pen and notebook
FOR NURSE RESEARCHERS
Textbook:
LEARNING OUTCOMES: Barrientos-Tan, C. (2011). A Research Guide in
Upon completion of this lesson, the nursing student will be able Nursing Education: Building an Evidence-Based
to: Practice. Pasay City: Philippines, Visprint Inc.
1. Informed Consent
The participants must be fully informed about the nature of research, its purposes and potential risks and benefits.
They must have the power of free choice to voluntarily consent to or decline participation in the study. They must
also be informed of the anticipated results of the study and how this would affect them and the target population.
Informed consent is an essential mechanism for ensuring that basic ethical principles are observed when
research involves human subjects.
There is informed consent when an individual is able to exercise free choice without infringement by any external
force such as, fraud, deceit or any other form of coercion. An individual’s family member or legal representative
can also give informed consent on behalf of the individual who is not competent to personally give consent in
cases of vulnerable subjects who may be incapable of giving fully informed consent. For example are the
physically disabled, terminally ill, pregnant and or breastfeeding mothers and children (Polit & Beck, 2009).
In the case of children, it is normally required that child’s assent be obtained for children 7 years of age and
above. Assent refers to the child’s consent to participate in a research situation. (Louiselle McGrath, 2008).
Beneficence is an action ‘to do good.” This is done to benefit others. Beneficent actions can be taken to mean
merely preventing or removing harm or to simply improve the situation of others. It imposes a duty on researchers
to minimize harm and to maximize benefits. A related principle I nonmaleficence.
Nonmaleficence means “to do no harm.” The term nonmaleficence derives from the ancient Latin maxim primum
non nocere. Nurse researcher have a tradition of utilitarian approaches, meaning that the greatest good should be
accomplished through any public health action. These principles of beneficence and nonmaleficence require the
researcher to assure participants of the following issues:
Moreover, the relationship established during the research process must be beneficial to both the researcher
and the participants without any consequent risks that may arise from the outcome of the study. There should
also be no exploitation of self as researcher, as well as the research assistants during the study period.
Deception and concealment of information which is deliberately withholding information about the study or
providing participants with false information will interfere with the right of the participants to make truly
informed decisions about personal and professional benefits of participation.
Researchers must show respect to study participants by cautiously attending to their emotional rights and the
nature of their interactions.
Debriefing sessions after data collection is completed will allow participants to ask questions or air their
complaints. Debriefing is a formal strategy that researchers can use to communicate their respect and
concern for the participants especially when data collection has been stressful or if ethical guidelines were
ignored e.g. deception (Polit & Beck, 2008)
The right to self-determination and full disclosure is embodied in the informed consent.
The Philippine Copyright Law (RA 8293) protects the intellectual property rights of authors and artists with
respect to his or her personal relationship with their work and utilization of these by others. It is a good policy
to have one’s work undergo an evaluation by a review board inception.
Researchers may encounter difficulty in assessing risks and benefits or in developing procedures to protect
human rights. Their commitment to conduct the study may influence their judgement, hence the ethical
dimension of the study is usually subjected to external review.
Institutional policies is granting researchers’ access to study participants may involve review of proposed
research plan by an independent Research Ethics Board (REB) or the Institutional Review Board (IRB) in
hospitals and universities before the study gets underway. The REB or IRB are tasked to assess the ethical
standards are met in relation to research involving the protection of the rights of human subjects. They are
empowered to direct modification or termination of research conducted within the institution if ethical violation
are observed.
An example is the case of research undertaken by a group of student researchers who undertook a study on
the effectiveness of bubble blowing as a diversional activity in the management of pain experienced by pre-
school children during intravenous line insertion. The researchers obtained approval from the hospital ethics
review board before conducting the study in order to ensure compliance of the ethical guidelines set by the
institution.
