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NURSING RESEARCH-LECTURE-PRELIM

I. Introduction to Nursing Research period, and practice-oriented research on various


clinical topics began to emerge in the literature.
Evolution of Research in Nursing
Nursing Research in the 1970s
• Nursing Research Research
- During the 1970s, there was a change in emphasis in
-systematic inquiry that uses disciplined methods to nursing research from areas such as teaching and
answer questions or solve problems. nurses themselves to improvements in client care
- The ultimate goal of research is to develop, refine, and signifying a growing awareness by nurses of the need
expand knowledge. for an evidence base from which to practice.

- systematic inquiry designed to develop trustworthy - Nurses also began to pay attention to the clinical
evidence about issues of importance to the nursing utilization of research findings.
profession, including nursing practice, education, - The 1980s brought nursing research to a new level of
administration, and informatics. development.
The Early Years: From Nightingale to the 1960s - An increase in the number of qualified nurse
- research in nursing began with Florence Nightingale. researchers, the widespread availability of computers
for the collection and analysis of information, and an
- Her landmark publication, Notes on Nursing (1859), ever-growing recognition that research is an integrate
described her early interest in environmental factors part of professional nursing led nursing leaders to raise
that promote physical and emotional well-being. new issues and concerns.
- Her most widely known research contribution involved Nursing Research in the 1990s
an analysis of factors affecting soldier mortality and
morbidity during the Crimean War. - National Institute of Nursing Research (NINR) was
launched in 1993
- Based on her skillful analyses, she was successful in
effecting some changes in nursing care—and, more - Several journals were established in the 1990s in
generally, in public health. response to the growth in clinically oriented research
and interest in EBP, including Clinical Nursing Research
- Most studies in the early 1900s concerned nurses’ and Journal of Clinical Nursing.
education. - Another new journal, Qualitative Health Research,
signaled the emergence of in-depth studies using
- As more nurses received university-based education,
different methodologies than had typically been used in
studies concerning nursing students—their
earlier research.
characteristics, problems, and satisfactions—became
more numerous. Current and Future Directions for Nursing Research
- During the 1940s, government-initiated studies of - Continued focus on EBP.
nursing education continued, spurred on by the high
demand for nursing personnel during World War II - Development of a stronger evidence base through
multiple, confirmatory strategies. Practicing nurses are
- In the 1960s, nursing leaders began to express concern unlikely to adopt an innovation based on weakly
designed or isolated studies. Strong research designs
about the dearth of research in nursing practice.
are essential, and confirmation is usually needed
- Several professional nursing organizations, such as the through the replication- (i.e., the repeating) of studies
with different clients, in different clinical settings, and at
Western Interstate Council for Higher Education in
different times to ensure that the findings are robust.
Nursing, established research priorities during this
NURSING RESEARCH-LECTURE-PRELIM

- Greater emphasis on systematic reviews (overview of such as patient health status, quality of care and cost-
several randomized trials of the same intervention or effectiveness of care.
treatment for the same situation or condition.)
20th-21st century – development of an evidence-based
- Systematic reviews are a cornerstone of EBP, and will practice (EBP) for nursing.
take on increased importance in all health disciplines.
Definition of Nursing Research
- The purpose of a systematic review is to amass and
• Research
integrate comprehensive research information on a
- Old French word “cerchier”- seek or search.
topic, to draw conclusions about the state of evidence.
Best practice clinical guidelines typically rely on such - Diligent, systematic inquiry or investigation to
systematic reviews. validate and refine existing knowledge and
generate new knowledge. (Burns and Grove,
Current and Future Directions for
1997).
Nursing Research
Nursing Research
• Expanded local research in healthcare settings.
• Nursing Research – systematic search for and
• Strengthening of interdisciplinary collaboration. validation of knowledge about issues of
importance to the nursing profession (Polit and
• Expanded dissemination of research findings.
Hungler, 1999).
• Increasing the visibility of nursing research.
Goals of Nursing Research
• Increased focus on cultural issues and health
1. Efficiency and effectiveness in Nursing Care.
disparities.
2. Worthiness and Value of the Nursing Profession
• Shared decision making.
to Society.
Paradigms for Nursing Research
3. Identifying, Implementing and Evaluating
- A paradigm is a world view, a general perspective on Effective Health Care Modalities.
the complexities of the world
4. Utilize Clinical Nursing research as evidence-
- Paradigms for human inquiry are often characterized based data to provide quality care to clients.
in terms of the ways in which they respond to basic
Evidence-Based Nursing Research
philosophical questions, such as: What is the nature of
reality? (ontologic) (What is the relationship between • Conscious and intentful use of research and
the inquirer and those being studied? epistemologic). theory-based information to make decisions
about patient care delivery.
• Historical Events Influencing Nursing Research
- latest research findings to make practice
1850 – Florence Nightingale is the 1st nurse researcher
improvements.
with studies conducted to improve soldiers’ health.
• Cost-effectiveness
1859 – Nightingale’s Notes on Nursing is published
• Cost-efficiency
1980 – Quantitative and Qualitative research conducted
to build a sound knowledge base for nursing practice. Specific Purposes of Nursing Research

