Nursing esearch and Evidence-Based Practice
I requesting username BOLAVENS work. If, . These questions related NUSING ESEACH AND EVIDENCE-BASED PACTICE. refer book titled Nursing esearch: Generating assessing evidence nursing, IBM# 9781605477084 answers.
Discuss the differences between research, research utilization, and evidence-based practice. you may want to link this to the historical evolution of research in nursing.
esearch refers to the systematic process of searching and generating knowledge about a particular topic in order to reach conclusions. esearch utilization, on the other hand, is the process by which findings from research are used to guide practice. esearch utilization should, however, not be confused with evidence-based practice. Evidence-based practice is an extension of research utilization. It involves finding evidence of practice, considering patient and practitioner preferences, differences and values, and then making informed practice decisions. esearch utilization only involves applying findings of research to clinical practice. Evidence-based practice is built on research utilization whereby clinical…...
mlaReferences
Banks, J., Cramer, H., Sharp, D.J., Shield, J.P., & Turner, K.M. (2013). Identifying families' reasons for engaging or not engaging with childhood obesity services: A qualitative study. Journal of Child Health Care. doi: 10.1177/1367493512473854
Banks, J., Sharp, D.J., Hunt, L.P., & Shield, J.P. (2012). Evaluating the transferability of a hospital-based childhood obesity clinic to primary care: a randomised controlled trial. Br J. Gen Pract, 62(594), e6-12. doi: 10.3399/bjgp12X616319
Brewer, M. (2000). Research Design and Issues of Validity. In H. Reis & C. Judd (Eds.), Handbook of Research Methods in Social and Personality Psychology. Cambridge: Cambridge University Press.
Creswell, J.W. (2007). Research Design: Qualitative, Quantitative, and Mixed Methods Approaches. Thousand Oaks, California: SAGE Publications.
Nursing Research and EVP
Nursing Research & Evidenced-ased Practice
The objective of this study is to examine how evidence-based practice and nursing research are supported and implemented throughout the organization. Secondly, this study will examine the nurses' role in research and evidence-based practice, the steps sued for research and evidence-based practice and the model for evidence-based practice.
Role of Nurse in Research and Evidence-ased Practice
Evidence-based practice is a term that is used to define the "conscientious use of current best evidence in making decisions about patient care." (auer, 2010, p.1) Evidence-based practice is an approach for problem solving that incorporates the following:
(1) A systematic search for and critical appraisal of the most relevant evidence to answer a burning clinical question;
(2) One's own clinical expertise; and (3) Patient preferences and values (auer, 2010, p.1)
There are several steps involved in the evidence-based practice including: (1) examination of the research evidence; (2) obtaining information from research…...
mlaBibliography
Bauer, C. (2010) Evidence-Based Practice: Demystifying the Iowa Model. Oncology Nursing Society. Metro Detroit Chapter. Vol. XXV. Issue 2. Spring 2010. Retrieved from: http://metrodetroit.vc.ons.org/file_depot/0-10000000/0-10000/8013/folder/62252/Spring%202010%20Volume%20XXV%20Issue%202.pdf
Evidence-Based Nursing (nd) Nurse Groups. Retrieved from: http://i.nursegroups.com/nursing-article/evidence-based-nursing.html
Evidence-Based Nursing Position Statement (2012) Sigma Theta Tau International. Retrieved from: http://www.nursingsociety.org/aboutus/PositionPapers/Pages/EBN_positionpaper.aspx
In some cases there are administrative issues that are insurmountable and stand on the way of implementation of major researches in the nursing quarters (WHO egional Office for South-East Asia, 2006).
In some cases there are problems with the research itself and the suggested innovations. This can be in the form of inability to replicate the research findings, the methodologies used could be inadequate, availing results that are grossly conflicting and lack of justification of the results.
In other cases, the findings could be shelved due to the lack of proper communication to the targeted nurses or institutions. The communication could be too complicated and hence blurring the readability and clarity of the intention of the research.
