4130 Chapter 1 & 2: Role of Research in Nursing & Theoretical Framework

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4130 Chapter 1 & 2: Role of Research in Nursing & Theoretical Framework
2012-06-24 20:43:42
4130 research

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  1. What is research?
    systematic process of collecting, analzying, and interpreting information (data) in order to increase our understanding of the inquiry we're interested in
  2. Evidence based practice?
    conscious and judicous use of "best" evidence for patient care and health care system delivery.

    it's multifaceted and context specific

    • made up of:
    • -theory and research
    • -cost-effectiveness
    • -pt risk factors, preference, & values
    • -clinician skills & resources
    • -expert opinion
    • -clinician experience & judgement
  3. Research Utilization?
    • Enables knowledge obtained from research to be transformed into clinical practice
    • The use of research findings
    • Other terms used are research:
    •   -uptake
    •   -transformation
    •   -dissemination
    •   -translation
    •   -transer

    Definition: systematic method of implementing sound research-based innovations in clinical practice, evaluating the outcome, and sharing the knowledge through th eprocess of research dissemination 
  4. Why Conduct Research?
    • to expand nursing knowledge
    • to inform practice
    • to know because it's the only 1 way of knowing 
    • to understand, answer questions, solve problems relevant to nursing
    • to push the nursing profession forward
    • to provide credibility in the form of science (evidence) to nursing 
  5. Purpose of nursing research??
    • identification
    • description
    • exploration
    • explanation
    • prediction
    • control

    • =these purposes lead to various types of questions
    • -questions are amenable to quantitative (measurement) or qualitative (understand) research
  6. Four ways of knowing: Carper's 4 ways of knowing (1978)
  7. Other ways nurses know
    —Logical reasoning

    • —From experts within & outside of nursing who have
    • experience


    —Trial & error

    —Problem solving
  8. The triad: research, theory, & practice
  9. Nursing roles within the research process
    • 1. consumer
    • 2. observer of problems in practice that require investigation. Research stems from problems or concerns in nursing practice
    • 3. research team member
    • 4. primary investigator or co-invenstigator
    •   -masters/doctoral nurses may initiate and conduct research      studies
    •   -doctoral: apply for funding, participate on reserach teams, disseminate findings through publishing, theory building for phenomena, presentations, act as role models & mentors to other nurses
  10. Nursing roles within the research process
    • actively uses and applies research to practice
    • knows the research process
    • able to critique research accurately
  11. Hx of nursing research
    • 19th century
    • -Florence Nightingale: pioineer in data collection & analysis, health promotion, prevention, asepsis

    • 20th century
    • -strong focus on education of nurses
    • -university programs in 1920s
    • -masters programs in 1950ss
    • -doctorates in 1991

    • -1st nursing research project funded in 1964 by federal granting agency
    • -1st national conference in 1971 in Ottawa 
  12. Future directions
    • Future nursing research will focus less on nursing processes and more on health care delivery influenced by:
    • -community-based care
    • -health care disparities
    • -health promotion, risk reduction
    • -complex client care
    • -chronic illness
    • -high aging population
    • -quality and accountability
    • -& technology in health care 
  13. Canadian research priorities (3)
    • 1. nursing practice (context, populations, interventions)
    • 2. outcomes (valid measures)
    • 3. enhanced links bw research and practice (develop body of knowledge). Making research usable
  14. Review
  15. Critique
    critical evaluation of a research report's content, using a set of criteria to evaluate the scientific merit for application
  16. Consumer
    One who reads critically and applies research findings in nursing practice
  17. Research
    systematic inquiry into possible relationships among particular phenomena
  18. Clinical Research
    examination of the effects of nursing care on patient outcomes in a systematic process
  19. Basic research
    theoretical or pure research that generates tests and expands theories that explain phenomena
  20. Evidence based practice
    clinical practice based on the collection, interpretation, and integration of expert knowledge, research-derived evidence, and patient preferences
  21. research utilization
    implementation of a scientfically sound research-based innovation into clinical practice