In a Cohort Study, subjects are enrolled or grouped on the basis of their exposure, then are followed to document occurrence of disease. Differences in disease rates between the exposed and unexposed groups lead investigators to conclude that exposure is associated with disease. In an observational study, the investigator does not intervene and rather simply “observes” and assesses the strength of the relationship between an exposure and disease variable.
Cohort studies offer specific advantages by measuring disease occurrence and its association with an exposure by offering a time dimension (i.e. prospective or retrospective):
Cohort studies are particularly advantageous for examining rare exposures because subjects are selected by their exposure status. Additionally, the investigator can examine multiple outcomes simultaneously. Disadvantages include the need for a large sample size and the potentially long follow-up duration of the study design resulting in a costly endeavor.
Bias:
Experimental research works to provide strong evidence to prove hypothesis about a causal relationship between independent and dependent variables. It is a method borrowed from the physical and natural sciences and is characterized by three components: manipulation, control, and randomization.
Experimental research roughly consists of five phases:
Like quasi-experimental research, experiments are dependent on probabilities, meaning they can only present the probability that one thing causes another. Thus, experiments cannot claim to be able to prove a single effect will always be the result of a single variable.
Looking for additional readings on or examples of experimental research? Click the image below or here for a list of relevant resources.
Abraham, I., & MacDonald, K. (2011). Experimental research. In J. J. Fitzpatrick, Encyclopedia of nursing research (3rd ed.). New York, NY: Springer Publishing Company. Retrieved from http://ezproxyles.flo.org/login?url=https://search.credoreference.com/content/entry/spennurres/experimental_research/0?institutionId=1429
experimental method. (2006). In B. S. Turner (Ed.), Cambridge dictionary of sociology. Cambridge, UK: Cambridge University Press. Retrieved from http://ezproxyles.flo.org/login?url=https://search.credoreference.com/content/entry/cupsoc/experimental_method/0?institutionId=1429
Colorado State University Writing Center. Experimental and Quasi-Experimental Research. Retrieved from https://writing.colostate.edu/guides/guide.cfm
While it can be used as both a qualitative and quantitative method, descriptive research is typically classified as the latter for its focus on gathering quantifiable data to statistically analyze a target group, concept, or phenomenon. These studies make use of the following tools:
• surveys
• measurement tools
• chart or record reviews
• physiological measurements
• meta-analyses
• secondary data analyses
Descriptive research is used when there is very little information available about a phenomenon or to increase understanding of a well-research phenomenon by providing a new perspective. It has minimal interpretation to keep its findings objective, and thus more readily accepted as a factual representation.
Looking for additional readings on or examples of descriptive research? Click the image below or here for a list of relevant resources.
Descriptive research. (2010). In A. B. Powers, Dictionary of nursing theory and research (4th ed.). New York, NY: Springer Publishing Company. Retrieved from http://ezproxyles.flo.org/login?url=https://search.credoreference.com/content/entry/spnurthres/descriptive_research/0?institutionId=1429
Tarzian, A. J., & Zichi Cohen, M. (2011). Descriptive research. In J. J. Fitzpatrick, Encyclopedia of nursing research (3rd ed.). New York, NY: Springer Publishing Company. Retrieved from http://ezproxyles.flo.org/login?url=https://search.credoreference.com/content/entry/spennurres/descriptive_research/0?institutionId=1429
Randomized Control Trials (RCT) are trials in which subjects are randomly assigned to one of two groups: one (the experimental group) receiving the intervention that is being tested, and the other (the comparison group or control) receiving an alternative (conventional) treatment. RCTs can demonstrate the superiority of a new treatment over an existing standard treatment or a placebo.
In clinical research, RCTs are the gold standard for ascertaining the safety and efficacy of new treatments. The basis of every RCT is the study protocol that describes the medical/scientific background, the risk: benefit assessment, the study design, the study methods, and the overall planning, conduct and analysis.
Bias can be mitigated but never truly eradicated. Ways to mitigate bias:
If only one party, either patient or study physician, is blinded to the treatment, the study is called single blind; a study with no blinding is described as open. The highest possible degree of blinding should be chosen to minimize bias.
RCTs in surgery are subject to their own particular challenges and sets of biases - typical caveats of surgical trials include limitations such as low external validity (poor generalizability), difficulty of blinding patients and investigators, co-intervention bias, lost-to-follow-up bias, and performance bias.
Quasi-experimental research (also known as causal-comparative research) seeks to determine cause-and-effect relationships between two or more variables. While similar to the experimental research design, quasi-experimental differs in that there is no control group, no random selection, no random assignment, and/or no active manipulation. Essentially, quasi-experimental is an experimental design that is restricted by a lack of manipulation of one of the components, yet still seeks to determine a casual relationship between variables.
Like experimental research, quasi-experiments are dependent on probabilities, meaning they can only present the probability that one thing causes another. Thus, quasi-experiments cannot claim to be able to prove a single effect will always be the result of a single variable.
Looking for additional readings on or examples of quasi-experimental research? Click the image below or here for a list of relevant resources.
Abraham, I., & MacDonald, K. (2011). Quasi Experimental research. In J. J. Fitzpatrick, Encyclopedia of nursing research (3rd ed.). New York, NY: Springer Publishing Company. Retrieved from http://ezproxyles.flo.org/login?url=https://search.credoreference.com/content/entry/spennurres/quasi_experimental_research/0?institutionId=1429
Colorado State University Writing Center. Basic concepts of Experimental and Quasi-Experimental Research. Retrieved from https://writing.colostate.edu/guides/page.cfm?pageid=1361&guideid=64
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