Measures that have been taken to facilitate nursing research utilization
The measures that have been taken to ensure that the final outcome of the research is implementable and is implemented starts from the research planning, to the…...
mlaReferences
Current Nursing, (2011). Application of Theory in Nursing Process. Retrieved May 23, 2011
from http://currentnursing.com/nursing_theory/application_nursing_theories.html
Macguire J.M., (2006). Putting Nursing Research Findings Into Practice:
Research Utilization as an Aspect of the Management of Change. Retrieved May 23, 2011 from http://www.journalofadvancednursing.com/docs/jan_1989.pdf
Nursing esearch
The study is divided in three parts. The first part identifies the palliative care as an area of nursing research that has improved the patient's outcome. The second part discusses the difference and similarities between nursing process and research process. The final part reviews three articles that focus on the palliative care, nursing and research process, and the paper reviews the abstract of each article.
Identification of area of Nursing esearch that has Improved Patient Outcomes.
An area of nursing research that has improved patient's outcome in the United States is a palliative care. Palliative care is a specialized healthcare segment that prevents and minimizes the patients' suffering and pain. Patients suffering from end of life, curable and chronic illness can be placed under the palliative care to improve patient's quality of life. Moreover, the palliative care assists patients to integrate spiritual and psychological aspect of patient care. Essentially, serious illness…...
mlaReference
Akinsanya, J.A. (1988). Nursing Research -a demystifying Process. Nurse Education Today. 8( 5): 284 -- 288.
Klick, J.C. & Hauer, J. (2010). Pediatric Palliative Care. Current Problems in Pediatric and Adolescent Health Care. 40 (6): 120 -151.
Lauri, S. (1982). Development of the Nursing Process through Action Research.
Journal of Advanced Nursing. 7( 4): 301-307.
5 million U.S. patients develop HCS's that result in $5billion in costs and almost 00,000 deaths. It is amazing that in one of the most technologically advanced societies ever, 00,000 individuals lose their lives based on increased microbial and invasive infectious agents -- and that most of those affected (68%) are those that have been successfully treated for cancer (Siegel and Korniewica, 2007).
Transcultural and diversity in nursing is another topic that has been studied by working nurses. The need for study dealing with issues centering around multicultural issues within nursing is presented by authors Upvall and Bost based on the increase in the globalization of society, and its impact in the medical field. Healthcare, as well as other social service branches, are seeing a dramatic increase in the number of foreign and immigrant populations. Culture is an important factor that can make the greatest difference in promoting wellness, preventing illness,…...
mla11 (5): 643.
Upvall, M. And M. Bost. (2007). "Developing Cultural Competence in Nursing Students
Through Their Experiences With a Refugee Population." Journal of Nursing Education. 46(8):380.
Nurses in advanced roles -- practitioners, educators, and administrators -- have a 'professional and moral imperative' to conduct and/or promote ethically- and culturally-sound nursing research. One of the challenges presented to nurses is how research results are translated into practice, specifically, how reliable or applicable these results are when applied to a specific group or population with different views about medical/health care? It is in this kind of cases that a culturally-sound nursing research is critical and necessary. Deliberate consideration for a culturally-sound or -- applicable results or evidence would result to greater appreciation and support for nursing research, not to mention the benefits for nurses and patients alike as results/evidence are applied in practice to develop responsive and appropriate healthcare interventions (Kitson, 2008:2).
Inevitably, conducting nursing research also requires adherence to not only ethical research, but also to the Code of Ethics which nurses are professionally and morally beholden to.…...
mlaReferences
Douglas, M. (2009). "Standards of practice for culturally competent nursing care: a request for comments." Journal of Transcultural Nursing, Vol. 20, No. 3.
Kitson, a. (2008). "Evaluating the successful implementation of evidence into practice using the PARiHS framework: theoretical and practical challenges." Implementation Science, Vol. 3, No. 1.
Nursing esearch Problem
esearch in nursing
A research problem in nursing is normally referred to as the discrepancy between the knowledge that one has and the knowledge that one ought to know in order to solve a given nursing problem. Nursing research is central in the profession since it helps in forming the basis for the continued practice of the profession. This is because nursing research is predominantly focused on understanding as well as assessing the symptoms of acute and chronic illness, delayed onset of disability or diseases, trying to get the most sustainable approach to achieving optimal health as well as constant improvement of the clinical setting under which health care is provided (National Institute of Nursing esearch, 2003).