1990 – Outcomes research is conducted to examine 1. Identification/clarification


both short-term and long-term results of health care,
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2. Description- It observes, defines and documents 3. Generalization. Findings are deemed to have an
nursing situations inquiry applicability to entire population.

- Determine the relationship between and among 4. Intensive. In-depth approach used to ensure that all
the variables investigated. possible loopholes in the study are covered.

3. Exploration. It answers “what” questions on the Roles of Nurses in Research


phenomenon.
1. Principal Investigators
4. Explanation- ask “why” a phenomenon occurred. 2. Member of a Research Team
3. Evaluator of Research Findings
5. Prediction and Control
4. Consumers of Research Findings
-Prediction. Research projects situations or events that 5. Client Advocates in a Research Study
could arise from research investigation. 6. As Subjects of Research

-Control. Research puts up a barrier to hinder or


minimize the effects of anticipated outcomes or Hallmarks and Qualities of Good Nurse Researchers
reactions
1. Honest and Credible
Characteristics of Research 2. Accurate in Data Collection
3. Organized and systematic
1. Orderly and Systematic/ordered sequence of 4. Logical
steps: 5. Self-awareness
a. Identify the problem 6. Imaginative and Curious
b. Determine the purpose of the study 7. Persistent with Barriers
c. Review of Related Literature 8. Establishes good relationships with respondents
d. Theoretical/Conceptual Framework and other researchers
e. Study assumptions 9. Updated and informed of present issues and
events
Steps…….
II. Ethical considerations in Research,
f. Acknowledge the limitations of the study
Kinds of Research, Variables
g. Formulate the null hypotheses
Ethical principles and guidelines in research
h. Define the study variables
When humans are used as study participants, care must
i. Choice of research design be done to protect their rights.

j. Identify the Target Population ▹ Informed consent

k. Choose the study Samples ▸ Participants must have a power of free


choice to voluntarily consent or decline
l. Conduct the field Test participation in the study.
Characteristics of Nursing Research ▸ If the patient cannot give consent
1. Control. Researcher identifies and eliminates specific because of being a minor, or in cases
constraints or limitations to ensure precision and when the individuals who are incapable
validity of results. (physically disabled, terminally ill,
pregnant or breastfeeding mother and
2. Empirical. Objective data/reality as sources of children (Polit and Beck, 2009) a family
knowledge.
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member or legal representative can ▸ Anonymity and confidentiality –


give informed consent. exercise prudence in making
pronouncements in revealing the
▸ Children who are 7 years and above are
results of the study.
required to give their assent, or consent
given by a child. But still the consent of ▸ Right to intellectual property – “no
parents or guardian is necessary (Tan, plagiarism” or presenting the ideas and
2011). words of another as your own.

Beneficence and Nonmaleficence ▸ RA 8293 (Philippine Copyright Law


protect the intellectual property rights
▸ Beneficence – “to do good”
of authors and artists
▸ Nonmaleficence – to do no harm

Under this principle are the following issues:


THE RIGHTS OF HUMAN SUBJECTS
2.1. Freedom from physical and psychological harm
▹ To receive a description of any alternative
The researcher must prevent injury and discomfort.
procedures, drugs, or devices that might be
Anticipate any unforeseen eventualities and events
helpful, and their risks and benefits compared
2.2. Freedom from exploitation- Being safe from to the proposed, drugs or devices.
situations that expose participants, researchers and
▹ To be told of what sort of medical treatment, if
research assistants to threats and liabilities
any, will be available if any complications
Respect for dignity should arise.