1. A group of researchers are investigating the prevalence of Social Anxiety Disorder in the Covid pandemic. Miss
Houston is enrolled in this study but at some nights she was sleepless and agitated that she wants to withdraw. With
the ethical principles in research, which of the following will justify her withdrawal from the study?
a. Anonymity and Confidentiality
b. Beneficence
c. Respect for Human Dignity
d. Justice and Fairness
ANSWER: _________
2. Miss Houston claims she was not ready to participate in the study on PTSD but one of the researchers enrolled her
anyway because she is a friend of a friend. This is a violation of what principle:
a. Right to Full Disclosure
b. Right to Self-Determination
c. Right to Intellectual Property
d. Anonymity
ANSWER: _________
3. During the investigation, Miss Houston has some queries regarding her research participation. In an ethical research
undertaking, which of the following is true?
ANSWER: _________
ANSWER: _________
ANSWER: _________
ANSWER: _________
7. Freedom from physical and psychological harm in the principle of beneficence will not:
a. Guarantee safety and protection
b. Present assent in the study
c. Minimize harm and discomfort
d. Prevent potential injury
ANSWER: _________
ANSWER: _________
ANSWER: _________
10. Any information provided by the participant must not be used against them in the practice of:
a. Anonymity
b. Confidentiality
c. Freedom from Physical and Psychological Harm
d. Freedom from Exploitation
RATIONALIZATION ACTIVITY
The instructor will now rationalize the answers to the students and will encourage them to ask questions and to discuss
among their classmates.
1. ANSWER: ________
RATIONALE:___________________________________________________________________________________
_____________________________________________________________________________________________
_________________________________________________________________________
2. ANSWER: ________
RATIONALE:___________________________________________________________________________________
_____________________________________________________________________________________________
_________________________________________________________________________
3. ANSWER: ________
RATIONALE:___________________________________________________________________________________
_____________________________________________________________________________________________
_________________________________________________________________________
4. ANSWER: ________
RATIONALE:___________________________________________________________________________________
_____________________________________________________________________________________________
_________________________________________________________________________
5. ANSWER: ________
RATIONALE:___________________________________________________________________________________
_____________________________________________________________________________________________
_________________________________________________________________________
6. ANSWER: ________
RATIONALE:___________________________________________________________________________________
_____________________________________________________________________________________________
_________________________________________________________________________
7. ANSWER: ________
RATIONALE:___________________________________________________________________________________
_____________________________________________________________________________________________
_________________________________________________________________________
8. ANSWER: ________
RATIONALE:___________________________________________________________________________________
_____________________________________________________________________________________________
_________________________________________________________________________
9. ANSWER: ________
RATIONALE:___________________________________________________________________________________
_____________________________________________________________________________________________
_________________________________________________________________________
You are done with the session! Let’s track your progress.
How will researchers assure participants that they have freedom from exploitation in a study?
Step 2: Turn to the next student seated to your right to be his/her partner.
Step 3: Each pair is given 2 minutes to discuss answers from the assigned question. When the time is up, you will be
assigned to share thoughts and ideas from your discussion.
Materials:
LESSON TITLE: CONTENT OF INFORMED CONSENT Book, pen and notebook
Textbook:
LEARNING OUTCOME:
Upon completion of this lesson, the nursing student will be able Barrientos-Tan, C. (2011). A Research Guide in
to: Nursing Education: Building an Evidence-Based
Practice. Pasay City: Philippines, Visprint Inc.
1. Identify the content of informed consent in details.
References:
Polit, Denise F. & Beck, Cheryl T. (2012). Nursing
research: Generating and assessing evidence for
nursing research (9th ed.), Philadelphia, PA:
Wolters Kluwer Health/ Lippincott Williams &
Wilkins.
1. Participant status
Prospective participants need to understand the distinction between research and treatment. They should be told
which healthcare activities are routine and which are implemented specifically for the study. They also should be
informed that data they provide will be used for research purposes.
2. Study goals
The overall goals of the research should be stated, in lay rather than technical terms. The use to which the data
will be put should be described.
3. Type of data
Prospective participants should be told what type of data will be collected.