To this end therefore, there are various research problem sources that one can identify within the nursing fraternity or profession. These include experience of an individual or another's within the profession, the expanding…...
mlaReference
National Institute of Nursing Research. (2003). Making a Difference, NINR Research Results. Available from: http://ninr.nih.gov/ninr/news-info/Rudyshow2.pdf
Nursing Research
Develop a nursing research question
Does participation in an online community enhance compliance for type II diabetics?
Describe how the nursing research question addresses evidence-based practice.
Evidence-based practice requires treatment to be based upon rigorous, scientifically-validated tests. It also requires nursing treatment to be administered in a clinically appropriate, cost-effective manner (Pollit & Beck 2008: 4). This study would divide a study sample of recently-diagnosed type II diabetes into two groups, one of which would participate in a supportive online community for diabetics, the other of which would not. Glucose management, weight loss, and compliance with dietary modifications would be assessed at the end of the study. If the experimental group exhibited better outcomes, encouraging participation in such communities would be warranted.
Describe the differences between world-view paradigms and naturalistic paradigms.
Nursing paradigms are designed to improve the treatment for patients in the real world. For much of nursing research positivist paradigms have dominated.…...
The specific tile of the article is as follows: Zahr, Lina Kurdali (1998). Therapeutic play for hospitalized preschoolers in Lebanon. Pediatric Nursing. 24(5), 449.
Research Question. One of the most important tenets of quantitative research is to present a well developed research question followed by a testable null hypothesis. Unfortunately the author of this particular article did not present the reader with a research question. Had the research investigator presented a research question it would have been similar to the following: To what extent does there exist statistically significant differences in anxiety levels between pre-school children receiving surgery as a result of therapeutic play intervention before surgery compared to those pre-school children who do not receive therapeutic play intervention? However, the author did inform the reader of a testable hypothesis but the hypothesis statement was not in keeping with best-fit research practice as it is not stated in null form…...
Nursing esearch Utilization Project Proposal: Hospital Noise
The level of noise in a hospital is a serious issue for the nurses and the patients. Surveys have been created in an effort to determine if the noise is bothersome, what kinds of problems it causes, and whether there is anything that can be done about the noise levels. It is important not only to identify the problem, but to determine what can be done so that the problem is mitigated as much as possible. Here, the problem of noise in the hospital is discussed, and from that point the issue of how to address and correct it is brought into play. There are many ways in which noise in a hospital can be reduced, including better and heavier screens for patient privacy, signs and warnings for people to keep quiet, machines that alert in other ways as opposed to noise, and equipment…...
mlaReferences
Anderson, F.W., & Hardley, L. (2009). Guidelines for Setting Measurable Public Relations Objective. Retrieved from http://www.instituteforpr.org/wp-content/uploads/Settings_PR_Objectives.pdf
Mazer, S. (March-April, 2006). Stop the Noise: Reduce Errors by Creating A Quieter Hospital, Environment. Biomedical Instrumentation & Technology, 40(2): 145-6
Miller, H. (2006). Sound Practices Research Summary. Retrieved from http://www.hermanmiller.com/content/dam/hermanmiller/documents/research
Reiling, J., Huges, R.G., & Murphy, M.R. (2008, April). The Impact of Facility Design on Patient Safety. An Evidence-Based Handbook for Nurses, 28(4).
" (p.4)
ATA ANALYSIS PROCEURES
ata analysis involved "immediate debriefing after each focus group with the observer" and during this time, debriefing notes were recorded containing comments related to the process of the focus group and the data's significance. Secondly, the tape was listened to and the content of the tape transcribed. Third stated is that the tape's content was check and non-verbal behavior given consideration by the researchers. Stated as benefits in this type of analysis was the observer having noted: (1) parts of words; and (2) non-verbal communications, gestures and behavior. (Sharif and Masoumi, 2005; p.5) ata gathered in the study was coded and categorized in cohesion with the qualitative content analysis stated by Grangheim and Lundman as well as focus group data analysis of Stewart and Shamdasani. Three levels of coding were selected an appropriate method of coding the data in this study. Level one coding was utilized in…...
