Tuesday, April 2, 2019

Importance of Research in Nursing Practice and Theories

Importance of look into in Nursing expend and Theories fundamentThis essay leave behind consider the definition of bid for look for, distinguishable types of explore and design, and why seek is important in nurse recitation. It will in any case illustrate characters of research influencing radiation diagram, and make recommendations for current or forthcoming pattern.Main BodyNursing research can be defined as any scientific (i.e. systematic) enquiry into the effectiveness or measure out of breast feeding implement (Parahoo, 1997 Sullivan, 1998 Polit Beck, 2004). It denotes any semi existential take the stand on which care for care is based. This includes both(prenominal) vicenary and qualitative research picture (Comack, 1996).qualitative research essentially entails analysis of individual subjective experience. It foc delectations on meanings and experiences as conveyed for example through philosophies such as grounded theory, phenomenology, discourse anal ysis, and experientialism (Coolican, 1994). Data appealingness is typically in the devise of interviews, case studies, and systematic observation, while entropy analysis generally involves the identification of themes, for example through thematic analysis. quantitative research relies on positivist philosophy, where only measurable phenomena are considered summa cum laude of investigation. Randomised clinical trials (i.e. controlled experiments) are the preferred method of inquiry albeit questionnaire and archive-based surveys, in the form of retrospective or prospective designs, and other methodologies, may also be used. Data analysis is based on statistical tests (Howitt Cramer, 2005).why is research important? Given the growing emphasis on assure-based practice in nursing care across the Western sphere (Sullivan, 1998), in that respect is a need for an ample body of accumulated empirical evidence to which nurses can refer in order to inform clinical practice (Polit Bec k, 2004). Any responsible and accountable vocation claiming to be a profession, and soluble to a professional body, requires an empirical evidence base. This is the only way that standards of practice can be quantifyd and improved, for the benefit of the general public. The value of empirical evidence, as contrasted with casual observation and anecdotes, is that it is systematic and typically obtained under controlled conditions. look for enables nursing practice to keep pace with a rapidly changing world in which health care practices must continually improve to conform to changing and ever to a greater extent demanding patient expectations and requirements (Eastabrooks, 1998). Only through go along research activity can appropriate evidence-based trounce practice guidelines be introduced to ensure the good quality nursing care ( aura et al, 2005).Examples where research models nursing practice arent difficult to find (Polit Beck, 2004). A review article of electronic dat abases such as Internurse, High-Wire Press, Science Direct, and Academic Search Premier, yields an abundance of quantitative and qualitative studies on nursing practice. Five varied examples are as follows, including both quantitative and qualitative research Meyer et al (2002) Barr et al (2005) Hughes Umeh (2005) Ring et al (2005), and Lee Knight (2006).Meyer et al (2002) conducted a randomised clinical trial contrasting the effectiveness of two different fertilization techniques nurses use for treating venous level ulcers. The get wind showed that ulcers treated with higher condensation bandaging didnt heal any quicker than ulcers administered lower compression bandages.Barr et al (2005) studied archived data of all self-harm patients who presented at A E units everyplace a given period, to ascertain the extent to which nurses carry out psychosocial assessment. It emerged that nurses do not always conducted psychological evaluations, as stipulated. However, patients were more than likely to be assessed if they were considered high risk.Hughes and Umeh (2005) studied stresses experienced by nurses at work. passing heavy and stressful workloads can impair the quality of nursing care, for example by increasing the frequency of sick leave. Certain nursing assorts may be more susceptible to stress, with implications for clinical practice. This study was based on a questionnaire survey, administered to general and psychiatric nurses. Analysis revealed that general nurses experienced more stress than their psychiatric counterparts, notably in the absence of social concomitant from colleagues, friends, and family.Ring et al (2005) employed a qualitative design to evaluate the degree to which nurses adhere to best practice statements (bits per second) in clinical practice. BPS reduce variations in the quality of care patients receive, and hence is a original component of clinical practice. The methodology involved conducting semi-structured interviews wi th a small group of registered nurses involved in the formulation of BPS. Several themes emerged from the data, indicating considerable variation in the implementation of BPS.Hareendran et al (2005) also used a qualitative method. This study aimed to establish the effect that venous leg ulcers may have on a patients quality of life. Patients