4. Procedures
Prospective participants should be given a description of the data collection procedures and of procedures to be
used in any innovative treatment.
7. Participant selection
Prospective participants should be told how they were selected for recruitment and how many people will be
participating.
8. Potential risk
Prospective participants should be informed of any foreseeable risk (physical, psychological, social or economic)
or discomfort and efforts that will be taken to minimize risks. The possibility of unforeseeable risk should also be
discussed, if appropriate. If injury or damage is possible, treatments that will be made available to participants
should be described. When risks are more than minimal, prospective participants should be encouraged to seek
advice before consenting.
9. Potential benefits
Specific benefits to participants, if any, should be described, as well as possible benefits to others.
10. Alternatives
If appropriate, participants should be told about alternative procedures or treatment that might be advantageous
to them.
11. Compensation
It stipends or reimbursement are to be paid (or if treatments are offered without fee), these arrangements should
be discussed.
____ I realize that I may not participate in the study if I am younger than 18 years of age or I
cannot speak English.
____ I realize that the knowledge gained from this study may help either me or other mothers of
Multiple infants in the future.
____ I realize that my participation in this study is entirely voluntary and I may withdraw from the
____ study at any time I wish. If I decide to discontinue my participation in this study. I will
Continue to be treated in the usual and customary fashion.
____ I understand that all study data will be kept confidential. However, this information may be
used in nursing publications or presentations.
____ I understand that if I sustain injuries from my participation in this research project. I will not
be automatically compensated by Excel Hospital and Medical Center.
____ If I need to, I can contact Dr. Sheree Ganzon, University of Pangasinan, College of Nursing, any
time during the study.
__, __ The study has been explained to me. I have read and understand this consent form, all of my
Questions have been answered and I agree to participate. I understand that I will be given a
Copy of this signed consent form.
____________________ ____________________
Signature of Participant Date
____________________ ____________________
Signature of Witness Date
RATIONALIZATION ACTIVITY
The instructor will now rationalize the answers to the students and will encourage them to ask questions and to discuss
among their classmates.
ANSWERS:
Informed Consent Form
____ I realize that I may not participate in the study if I am younger than 18 years of age or I
____ I realize that the knowledge gained from this study may help either me or other mothers of
Multiple infants in the future.
____ I realize that my participation in this study is entirely voluntary and I may withdraw from the
____ study at any time I wish. If I decide to discontinue my participation in this study. I will
Continue to be treated in the usual and customary fashion.
____ I understand that all study data will be kept confidential. However, this information may be
used in nursing publications or presentations.
____ I understand that if I sustain injuries from my participation in this research project. I will not
be automatically compensated by Excel Hospital and Medical Center.
____ If I need to, I can contact Dr. Sheree Ganzon, University of Pangasinan, College of Nursing, any
time during the study.
__, __ The study has been explained to me. I have read and understand this consent form, all of my
Questions have been answered and I agree to participate. I understand that I will be given a
Copy of this signed consent form.
____________________ ____________________
Signature of Participant Date
____________________ ____________________
Signature of Witness Date
You are done with the session! Let’s track your progress.
AL Strategy: Microlecture
The teacher will ask some students to choose and recite an outcome sentence. The following are the outcome
sentences:
I learned………
I was surprised…….
I rediscovered……………..
Materials:
LESSON TITLE: TREATMENT OF VULNERABLE GROUPS Book, pen and notebook
Textbook:
LEARNING OUTCOME:
Upon completion of this lesson, the nursing student will be able Barrientos-Tan, C. (2011). A Research Guide in
to: Nursing Education: Building an Evidence-Based
Practice. Pasay City: Philippines, Visprint Inc.
1. Discuss how the vulnerable groups are protected in
research.
References:
Polit, Denise F. & Beck, Cheryl T. (2012). Nursing
research: Generating and assessing evidence for
nursing research (9th ed.), Philadelphia, PA:
Wolters Kluwer Health/ Lippincott Williams &
Wilkins.
