Presentation on theme: "Introduction to Nursing Research and Evidence-Based Practice"— Presentation transcript:
1 Introduction to Nursing Research and Evidence-Based Practice Chapter 1Introduction to Nursing Research and Evidence-Based Practice
2 Introduction to the Course Introduction of class membersReview of syllabusPresentation of class scheduleQuestions
3 Class Discussion Questions What was your reaction when you learned you were required to take a research course?
4 Class Discussion Questions (cont’d) What is the value of a research course to you as a nurse?
5 What Is Research? To search again To examine carefully Diligent and systematic inquiryDiscoveryGoal is to develop an empirical body of knowledge for a discipline
6 Definition of Nursing Research A scientific process that validates and refines existing knowledge and generates new knowledge that directly and indirectly influences nursing practice.It is the key to building an evidence-based practice for nursing.
7 Using Research in Practice Synthesis of knowledge (research, theory, and clinical experiences)Effect of philosophyMaking a change in practiceEvaluation of change for patient, provider, and health care system
8 Integrative Review of Research Critique of studies on a selected topic or practice problemDevelopment of evidence-based practice guidelines:Example: safe administration of intramuscular injectionsSummarize the findings.Draw conclusions about what is known or not known about the topic.
9 Evidence-Based Practice Guidelines Conscientious integration of best research evidence with clinical expertise and patient values and needs in the delivery of high-quality, cost-effective health careSynthesis of knowledge for development of guidelines, standards, protocols, or policies to direct nursing interventions and practice
10 Why Is Research Important for Evidence-Based Practice? Develops empirical knowledge baseIdentifies best practices that are based on clinical practicesImproves outcomes for:Patient and familyNurseHealth care system
11 Nursing Research Provides: DescriptionExplanationPredictionControl
12 DescriptionIdentifying and understanding the nature of nursing phenomena and the relationships among the phenomena to:Describe what exists in nursing practice.Discover new information.Promote understanding of situations.Classify information for use in the discipline.
13 ExplanationClarifying the relationships among phenomena and identifying the reasons why certain events occur
14 PredictionEstimating and anticipating the outcomes in a particular situation
15 ControlManipulating a situation so as to achieve a particular outcome
16 Research Participation at Various Levels of Educational Preparation
17 BSN Researcher Role Identify research problems. Assist with data collection.Critique research studies.Summarize research findings for use in practice.
18 Class Discussion Question Why should nurses be excellent consumers of research?
19 History of Nursing Research Nursing research has evolved slowly over the years.Nursing research began in the 19th century with Florence Nightingale.Clinical research is the current major focus of nursing research and will continue to be so throughout the 21st century.
20 Florence NightingaleNightingale focused on the importance of a healthy environment for patients.Aspects of her research included:VentilationCleanlinessPurity of waterHealthy diet
21 Nursing Research: 1900–1940sAmerican Journal of Nursing first published in 1900.Case studies reported in the 1920s and 1930s.Graduate programs in nursing began in the 1920s.Research conducted by nurses in the 1940s.
22 Nursing Research: 1950s1950—American Nurses Association begins 5-year study of nursing functions and activities.1952—Nursing Research publishedBSN and MS nursing programs add research to their curricula.1953—Institute for Research and Service in Nursing Education established by Teacher’s College, Columbia University.
23 Nursing Research: 1960s 1963—International Journal of Nursing Studies 1967—Image published by Sigma Theta Tau (now titled The Journal of Nursing Scholarship)
24 Nursing Research: 1970s 1970—ANA Commission on Nursing Research 1972—Council of Nurse Researchers1978—Advances in Nursing Science1978—Research in Nursing and Health1979—Western Journal of Nursing Research
25 Nursing Research: 1980s1982–1983—Conduct and Utilization of Research in Nursing project (CURN)1983—Annual Review of Nursing Research1985—National Center for Nursing Research (NCNR)1987—Scholarly Inquiry for Nursing Practice1988—Applied Nursing Research and Nursing Science Quarterly1989—Agency for Health Care Policy and Research (AHCPR)
26 Nursing Research: 1990s 1992—Clinical Nursing Research 1993—National Institute of Nursing Research (NINR)1993—Journal of Nursing Measurement1994—Qualitative Health ResearchAHCPR renamed Agency for Healthcare Research and Quality (AHRQ).1999—AACN position statement on nursing research
27 Nursing Research: 21st Century 2000—Healthy People 20102000—Biological Research for Nursing2002—Joint Commission revised policies to support evidence-based care.2004—Worldviews on Evidence-Based Nursing
28 21st Century 2005—AHRQ guidelines and priorities 2005—NINR priorities 2005—NINR priorities2006—Revised AACN position statements on nursing research
29 Ways of Acquiring Knowledge in Nursing TraditionsAuthorityBorrowingTrial and errorPersonal experienceRole modelingIntuitionReasoning
30 Practice Knowledge Base Identify two common behaviors used in your practice.Indicate the knowledge base for these behaviors.Is your practice based mainly on research or on other types of knowledge?
31 Nursing Research Methods Quantitative researchQualitative researchOutcomes research
32 Quantitative Research Methods Descriptive researchCorrelational researchQuasi-experimental researchExperimental research
33 Quantitative Research Characteristics Philosophical origin: logical positivismFocus: concise, objective, reductionisticReasoning: logistic, deductiveBasis of knowing: cause-and-effect relationshipsTheoretical focus: tests theory
34 Qualitative Research Methods Phenomenological researchGround theory researchEthnographic researchHistorical researchFocus groups
35 Qualitative Research Characteristics Philosophical origin: naturalistic, interpretive, humanisticFocus: broad, subjective, holisticReasoning: dialectic, inductiveBasis of knowing: meaning, discovery, understandingTheoretical focus: theory development
36 Outcomes Research Focus of outcomes: Patients and familiesProviders (nurses, physicians)Health care systemsOutcomes used change practice and develop policy.