suffering from venous ulcers attended semi-structured interviews and completed a questionnaire. Interview transcripts showed that ulcers caused uncomfortable symptoms (e.g. itching, pain, interrupted sleep) in the majority of patients. Furthermore, one-half of patients were dissatisfied with the quality of care they received.Clearly, these examples illustrate how research evidence can influence clinical practice. For example, Meyer et als (2002) study could facilitate understanding of the usurpation of bandaging, and improve care delivery, such that ulcer patients arent unnecessarily inconvenienced by highly compressed bandaging which intellig ibly isnt going to fixity up recovery. Hughes and Umehs (2005) study may lead to better redistribution of workloads, and more potent social support systems, thitherby maintain the quality of care nurses dispense. contempt the advantages, there are significant barriers to research utilisation. Consider the ruling of best practice guidelines. These are standards firmly rooted in empirical research, consistent with ethos of evidence-based practice. However, nurses have identified considerable hindrances to such evidence-based practice (Polit Beck, 2004), including a lack of resource, deficient training, a general apathy towards change amongst nursing staff, multidisciplinary issues that are difficult to resolve, and a lack of inspirational clinical leadership at local level (Ring et al, 2005). One way to resolve these hindrances is clearly by improving nurse training, for example, in how to repeat raw research findings into practice, and/or liase with other health professionals in working out how best to implement a best-practice statement. Nurses can also be encouraged to form and/or join a journal club (Wikipedia, 2006). This is essentially a group of individuals who convene on a regular basis to review recent empirical findings and perhaps work out feasible modalities to translate evidence into practice.ConclusionOverall undertaking rigorous research and translating evidence into practice are indispensable elements in the development of any profession, and nursing practice is no exception. On a positive note there is continued (and growing emphasis) on evidence-based nursing practice, supported by both the Department of Health, and Nursing Midwifery Practice Development Unit (NMPDU). Despite inconsistent implementation, nursing care is likely to continue to benefit from empirical research. However, on a less optimist note, a review of nursing research indicates a paucity of randomised clinical trials. The bulk of empirical evidence appears to be based on less rigorous research methodologies, making it difficult to establish causal relationships. For example, although qualitative evidence has revealed potential barriers to research utilisation, it isnt certain there is a causal link amongst these factors. Future research needs to redress this imbalance.BibliographyBarr, W., Leitner, M. Thomas, J. (2005) Psychosocial assessment of patients whoattend an separatrix and emergency department with self-harm. journal ofPsychiatric Mental Health Nursing, 12, pp.130-138.Coolican, H. (1994) Research Methods and Statistics in Psychology. London Hodder Stoughton.Cormack, D. (2000) The Research Process in Nursing one-fourth Edition. LondonBlackwell Science.Eastabrooks, C.A. (1998) Will evidence-based nursing practice make practice perfect.Canadian Journal of Nursing Research. 30, pp.15-36.Lee, S. Knight, D. (2006) District nurses involvement in mental health anexploratory survey. British Journal of Community Nursing, 11, pp.138-142.Hafner, J., Botonakis, I. Burg, G. (2000) A Comparison of Multilayer stickSystems During Rest, Exercise, and Over 2 Days of Wear Time. Archives ofDematology, 136, pp.857-863.Hareendran. A., Bradbury, A., Budd, J., Geroulakos, G., Hobbs, R., Kenkre J. Symonds, T. (2005) Measuring the dissemble of venous leg ulcers on quality oflife. Journal of Wound Care, 14, pp.53-57.Howitt, D. Cramer, D. (2005) Introduction to Research Methods in Psychology.London Pearson.Hughes, H. Umeh, K. (2005) Work stress differentials between psychiatric andgeneral nurses. British Journal of Nursing, 14, pp.802-808.Meyer, F.J., Burnand, K.G., Lagattolla, N.R.F. Eastham, D. (2002) Randomisedclinical trial analyze the efficacy of two bandaging regimens in thetreatment of venous leg ulcers. British Journal of Surgery, 89, pp.40-44.Parahoo K. (1997). Nursing Research Principles, Process and Issues. BasingstokeMacmillanPolit D.F. Beck C.T. (2004) Nursing Research Principles and Methods (7th ed).Philadelphia Lippi ncott.OBrien, J.F., Grace, P.A., Perry, I.J., Hannigan, A., Moloney, M.C. Burke, P.E.(2003) Randomised clinical trial and economic analysis of four-layercompression bandaging for venous ulcers. British Journal of Surgery. 90,pp.794-798.Ring, N., Malcolm, C., Coull, A., Murphy-Black, T. Watterson, A. (2005) Nursingbest practice statements an exploration of their implementation in clinicalpractice. Journal of Clinical Nursing, 14, pp.1048-1058.Sullivan P (1998) Developing evidence-based care in mental health nursing. NursingStandard. 12, pp.35-38.Wikipedia (2006 Journal Club online MediaWiki Available fromhttp//en.wikipedia.org/wiki/Journal_club Accessed April 15 2007

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