Among the groups that nurse researchers should consider vulnerable are the following:
1. Children
Legally and ethically, children do not have competence to give informed consent, so the informed consent of
children’s parents or legal guardians must be obtained. It is appropriate, however especially if the child is at least
7 years old to obtain the child’s assent as well. Assent refers to the child’s affirmative agreement to participate. If
the child is mature enough (e.g. a 12-year-old) to understand basic informed consent information, it is advisable to
obtain written assent from the child as well as evidence of respect for the child’s right to self-determination.
5. Institutionalized people
Particular care is required in recruiting institutionalized people because they depend on healthcare personnel and
may feel pressured into participating, or may believe that their treatment would be jeopardized by failure to
cooperate. Inmates of prisons and other correctional facilities, who have lost their autonomy in many spheres of
activity, may similarly feel constrained in their ability to withhold consent.
6. Pregnant women
The U.S. government has issued additional requirements governing research with pregnant women and fetuses
(Code of Federal Regulation, 2005, Subpart B). These requirements reflect a desire to safeguard both the
pregnant woman, who may be at heightened physical and psychological risk and the fetus, who cannot give
informed consent. The regulations stipulate that a pregnant woman cannot be involved in a study unless its
purpose is to meet the health needs of the pregnant woman, and risks to her and the fetus are minimized or there
is only a minimal risk to the fetus.
1. An 8-year old child with mental retardation can be asked for an assent.
ANSWER: __________________________
2. An elderly with dementia can be a participant of a research despite his family members’ refusal to give their consent.
ANSWER: __________________________
3. A healthy adult person’s decision to participate in research should not be influenced by anyone involved in conducting
the research.
ANSWER: __________________________
ANSWER: __________________________
5. Decisions to enroll comatose clients in human experimentation can be consented by medical practitioners in a
pandemic.
ANSWER: __________________________
6. If Mr. X, a person deprived of liberty who is out on bail participates in a study, a researcher has to treat him as part of
the vulnerable group.
ANSWER: __________________________
7. All children below 18 years of age need legal guardian to give informed consent.
ANSWER: __________________________
ANSWER: __________________________
9. Harm may result when a researcher decides to include patients in a pediatric ward without their family members’
consent.
ANSWER: __________________________
10. All individuals with no college degree are part of the vulnerable population.
ANSWER: __________________________
RATIONALIZATION ACTIVITY
The instructor will now rationalize the answers to the students and will encourage them to ask questions and to discuss
among their classmates.
1. ANSWER: ________________________________
RATIONALE:___________________________________________________________________________________
_____________________________________________________________________________________________
_________________________________________________________________________
2. ANSWER: ________________________________________
RATIONALE:___________________________________________________________________________________
_____________________________________________________________________________________________
_________________________________________________________________________
3. ANSWER: ________________________________________
RATIONALE:___________________________________________________________________________________
_____________________________________________________________________________________________
_________________________________________________________________________
4. ANSWER: ________
RATIONALE:___________________________________________________________________________________
_____________________________________________________________________________________________
_________________________________________________________________________
5. ANSWER: ________________________________________
RATIONALE:___________________________________________________________________________________
_____________________________________________________________________________________________
_________________________________________________________________________
6. ANSWER: ________________________________________
RATIONALE:___________________________________________________________________________________
_____________________________________________________________________________________________
_________________________________________________________________________
7. ANSWER: ________________________________________
RATIONALE:___________________________________________________________________________________
_____________________________________________________________________________________________
_________________________________________________________________________
8. ANSWER: ________________________________________
RATIONALE:___________________________________________________________________________________
_____________________________________________________________________________________________
_________________________________________________________________________
You are done with the session! Let’s track your progress.
The teacher will flash some cards to reactivate and deepen your prior knowledge on treatment of vulnerable groups. A
series of cards will be flashed to make the class answer in unison for mastery. The pace will be quick so that all will enjoy
being part of the group. Occasionally, the teacher will say. “Say it with power” or “More energy please” to maintain
group energy.