▹ The right to self-determination ▹ To be given a chance to ask any questions


concerning the research study both before
No undue pressure or coercion such as penalty for not agreeing to participate and at any time during
participating or excessive rewards to those who the course of the study.
participate
▹ To refuse to participate in the research study.
▹ The right to full disclosure Participation is voluntary. You may refuse to
Fully explain to the participant the nature, purpose of answer any question or discontinue your
the study and their right to refuse to participate, and involvement at any time without penalty or loss
the researchers’ responsibilities and the potential risk of benefits to which you might otherwise be
and benefit of the study. entitled. Your decision will not affect your right
to receive the care you would receive if you
Do not conceal information, or give false information were not in the experiment.

▹ To receive a copy of signed and dated written


Show respect to the participants attending to their consent form and a copy of this form.
emotional rights and nature of interaction
▹ To be given the opportunity to freely decide
Debriefing session is a way to communicate respect whether or not to consent to the research study
especially when data collection is stressful. without any force, coercion, or undue influence
▹ Justice and fairness Kinds of Research
▸ The right to fair treatment – provides all  According to the points of view or purpose:
target participants equal chances in the
selection process
NURSING RESEARCH-LECTURE-PRELIM

1. Basic research is under taken to extend the base of


knowledge or refine a theory Purpose Explores Evaluates objectives
human and examines cause
⬞ Usually suggests for experiences and effect
clinical applications
Data Thematic Mathematical/
2. Applied research - focus on finding solutions
analysis analysis statistical
⬞ Applied research poses
questions from basic Sampling Purposive / Random sampling
research technique based on
criteria

 According to measurement of variables or ▹ According to levels of


statistical content: investigation/explanation:

⬞ Quantitative - uses reliable methods of 1. Descriptive – a non-experimental study


measurement which has been in which the purpose is to observe,
developed (purpose is to evaluate, describe and document the aspect of
examine, assess, compare). the situation as it naturally occurs and
sometimes to serve as a starting point
⬞ Qualitative – Narrative and subjective in for hypothesis generation of theory
nature. (Purpose is to explore, development.
understand, discover, develop,
describe) 2. Exploratory- It is the study of the full
phenomenon, the manner in which it is
manifested and the other factors to
QUANTITATIVE VS. QUALITATIVE RESEARCH which it is related are explored and its
STANDARD QUALITATIVE QUANTITATIVE hidden meanings are determined.
Researcher’ Personally Least involvement 3. Experimental – researchers actively
s engaged
introduce intervention or treatment.
involvemen
This study is designed to test causal
t with the
participants relationship
of the study OUTLINE OF THE RESEARCH PAPER
Expression Verbal Numerical/statistics
of data language ▹ Title page
▹ Approval sheet
Research Takes place as Plans all research ▹ Abstract
Plan the research aspect before ▹ Acknowledgement
proceeds collecting data ▹ Table contents
gradually ▹ List of Figures
▹ List of Tables
Researchers Desires to Controls or ▹ List of Appendices
behaviour preserve the manipulate research
presearch natural setting conditions
conditions CHAPTER 1
Obtaining Multiple Scientific method THE PROBLEM AND ITS SETTING
knowledge methods
▹ Introduction (1.5 pages)
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▹ Statement of the problem (Interrogative ▹ Labels of tables located at the upper left corner
format) Interpretation of the table
▹ Interpretation of the table
▹ Hypothesis
▹ Analysis of the interpretation must be backed
▹ Scope and delimitation up by references , Cite references properly.
State other researches that either confirm or
▹ Significance of the study have a different result from your findings
▹ Theoretical/ conceptual framework

▹ Research paradigm CHAPTER 5


Summary of Findings, Conclusions and
▹ Definition of terms (defined operationally Recommendations
CHAPTER 2 ▹ Summary
REVIEW OF RELATED LITERATURE AND STUDIES ▹ Conclusions
▹ Review of related literature (Sub titles are ▹ Recommendations
written as side headings)
▹ REFERENCES
▸ Literature related to the independent
variable ▹ Books
▸ Literature relates to the dependent ▹ Unpublished materials
variable ▹ Journals and magazines
▹ Related studies (Must be at least a minimum of ▹ Handouts, Pamphlets and brochures
10 related studies , 5 local and 5 foreign ▹ Electronic sources
studies) ▹ Journals and Magazines
▹ Theses and Dissertations
▹ Synthesis (include the research gap) ▹ Appendices/Exhibits
▹ Curriculum Vitae
CHAPTER 3
METHODOLOGY
Variables
▹ Nature of the Study
▸ Research Design ▹ Are measurable qualities of people, things,
▹ Population and sample events or situations under study that vary from
▹ Research locale one subject or participant to another
▹ Sampling design
▹ Research instrument TYPES OF EXPLANATORY VARIABLES
▹ Bioethical considerations 1. Independent variable
▹ Data gathering procedure
▹ Plan for data analysis  Also called experimental, causal,
treatment or stimulus variable. The
factors that are being manipulated by
CHAPTER 4 the researcher.
DATA PRESENTATION, INTERPRETATION AND
ANALYSIS 2. Dependent variables

