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430  n  QuANTITATIvE RESEARcH



           multiple  dimensions  of  QOl  and  health   summarize  study  data,  to  determine  sam-
           status  and  may  replace  the  need  for  using   pling error, and in studies in which hypoth-
   Q       multiple  QOl  instruments  in  research  and   eses  are  tested,  to  analyze  whether  results
           practice.  Applications  of  the  KccQ  have   obtained  exceed  those  that  could  be  attrib-
           been  made  in  research,  quality  assessment,   uted  to  sampling  error  (chance)  alone.  The
           and clinical practice (Heidenreich et al., 2006;   important  role  of  statistical  methodology
           Hertzog, Pozehl, & Duncan, 2010; Soto, Jones,   in quantitative research should not obscure
           Weintraub, Krumholz, & Spertus, 2004). The   the  fact  that  other  methodologies  and  sci-
           emphasis  for  future  nursing  research  must   entific  disciplines  play  important  roles  in
           include  measures  that  can  be  used  to  sup-  nursing  research.  These  methods  are  used
           port  clinical  decision  making  in  improv-  in  the  delineation  of  research  questions
           ing patients’ QOl in health and illness and   and  hypotheses,  exposition  of  conceptual
           to  provide  the  underpinnings  for  health   frameworks and hypotheses, design of data
           care policy and reimbursement decisions in   collection instruments and tools, and inter-
           an  era  of  health  care  reform  and  economic   pretation of study data, particularly determi-
           uncertainty.                             nation of the clinical significance of the data
                                                    and dissemination of findings.
                                      K. M. Reeder      Much of the history of nursing research
                                                    involves  quantitative  research.  Florence
                                                    Nightingale,  who  was  a  skilled  statistician,
                                                    used quantitative measures to describe and
               Quantitative ReseaRch                evaluate hospital performance (Nightingale,
                                                    1858). Studies of nursing in the united States,
                                                    beginning  in  the  1940s,  used  quantitative
           Quantitative research consists of the collec-  techniques  to  survey  and  analyze  nursing
           tion, tabulation, summarization, and analysis   education  and  supply  and  distribution  of
           of numerical data for the purpose of answer-  nurses. In the 1960s, with support from the
           ing  research  questions  or  hypotheses.  The   federal  government,  research  in  nursing
           term quantitative research is of recent origin and   began  to  use  advanced  research  designs,
           is distinguished from qualitative research in   such as controlled experiments, which made
           design, process, and the use of quantification   extensive  use  of  quantitative  tools,  tech-
           techniques to measure and analyze the data.   niques, and processes.
           The vast majority of all nursing studies can   Quantitative  data  collected  in  quan-
           be classified as quantitative.           titative research are obtained by the use of
              Quantitative  research  uses  statistical   measurement scales. There are three distinct
           methodology at every stage in the research   types of scales: nominal, ordinal, and contin-
           process. At the inception of a research pro-  uous. Nominal scales consist of two or more
           ject,  when  the  research  questions  are  for-  ungraded  or  unranked  categories  of  vari-
           mulated,  thought  must  be  given  to  how   ables, such as eye color (green, blue, brown)
           the  research  variables  are  to  be  quantified,   or political affiliation (Republican, Democrat).
           defined, measured, and analyzed. Study sub-  Ordinal  scales  possess  categories  that  are
           jects are often selected for a research project   ranked or graded from high to low, small to
           through  the  statistical  method  of  random   large, near to far. Graded scales, such as the
           sampling, which promotes an unbiased rep-  likert  and  Guttman  scales,  are  commonly
           resentation  of  the  target  population  among   used in nursing research to measure inten-
           the sample from whom generalizations will   sity of opinions, attitudes, and other psycho-
           be  made.  Statistical  methods  are  used  to   logical variables. When nominal and ordinal
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