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RESEARCH UTILIZATION IN NURSING

OVERVIEW OF CLASS

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RESEARCH UTILIZATION IN NURSING

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    1. RESEARCH UTILIZATION IN NURSING CLASS 6 Judith Anne Shaw, Ph.D., R.N. October 21, 2009

    2. OVERVIEW OF CLASS #6 Nursing Research Utilization Barriers to Research Utilization Change, a Positive Strategy for Research Utilization Iowa Model for Research-Based Practice

    3. DEFINE RESEARCH UTILIZATION

    4. Consider Utilization: to make use of, to use Research utilization: to make use of research in clinical practice

    5. Research Utilization the systematic process by which research-based knowledge becomes incorporated (or used) into practice.

    6. PURPOSE RESEARCH UTILIZATION Application of available knowledge to improve client outcomes. Validation of existing nursing procedures and interventions

    7. Evidence-Based Practice

    8. Research Utilization Important all levels of nursing

    9. Research Utilization Nurses in the clinical setting Promotes critical thinking Enhances professional self-concept Ensures safe and reflective practice Practice based on current, scientific, sound knowledge Enrich nurse’s self-confidence

    10. Researcher Validates researcher’s efforts Provides motivation for scholars to continue to discover new knowledge Reinforces professional accountability Helps uncover new clinical problems for investigation

    11. Health Care Agency Cost effective nursing care High-quality care Improved client outcomes Retention and recruitment tool Professionally satisfied and stimulated nursing staff

    12. Profession of Nursing Enhances practice autonomy Positive professional image Strengthen professional status Expands nursing’s scientific knowledge base

    13. What does history tell us about research utilization? A gap or time lag in the use of new knowledge in the clinical setting.

    14. Time Lag Between Idea & Utilization can be 10-15 years (Bostrom & Wise, 1994)

    15. Narrowing the Research-Practice Gap Through Research Utilization Step # 1. select a relevant problem area Problem-focused triggers Knowledge-focused triggers

    16. Problem Focused Triggers for Problem Identification Evident to nurses in the practice setting ¤ Clinical problems

    17. Knowledge-Focused Triggers for Problem Identification Knowledge obtained from: ¤ Journal clubs ¤ Attending a professional/academic conference ¤ Reading a scientific paper

    18. Narrowing the Research-Practice Gap Through Research Utilization Step #2. Review the literature ¤ Sufficient quantity ¤ Sufficient quality

    19. Narrowing the Research-Practice Gap Through Research Utilization Step # 3. Determine …are findings appropriate to apply in the practice setting?

    20. Criteria for Research Utilization Utility to nursing Applicability to practice Replication Scientific merit Client safety Feasibility

    21. Narrowing the Research-Practice Gap Through Research Utilization Step # 4. Written plan to communicate the research-based intervention or protocol

    22. Narrowing the Research-Practice Gap Through Research Utilization Step # 5. Implementation of the planned innovation ¤ involve all staff ¤ change process

    23. Narrowing the Research-Practice Gap Through Research Utilization Step # 6. Evaluation of innovation ¤ what went right? ¤ what went wrong? ¤ what changes are required?

    24. Narrowing the Research-Practice Gap Through Research Utilization Step # 7. Dissemination of findings ¤ publishing results of the research utilization ¤ did it make a difference?

    25. Problems: using research findings Barriers to knowledge “use” in nursing Nurse Characteristics Setting Characteristics Research Characteristics Innovation Characteristics

    26. Barriers to Knowledge Use Study findings: do not solve pressing clinical problems often can not be used in practice lack replication communicated primarily to other researchers not expressed in easily understood terms by practitioners

    27. Nurse Characteristics Knowledge Attitudes Beliefs

    28. Nurse Characteristics Knowledge Two Kinds of Knowledge 1. specific research studies related to practice setting 2. ability to critique reported research

    29. Nurse Characteristics Attitudes Need positive attitude towards research utilization

    30. Nurse Characteristics Beliefs Correct or erroneous beliefs about research ¤ Change often begins with the articulation of negative beliefs ?lack of time

    31. Setting Characteristics Five characteristics that must be present: Openness to new ideas Interpersonal and information linkages for open communication Freedom from organizational constraints Supportive leadership Trust … to risk possible failure

    32. Research Characteristics Clearly communicated Comprehensive Investigation of pertinent problems Staff nurses part of the research team Replication of research studies

    33. Innovation Characteristics Perceived improvement Compatibility with present practice Complexity Trialability Observability

    34. How to work together and use Nursing Research Findings

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