Entries on this chapter are based on the order to the  criterion, effect, response, outcome
statement of the problem. variable. They are factors that are
affected or influenced by the
▹ Textual description of the table independent variable.
NURSING RESEARCH-LECTURE-PRELIM

3. Extraneous variables 2. Background – the nature of the problem. Is the


problem serious? Who are affected?
 Not the direct focus of the study but
affect the result to a certain extent 3. Scope – how big is the problem? Is the problem
widespread? How many are affected (statistics).
Variables that are quantitatively measured and
How often the problem occur?
statistically tested in the hypothesis
4. Consequences of the problem – the cost of not
fixing the problem

5. Knowledge gaps – what information about the


problem is lacking, Why does it remain a
problem?

6. Proposed solutions – the basis for believing


that the proposed study would contribute to
the solution of the problem.

iii. COMPONENTS OF A RESEARCH


Purpose of the Study (Aim/Goal)
MANUSCRIPT
1. Includes the statement of purpose,
which reflects the major problem and
Title of the Study the specific objectives. It presents the
rationale or justification of the inquiry.
‧ Gives the idea of what the research is
all about 2. It consists of: The major problem or the
‧ Must be clear, concise and consist of goal of the study.
not more than 15 words. 1. Requires broader
‧ Must reflect THE VARIABLES AND solution or long-term
POPULATION OF THE STUDY. The inquiry.
intervention/s, the effect and
population of the study PURPOSE OF THE STUDY ( RESEARCH QUESTION)
Introduction
– usually in one to two sentences and tells the general
‧ Brief discussion of the rationale and direction of the inquiry.
background of the problem or subject
‧ ... the purpose of the study is...
of inquiry. Must stimulate the readers’
interest. ‧ It suggests the manner in which the
researcher will solve the problem or
‧ Set the stage for the presentation of the
state the knowledge on the topic.
statement of the problem
╸ Uses verbs like :

‧ to explore, to describe, to understand,


THE SIX COMPONENTS OF A BACKGROUND OF THE
discover, develop, generate ( connotes
PROBLEM (background of the study)
an investigation of little researched
1. Problem identification – what is wrong with the topic/ exploratory or descriptive)
current situation? What are the evidences of
‧ to test, to evaluate the effectiveness, to
the existence of the problem.
examine, to assess, to compare
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(suggests an existing knowledge base, ‧ The scope of the study must be well
quantifiable variables and research defined. The scope of the sample
designs with scientific controls) population must be delimited or
narrowed down to the target
PURPOSE OF THE STUDY
population.
‧ Consists of two parts:
‧ Sampling must be reliable enough to
‧ The main problem ensure reliable results

‧ The statement of the problem ‧ Limitations of the study are ensured.


or objectives (must be worked
‧ Variables should be factual and
out to solve the main problem.
hypotheses is derived from theory can
‧ Must be stated clearly be validly supported and tested.

‧ It indicates the population and the ‧ AVOID:


major variables of the study which are
‧ Broad, general findings instead
the subject of observation.
of specific information needed
‧ Research problems can be stated in for their solution.
declarative as well as in interrogative
‧ Shallow inquiries
form.
‧ Statements that elicit emotional
‧ It suggests the manner in which the researcher
reaction.
will solve the problem or the type of research to
be done. ‧ Avoid problems that cannot be
observed and tested through
‧ Example:
empirical scientific investigation
‧ to explore, to describe, to
‧ Statement of the problem (SOP)
understand, discover, develop,
generate ‧ They are drawn from the major
problem (or goal of the study) and their
‧ to test, to evaluate the
answers lead to the solution of the
effectiveness, to examine, to
major problem or goal of the study.
assess, to compare
‧ Has the following characteristics
‧ to demonstrate or to show
(SMARTER):
something – suggests bias and
should not be used in a ‧ Specific
statement of purpose ‧ Measurable
‧ Attainable
‧ The Statement of the Problem (SOP) or
‧ Realistic and results oriented
objectives of the study must be well stated
‧ Time bound
because this will determine the research
‧ Evidence based
design. The researcher must observe the
‧ Rewarding
following:
Example :
‧ Variables must be clearly identified and
stated. Statement of variables must be
always grammatically correct to avoid
confusion
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‧ Defined based on observable


terms in the context of the
situation being investigated.

