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The Nurse as Research Consumer

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Sulaimi Silva

on 18 March 2014

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Transcript of The Nurse as Research Consumer

Using Research in Practice
Critiquing research reports
Polit and Beck, dimensions when
conducting research critiques
Substantive and theoretical
Methodologic
Ethical
Interpretive
Presentation and stylistic

Evidence-Based Practice (EBP)
Sound knowledge base is necessary for
decision making in practice
Traditional sources
Authority
Experience of trial and error
Logical reasoning and application
of research
Challenges and Opportunities
Gap between research and practice
Implementing practice changes
Providing high-quality care with
accountability
Confidence in decisions based on
scientific evidence
The Nurse as Research Consumer
Empirical Nursing Knowledge
Comes from scientific evidence developed
through research
Includes order and control and allows for generalization of results

Ways to access empirical knowledge
Learn about research methods
Use systematic reviews conducted by
expert groups

Purpose of Scientific Research
Description
Exploration
Explanation
Prediction
Control

Research in Nursing
Directed toward building knowledge about
human responses to health problems
Human responses to health problems
may be
Reactions
Concerns
Nursing perspective
Views client as a whole person
Implies 24 hour care

Roles in Research
All nurses share a commitment to
the advancement of nursing science
Nurses in clinical practice can identify
the problems in need of investigation
Support the research process
Assist with data collection and analysis
Requirement in baccalaureate level
education


Historical Perspective
Florence Nightingale demonstrated the
importance of research in nursing care
Isabel Stewart integrated research into
the graduate nursing curriculum
Publication of many research journals to
communicate nurses’ research

Ethical Concerns
Advocate for clients’ rights
Participation must be voluntary
Must safeguard patient rights
Not to be harmed
Full disclosure
Self-determination
Privacy and confidentiality

Approaches in Nursing Research
Quantitative – Precise measurement for data collection and analyzes numerical data
Qualitative – Narrative data that describe the phenomena in an in-depth and holistic fashion

"Hard Science"
Steps in the conduct of research:
Identify the problem
Search the existing literature
Primary or Secondary source
Identify specific research questions or hypothesis
Operational definition of the variable

Transitional Research
WICHE and CURN projects promote
Dissemination and utilization of nursing
research
Four stages before adopting research-based
ideas or practices
Knowledge
Persuasion
Decision
Implementation

Inhibitors and Facilitators of Research Utilization
Inhibitors
Barriers to evidence-based practice:
Clinician
Environmental

Facilitating factors
Systematic approach
Administrative support
Newsletters
Research meetings
Continuing education programs
Computer networks
Research study guidelines

Broader than research utilization
Recognizes other sources of evidence
Reliable data from quality improvement programs
Evaluation projects
Consensus of experts
Clinical experience

Hierarchy of evidence:
Stetler Hierarchy of Evidence
Melynk and Fineout-Overholt’s Rating for Hierarchy of Evidence

Evidence should be ranked as excellent, good, fair, or poor on
three criteria
Effectiveness/usefulness
Appropriateness/applicability
Feasibility/cost benefit

Nurse can reach one of several conclusions and decide
To implement a protocol
To not use evidence in practice
Mechanisms of application of research to practice
Individual action
Research-based protocols
and procedures

EBP
Questions
Question #1
Identify the two major approaches in Nursing Research?
a) Quantitative
b) Patient centered
c) Qualitative
d) Logical Reasoning

Question#2
Questions#3:
Questions#4:
Answers: a&c
Answers: b
Answers: True
Answers: a
Sulaimi Silva
Tania Gomez
Sandra Jacomino

Reference
Blais, K. K., & Hayes, J. S. (2011). The nurse as research

consumer.
Professional Nursing Practice:

Concepts and Perspectives
(6th ed.). 183-197.

New Jersey, NJ: Pearson


Data collection is done according to
three categories:
Biophysiologic measures
Observation
Self-report by study participants
or subjects



Which of the following is not a criteria to
rank evidence as excellent, good, fair, or
poor?
a) Effectiveness/usefulness.
b) Popularity.
c) Appropriateness/applicability.
d) Feasibility/cost benefit
Assist with data collection and analysis is
one of the roles of nursing in research. Is it
True or False?

Which of the following are facilitating
factors for research utilization?
a) Administrative support, Continuing
education programs, Research study
guidelines.
b) Clinician and environmental barriers.
c) Gap between research and practiced.
d) Nursing decision to not use evidence
in practice
Full transcript