mlaData analysis involved "immediate debriefing after each focus group with the observer" and during this time, debriefing notes were recorded containing comments related to the process of the focus group and the data's significance. Secondly, the tape was listened to and the content of the tape transcribed. Third stated is that the tape's content was check and non-verbal behavior given consideration by the researchers. Stated as benefits in this type of analysis was the observer having noted: (1) parts of words; and (2) non-verbal communications, gestures and behavior. (Sharif and Masoumi, 2005; p.5) Data gathered in the study was coded and categorized in cohesion with the qualitative content analysis stated by Grangheim and Lundman as well as focus group data analysis of Stewart and Shamdasani. Three levels of coding were selected an appropriate method of coding the data in this study. Level one coding was utilized in making an examination of the data "line by line" and coding the language. Level two coding made a comparison of coded data with other data and is used in the process of categorization of the data. Level 3 coding provides a description of the Basic Social Psychological Process, which is used to refer to the primary themes arising from the categories. The next step was submission of the information to two assessors/validators, which determined the coding reliability.
STRENGTHS/LIMITATIONS
The strength of this study is the identification of factors by students that affect their "professional socialization" as "professional role and hierarchy of occupation were factors which were frequently expressed by the students." (Sharif and Masoumi, 2005; p.7) Additionally, the students's conduction of self-evaluation of their own professional knowledge and the values and skills that contribute to the self-concept of a professional was an important gain in this study. The limitations of this study are the gender-specific nature of this study in that 94% of participants were female.
The deployment of evidence-based practice that makes use of cutting-edge research is perhaps most obviously manifest in the greater knowledge research has given about demographic shifts as to who may or may not be vulnerable to particular diseases or conditions. Many years ago, Type II Diabetes was known as adult-onset diabetes, as insulin resistance was associated with obesity, sedentary behavior and other factors assumed to be prevalent amongst adults, not children. Now a child exhibiting the common symptoms of excessive thirst, weakness, dizziness will likely be tested for this condition, because obesity has become more prevalent amongst the young.
A research utilization model might provide, however, additional counseling to the nurse practitioner as to what course of treatment to prescribe. A child with more ample family and social support to lose weight, for example, and exercise, might, according to clinical data, be able to reverse the progress of the disease and…...
mlaWorks Cited
Gabbay, John & Andree le May. (30 Oct 2004). "Evidence-based guidelines or collectively constructed 'mindlines?' Ethnographic study of knowledge management in primary care."
McManus, J., J. Mant, C.FM. Meulendijks, R.A. Salter, H.M. Pattison, a.K. Roalfe, & F.D.R Hobbs (23 Feb 2002). "Comparison of estimates and calculations of risk of coronary heart disease by doctors and nurses using different calculation tools in general practice: cross sectional study." BMJ. 324:459-464. Retrieved 20 Jan 2008 at http://www.bmj.com/cgi/content/full/324/7335/459?maxtoshow=&HITS=10&hits=10&RESULTFORMAT=&fulltext=research+based+nursing+practice&searchid=1&FIRSTINDEX=0&resourcetype=HWCIT
Sackett, D.L., William MC Rosenberg, J.A. Muir Gray, R. Brian Haynes, & W. Scott
Nursing Research
Analyzing Qualitative Data
Qualitative data, which usually consists of narrative materials (Polit & Beck, 2008, p. 507), is analyzed by three major styles. Template analysis involves development of a guide to which gathered data is applied and adjustment of the guide as more data is applied. This method tends to be interpretive rather than statistical. Editing analysis involves interpretation of data for "meaningful segments," then development of a category scheme with codes according to those segments, then a search for patterns that may connect the categories. Immersion/crystallization analysis is a reflective, subjective interpretation of data by the researcher's immersion in the data, and is rarely used in nursing research (Polit & Beck, 2008, p. 508).
Quality and integrity in qualitative studies are significant issues for the health care industry and have been addressed by numerous theorists. One synthesized method to probe quality and integrity employs primary and secondary criteria for scrutiny…...
mlaMultivariate Statistics is an area of statistics concerned with the collection, analysis and interpretation of several statistical variables at once. While statistics may be artificially confined for convenience sake, health care actually involves complex relationships of variables for patients themselves, within a single health care institution, within a group of health care institutions, and within the entire health care system. Multivariate statistics observes and analyzes several of these variables at once using several types of tests for various purposes.