‧ The objective, practical and


functional meaning of the word.

‧ Definition taken from empirical


data, related literature,
research studies, established
theories.

‧ Operational definition can be


denotative or connotative

‧ Denotative – definition in terms


╸ Definition of Terms
of what the concept is or what
‧ Explains the meaning of variables used it represents (literal meaning)
in the study.
‧ Connotative – definition based
‧ Why should variables be defined: on implications and
associations one makes with
‧ It will quantify and qualify the the variable.
variables
3. Lexical definition
‧ Makes the meaning clear and
prevents readers’ ‧ Are definitions taken from
misconception authorities on the subject or
terms being defined. It should
‧ Directs the reader to the be written with citations
meaning of words according to
researcher’s interpretation. ╸ Definitions supplied by the researcher are
needed so the reader may know what the
╸ Three types of definitions: researcher mean about the concepts or
‧ 1. Conceptual definition – variables.

‧ definition that is universally ╸ The variables are open to interpretations so it


understood. It refers to the should be the researcher’s meaning of the
subjective, theoretical, textual variable so that the reader can understand the
meaning of the word. meaning intended by he researcher.

‧ Taken from the dictionary, Kinds of variables


related literature and A. Explanatory variables
authoritative sources.
‧ the focus of research that indicates
‧ 2. Operational Definition – direction of influence to what the
‧ The researcher’s own researcher would like to discover.
definition of terms. TYPES OF EXPLANATORY VARIABLES

1. Independent variable
NURSING RESEARCH-LECTURE-PRELIM

 Also called experimental, causal,


treatment or stimulus variable. The
factors that are being manipulated by
the researcher.

2. Dependent variables

 criterion, effect, response, outcome


variable. Factors that are affected or
influenced by the independent variable.

3. Intervening variables or mediating

 Influence the effect of the independent


variables on the dependent variables

4. Moderator variable

 The independent variables interact with


the moderator variable which makes Scope and Delimitations
the relationship of the independent and ‧ Constraints and restrictions in the study
dependent variable weaker or stronger which may decrease the credibility and
(interferes with the result) generalizability of the findings
Significance of the Study ‧ Delimitations set parameters by
‧ the importance, responsiveness or accepting what should be included and
relevance of the expected outcomes of rejecting what should be excluded.
the investigation and its probable ╸ Delimitations include the following:
effects on theory or practice.
‧ Scope or coverage
‧ It will emphasize the significant
contribution of the proposed research ‧ It spells out the study in terms
study to its target population, to the of participants, the situation,
different sectors members of the health treatment, sampling and time
care team, to the profession and its frame. The who, what, how
implication to future researchers. when, where and why is
clarified.
‧ What gap in knowledge will it fill in.
What is unknown which this study can ‧ Expected manageability of the
make known. problem

‧ Takes into account the internal


and external constraints that
may affect the validity and
reliability of the findings.

‧ Limitations of the study

‧ Unforeseen weaknesses in
methodology and design,
exclusion of certain sectors of
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the population, statistical to the topic of the study or the


treatment and analysis, failure problem being investigated.
to get representative sampling
must be clearly stated.
What is related literature
‧ It consist of pertinent readings published or
╸ State the purpose of the study unpublished data-based research, reports or
╸ Treatment (plant)/ source of plant articles in local or foreign setting that supports
╸ Subjects/ test animals (Number of animals ) the study. It will provide discussions of facts,
╸ Place of experimentation principles, trends and practices to which the
╸ Tests done (standard test or confirmatory tests) present study is related.

‧ The sources of these literatures consist of


books, articles, pertinent documents,
publication, speeches, programs, theses and
dissertations. All empirical investigations should
be built on previous knowledge taken from
these sources.

TYPES OF RELATED LITERATURE

1. Conceptual or theoretical literature

‧ Non research reference materials


written by authorities on the subject.

