NURSES, PRACTICE & TECHNOLOGY Flashcards
❑File Preparation
❑Recruitment
❑Patient preparation
❑Case report form entry
❑Education
❑Counselling
❑Informed Consent
Roles and Responsibilities of a
Beginning Nurse Researcher
✓ Quality management
✓ Submissions
✓ Coordination of research team
✓ Meetings
✓ Managing operating procedures
✓ Regulatory
✓ Monitoring
✓ Training
✓ Orientation of new staff researchers
Major Roles and Responsibilities of a
Beginning Nurse Researcher
Nurse in clinical research should also remain registered
with national nursing bodies and cannot practice outside
the scope of their registration.
▪ In this role nurses need to familiarize themselves with
the clinical aspects of the disease as well as the
protocol-specific aspects of clinical care.
Clinical Nurse Practice:
All research staff are trained in the so-called principles
of
of “Good Clinical Practice”.
The critical issues are respect for the patient’s
The process of informed consent and ensuring the
patient’s anonymity and rights are essential.
autonomy, non-maleficence, beneficence and justice.
Often nurses working in the research setting develop a
research question they would like to answer, requiring skills
to develop a protocol with data collection and analysis plans
outlined. It is a daunting task for the uninitiated for instance
when the research needs financial support and skills for
grants applications are needed.
New Ideas may come from Research Nurses
Nurses are increasingly involved in research both as _This is a very interesting and
challenging field and offers lots of opportunities for growth.
clinical staff
and as research investigators.
Why is research important for evidence-
based practice?
Develops empirical knowledge base
▪ Identifies best practices that are based on clinical
practices AND research
Improves outcomes for:
- Patient and family
- Nurse
- Health care system
- Identify and understand topics
where little is known
Description
Explains the interaction
between concepts
Explanation
Estimate likelihood that an
outcome will occur
Prediction
Experimental designs; maintaining
consistency between variables
Control
describe an experience
❑Phenomenological:
formulate and test a theory
❑Grounded theory:
in depth study of a culture
❑Ethnographic:
describe a topic and promote
understanding
❑Exploratory-descriptive:
an analysis of events to provide
understanding
❑Historical research:
What is the focus of outcomes
research?
Patients and
Families
Healthcare
Providers
Healthcare
Systems
Practice
Changes
Policy
Development
❖Allow for synthesis of knowledge needed for
interventions and practice including development of the
following:
- Guidelines
- Standards
- Protocols
- Policies
Integration of all of the following to promote
high-quality, cost-effective patient care with
good outcomes:
✓Best research evidence
✓Clinical expertise
✓Patient values and needs
used because of benefits such as improved
patient, family and caregiver outcomes. EBP can also
improve provider (i.e., nurse, physician, etc.) and
hospital outcomes.
leads to the ‘gold standard’ or best treatments
EBP
What are sources for evidence-based
practice?
Systematic reviews
Meta-analyses
Integrative reviews
Meta-syntheses
Strongest Evidence
1.Meta-analysis
2.Integrative reviews
3.Experimental studies
Weakest Evidence
1.Descriptive surveys
2.Qualitative studies
3.Correlational studies
4.Quasi-experimental studies
Steps of EBP
Step 0: Cultivate a spirit of inquiry.
Step 1: Ask a clinical question in PICOT format.
Step 2: Search for the BEST evidence
Step 3: Critically appraise the evidence
Step 4: Integrate the evidence with clinical expertise and
patient preferences and values
Step 5: Evaluate the outcomes of practice decisions based
on the evidence
Step 6: Disseminate the EBP results
✓ In patients with hypertension, how does proper
health teaching in comparison to those without
proper health teaching increase medication
adherence to lower Blood Pressure?
Developing the PICO Question
PICO
POPULATION
INTERVENTION
COMPARISON
OUTCOMES
(T) - Time
(S) - Setting
USES OF TECHNOLOGY IN NURSING
RESEARCH
- PROBLEM IDENTIFICATION
- LITERATURE REVIEW
- RESEARCH DESIGN
- DATA COLLECTION AND ANALYSIS
- RESEARCH DISSEMINATION
- RESEARCH GRANTS