1. Copyright © 2006 Elsevier, Inc. All rights reserved Chapter 24 Using Nursing Research in Practice

2. Copyright © 2006 Elsevier, Inc. All rights reserved Need for Nursing Practice Based on Research Increase in health care costs Scrutiny of how health care dollars spent Payments based on favorable patient outcomes Today’s need to base practice on nursing care documented to benefit patients Two methods Nursing research utilization Evidence-based practice

3. Copyright © 2006 Elsevier, Inc. All rights reserved Nursing Research Utilization What is nursing research utilization? Systematically integrating findings of completed nursing research into clinical nursing practice Existing data (findings) from previous nursing research to modify current nursing practice Review completed nursing research Conduct new nursing research

4. Copyright © 2006 Elsevier, Inc. All rights reserved Nursing Research Utilization (cont’d) Research utilization: What is it not? Not simply using findings of single study Studies are replicated Data are collected in the process Not a review of nursing practice

5. Copyright © 2006 Elsevier, Inc. All rights reserved Relationship between Nursing Theory and Research Utilization Nursing theory used as theoretical framework for a research study Research findings will support theory or suggest modification of theory Both focus on nursing practice

6. Copyright © 2006 Elsevier, Inc. All rights reserved Defining Your Practice Context What are the motivators and barriers for incorporating nursing research into practice? Identify those who understand need for change in practice Identify those who played a part in decision- making process Identify those resistant to change

7. Copyright © 2006 Elsevier, Inc. All rights reserved Evidenced-Based Practice A systematic method of applying research findings to nursing practice Incorporates many additional sources of data

8. Copyright © 2006 Elsevier, Inc. All rights reserved Evidenced-Based Practice (cont’d) Evidence on which nursing practice is based is derived from: Synthesis of knowledge from research Data analyzed from medical record Quality improvement Risk data Infection control data

9. Copyright © 2006 Elsevier, Inc. All rights reserved Evidenced-Based Practice (cont’d) Evidence on which nursing practice is based is derived from: International, national, and local standards Pathophysiology Cost effectiveness analysis Benchmarking Patient preferences Clinical expertise

10. Copyright © 2006 Elsevier, Inc. All rights reserved Evidenced-Based Practice (cont’d) Steps in applying evidenced-based practice: Defining the problem Identifying, reviewing, and evaluating data applicable to problem Designing practice change based on the data Implementing change in nursing practice

11. Copyright © 2006 Elsevier, Inc. All rights reserved The National Institute of Nursing Research What is its function? Major source of federal funding for nursing research Supports education in research methods, research career development, and excellence in nursing science Establishes a National Nursing Research agenda

12. Copyright © 2006 Elsevier, Inc. All rights reserved The Agency for Health Care Policy and Research What is its function? Enhance the quality and effectiveness of health care services Conducts/supports general health services research Develops clinical practice guidelines Disseminates research findings and guidelines