HYPOTHESIS 2. Research or Empirical Literature


RESEARCH FRAMEWORK ‧ Consist of theses and dissertations
published or unpublished also called
data based literatures.
Review of Related Literature
‧ Taken form journals or books and
‧ This is not a mere summary of the published or unpublished studies
articles or abstract related to the
research problem. Purposes of related literature

‧ It provides an evidence-based 1. Demonstrate the researcher’s grasp of


research proposal issues

‧ It allows the researcher to 2. Reflect researchers’ awareness of


determine what has happen in recent developments
situations similar to what 3. The researcher can gain a frame of
he/she intends to study. It sets reference
the foundation of the rest of
the study. 4. Have a view of previous researches. The
similarities and differences of related
‧ Review of literature pertains to researches to current research
all readings related to the study
while review of related studies 5. To discover findings that can have a
refers to researchers, theses bearing on the current research
and dissertations made similar
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6. Helps determine the research ability  The hypothesis not the research problem but is
and feasibility of current study. subjected to empirical testing through data
collection and analysis.
7. Reveals research methods and
techniques, good source of procedure - Research problems that are experimental, causal,
for data gathering, clues on sequence of comparative, correlational or normative need
research activities to be pursued and hypothesis for their in-depth solution.
clues to ensure accuracy and
 The hypothesis is based on the literature review
effectiveness to data analyses.
and theoretical framework, theories, concepts and
8. Link the findings of previous researches principles that support the study.
to results of current study.
 Hypothesis is stated in declarative form.
9. Defines terms and suggest assumption
 Wordings in the hypothesis is Clear and concise
10. Promotes critical thinking and critical and must be in present tense.
reading skills
 The hypothesis indicates the population, the
HYPOTHESIS independent variable, dependent variable and the
anticipated relationship between them.
Hypotheses are based on theories that are proposed
and tested with reality. They are tentative statements Characteristics of hypothesis
that propose a possible explanation to some  Testability – observable, quantifiable capable of
phenomenon or event. analysis
They are statements that translate the problem into - NOT testable when:
precise, unambiguous predictions of expected
outcomes  Variables are not observable, quantifiable cannot
be subjected to factual testing and analysis
A shrewd guess or inference. They are statement
expectations regarding the relationship between and  Variables do not state any predicted relationship.
among variables under investigation.
 If a hypothesis lacks a phrase such as more than,
(Polit and Beck, 2008) less than, greater than, different from related to.
Associated with or something similar, it is not
FORMULATING AND WORDING testable.
THE HYPOTHESIS
 Clarity
 Qualitative studies do not have hypothesis. They
are guided by research questions.  Verifiable

 Quantitative studies, experimental studies and - States anticipated relationship


some descriptive studies require hypotheses to
 When stating relationship between variables, use
explain the value and meaning of the
terms such as more than, greater than, significantly
phenomenon.
or not significantly related, significantly or not
 Do your review of literature and theoretical significantly different from
framework before making a hypothesis. The later
- Set the limits of the study
serves as your basis for making your hypothesis.
- Can be accepted or rejected.

 Formulated in simple and understandable terms


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 Corresponds to existing knowledge  Most scientific studies utilize null hypothesis.

- Logical and justifiable – consistent with a body of  Testing the hypothesis is the HEART of the
knowledge empirical investigation and for it determines the
solution to the research problem.
- Based from the research problem
 Influenza patients that manifest optimism will heal
Types of hypotheses:
faster.
Simple vs. Complex
 Among babies in the nursery, length and frequency
1. Simple : - one independent and one dependent of the crying is related to length of human contact.
variable
 The number of traditional doctors are related to
2. Complex – the distance of the barrio from the barangay health
center.
- two independent variable and one dependent variable
 Women who marry late tend to have small spacing
- one independent variable and two dependent variable between their children.
directional vs. Non directional

1. Directional

 specifies clearly the characteristics of the variables

- older professionals are less likely to accept expanded


roles than younger health professonals .

2. Non directional

- Health professionals in the hospital are less likely to


accept expanding role than Health professionals in the
community.

Research or alternative hypothesis vs statistical or null


hypothesis

1. Research or alternative hypothesis

 There is a significant relationship between


maternal heroin addiction and birth weight of
infants.

2. Statistical or null hypothesis

 There is no significant relationship between heroin


addiction and birth weight.

Advantages of null hypothesis

1. Scientific

2. Reflects the impartiality of the researcher

3. Minimizes research bias

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