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Journeying through the Research Process: From Planning to Implementation

Journeying through the Research Process: From Planning to Implementation. Pamela Windle, MS, RN, NE-BC, CPAN, CAPA, FAAN PNAMH Board Member Nurse Manager, St. Luke’s Episcopal Hospital Houston, Texas. Objectives. Discuss the importance of nursing research in our daily nursing practice.

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Journeying through the Research Process: From Planning to Implementation

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  1. Journeying through the Research Process: From Planning to Implementation Pamela Windle, MS, RN, NE-BC, CPAN, CAPA, FAAN PNAMH Board Member Nurse Manager, St. Luke’s Episcopal Hospital Houston, Texas

  2. Objectives • Discuss the importance of nursing research in our daily nursing practice. • Describe the research process, advantages and barriers for research implementation. • Discuss completed unit-base research studies, outcomes and implications to nursing. PWindle-2011

  3. Definitions • Performance Improvement • Research • Research Utilization • Evidence Based Practice

  4. Research • Identifies • Describes • Explores • Explains • Predicts The systematic, logical inquiry … (phenomena to develop knowledge)

  5. Research Utilization Systematic method of implementation and evaluation of research-based interventions in practice Evidence Based Practice “ …The best available external clinical evidence from systematic research” (Sackett)

  6. One of the First Researchers • Developed the first Uniform Hospital Discharge Data Set • Used the data to link mortality rates with diagnoses and treatments • Enraged the military and civilian medical establishment of her day • What important lesson can we learn? ~ The power of data

  7. Importance of Nursing Research • Generate new nursing knowledge. • Validate nursing practice that leads to desired outcomes. • Enhance the value of using research as a scientific basis for nursing practice. PWindle-2011

  8. Conceptual Process Review the literature Theoretical Framework Hypothesis Formulate the problem

  9. Research Process • Proposal Development • Research problem – significance • Methodology • Cost of project if needed • IRB – Human subjects • Patient’s rights for privacy • Patient’s rights to confidentiality PWindle-2011

  10. Problem Statement • Identify a problem • Question that needs to be answered • Usually from work environment • Reasonable, related to one’s profession, useful & manageable Interesting? Ethical? Feasible? Researchable? Important? Timely? Relevant? PWindle-2011

  11. Selection Criteria Clues? Hints? • I – importance • R – relevance • I – intended outcome • S - scope • Patient • Department • Nurses • Colleagues PWindle-2011

  12. Methodology Research Design: • A blueprint for conducting a study • Overall plan for data collection • Addresses the research question or test the hypothesis • What can be controlled or manipulated PWindle-2011

  13. Categories of Research Design • Experimental design • Quasi-experimental design • Non-experimental design PWindle-2011

  14. Subjects • Population – total group • Samples – smaller subset of the population or representative subgroup • Sampling methods – Random? • Inclusion/exclusion criteria • Sample size – to detect clinical meaningful difference • Power is usually set at 0.80 PWindle-2011

  15. Specify … Setting: when where how who Methods: Observation Interview Questionnaire Record review Hardware instruments Tests, measures Quantitative data Qualitative data Data Collection PWindle-2011

  16. Conducting a pilot study • Offers chance to improve the study • Identifies flaws in data collection process • Make revisions prior to the real data collection • Refine survey questions (reliability & validity) PWindle-2011

  17. Data Analysis • Summarize & interpret data information through statistics • Code & input data • Missing data • Analyzing the data • Interpreting the results PWindle-2011

  18. Interpretation of Results • Does it answer the research question /hypothesis? • Are the findings the same or different from other similar studies? • What possible nursing implications are present for change in practice? • Recommendations for the dept or hospital • What did you learn from this study? PWindle-2011

  19. Communicate Research findings: • Thesis/Dissertation/Abstracts • Journal article • Symposium/Conference presentation • Research utilization Research/Funding $$$… • Colleagues/MD Collaboration • Local Colleges/University/School Affiliation • Professional Organization Affiliation • Grants? Others PWindle-2011

  20. Obstacles/Barriers for Research • Financial Cost Related • Patient Related • Staff Related • Practice Related • Institution Related • Novice • Support • Time factor • Others

  21. Consider …. • Feasibility • Affordability - $$$ • Time Required • Relevance to Nursing practice • Availability of Subjects • Cooperation from others • Facility/Equipment PWindle-2011

  22. Personal Sharing of Research Activities Past, Present & Future

  23. ResearchStudies:Past, Present & Future • Factors Related to Hypothermia Study (1989) • PACU Oxygen Saturation Study (2x) (1990, 1991) • Interventions for CommonPostoperative Complications (1995) • Professional Salary Model (1995) • Use of Ondansetron for PONV Treatment (1996)

  24. ResearchStudies:Past, Present & Future • Pain: The Fifth Vital Sign (1996) • Nursing Perceptions of Their Work Environment (1996) • Improving Patient Outcomes through COMIT Model (1996) • Benchmarking for Unrelieved Pain in PACU (1997) • Effects of Fast Tracking in Surgical Outpatients (1997)

  25. ResearchStudies:Past, Present & Future • Delphi Study Research Priorities (w/ TAPAN) (1997) • Effects of Acupressure for PONV patients (1999) • Preventing Unplanned PerioperativeHypothermia (w/ ASPAN) (2001) • PeriAnesthesia Nursing Practice:Pain & Comfort (w/ ASPAN) (2002) • Pain Management of Patients in the PACU (2003)

  26. ResearchStudies:Past, Present & Future • Comparison of BNS & Lidocaine for IV line Insertion (2003) • Family Visitation in the PACU (2004) • Assessing Safety Culture among PeriAnesthesia Nurses: A Pilot Study (2004) (w/ ASPAN members) (2005-06) • Correlation of Temperature Methods with Core Temperature (2007-08)

  27. Evidence-based Practice:Past, Present & Future • Thermoregulation (w/ ASPAN) (2006 & 2009) • Postop Nausea and Vomiting for Outpatients (2007) • Postop Discharge Nausea and Vomiting for outpatients (2009-10) – Multisite study • Voiding Discharge Criteria for outpatients • Pain and Comfort Consensus Guidelines (2006 & 2010) • Obstructive Sleep Apnea (2010-2011)

  28. Hints for a successful study… • Research topics that is important to you • Get some institutional support • Management support • Group/team work instead of individual • Access resources (people, materials, & information) • Organization planning is important key PWindle-2011

  29. “Food for Thought” • Think of a frustrating experience you have had in your professional practice • Identify problem area • Ask yourself series of questions until you have 1 that you feel & think can be researchable, oramendable to a solution, that is worth your time, effort and $$$$ PWindle-2011

  30. Nursing Research Novice Expert

  31. Improved Nursing Practice … Will come about if … Nurses will find, read, and apply what they have learned!

  32. Get Engage, Collaborate,Reach Out…and Make a Difference in your daily practice! Continue your inquiry everyday!

  33. Questions ??? pwindle@sleh.com Thank you !!! PWindle-2011

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