Multivariate Statistics analysis is integrated in quantitative analysis through a number of tests to compare a number of variables in complex relationships. Tests used in multivariate statistics include: multiple regression/correlation tests, used to understand the effects of at least 2 independent variables on one continuous dependent variable (Polit & Beck, 2008, p. 614); analysis of covariance (ANCOVA), which compares the means of at least two groups with a single central question (Polit & Beck, 2008, p. 624); multivariate analysis of covariance (MANCOVA), which involves controlling covariates -- or extraneous variables -- when the analysis involves at least two dependent variables (Polit & Beck, 2008, p. 627); discriminant function analysis, which involves using a known group to predict an unknown group with independent variables (Polit & Beck, 2008, p. 628); canonical correlation, which involves testing one or more relationships between two sets of variables (Polit & Beck, 2008, p. 638); logistic regression, which predicts the probability of an outcome based on an odds ratio (Polit & Beck, 2008, p. 640).
Inferential Statistics assists in
Clinical narratives are used for the articulation and sharing of knowledge and experience which has been acquired over time and through experiential learning and is a way of enabling nurses to "tap into the thought processes and best practices of expert clinicians" through sharing of stories based on experience. Professional conferences involve the attending of conferences, which expose nurses to ideas that are new and best practices of other institutions than the one in which they work. Finally, formal education addressed "technical excellence and an over-arching understanding of the art and science of professional practice..." (Massachusetts General Hospital Patient Care Services, 2002) a very important aspect of the program is "collaborative decision-making" which involves: (1) Quality committees; (2) Ethics in Clinical Practice Committee; (3) Nursing Research Committees; (4) staff nurse advisory committees; and (5) professional development committees. Quality Committees. It is related that the 'Ethics in Clinical Practice Committee'…...
mlaBibliography
Bellack, J.P. (2000)Leadership Initiative in Nursing Education: A Collection of Case Studies Leadership Initiative for Nursing Education. San Francisco, CA: UCSF Center for the Health Professions. December 2000. Online available at http://www.futurehealth.ucsf.edu/pdf_files/Monograph1.pdf
Common Denominators: Shared Governance and Workplace Advocacy (2004)
Conflict Resolution Model (nd) Texas Board of Nursing. Online available at http://bon.state.tx.us/practice/conflict.html
Hodge, M. et al. (2002) Developing Indicators of Nursing Quality to Evaluate Nurse Staffing Ratios. Academy of Health Services Res Health Policy Meet. 2002; 19: 20:. Abstract online available at http://gateway.nlm.nih.gov/MeetingAbstracts/102274217.html
Nursing esearch eport
The structure of a research report is simple. It is almost the same as the structure of the research itself: the problem, the methodology, the results, the conclusions, and the interpretations. The purpose of the research report is to inform readers about the problem investigated, the methods used to solve the problem, the results of the investigation, and the conclusions inferred from the results (Polit & Beck, 2004). The function of the research report is not, however, to convince the reader of the virtue of the research previously conducted. At all times the report is to be so written that the reader can reach their own conclusions as to the adequacy of the research and the validity of the reported results and conclusions. esearch reports must strive to be succinct, objective, and crystalline. The ultimate test of an excellent research report is in its ability to be replicated…...
mlaReferences
Ingersoll, G.L., et al. (1996). "The effect of a professional practice model on staff nurse perception of work groups and nurse leaders." The Journal of Nursing administration, 26(5).
Ohlson, E.L. (1998). Best-Fit Statistical Procedures and Research Designs. Chicago: ACTS Testing Lab.
Polit, D.F. & Beck, C.T. (2004). Nursing Research: Principles and Methods (7th ed., Chapter 26). Philadelphia: Lippincott Williams and Wilkins.
1. The Historical Impact of Joyce Travelbee's Theory on Nursing Practice
2. Exploring the Evolution of Joyce Travelbee's Theory in Nursing
3. The Influence of Joyce Travelbee's Theory on Nurse-Patient Relationships
4. A Historical Overview of Joyce Travelbee's Theory in Nursing Care
5. Examining the Legacy of Joyce Travelbee's Theory in Contemporary Nursing
6. Joyce Travelbee's Theory: A Historical Perspective on Nursing Philosophy
7. Uncovering the Historical Context of Joyce Travelbee's Theory in Nursing Education
8. The Enduring Influence of Joyce Travelbee's Theory on Nursing Research
9. Joyce Travelbee's Theory: A Historical Analysis of Its Impact on Nursing Ethics
10. Tracing the Historical Development of Joyce Travelbee's Theory in....
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