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Perceived barriers and enablers of nursing research in the Italian context: Findings from a systematic review. Zdr Varst 2022; 61:181-190. [PMID: 35855377 PMCID: PMC9245495 DOI: 10.2478/sjph-2022-0024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2022] [Accepted: 05/04/2022] [Indexed: 11/30/2022] Open
Abstract
Introduction The research capacity of nurses has been reported to be still constrained in several countries, and not fully implemented in its potentiality due to a large number of factors. Despite its relevance both for clinical and public health purposes, no summary has been compiled to date regarding factors influencing the research capacity in the Italian context. Therefore, the primary aim of this review was to identify the barriers and enablers of conducting research as perceived by Italian nurses. Methods We conducted a systematic review. The following databases have been searched: ILISI ® (Indice della Letteratura Italiana di Scienze Infermieristiche) MEDLINE-via PubMed, CINAHL (Cumulative Index to Nursing and Allied Health Literature), Ovid, Open Grey, Google Scopus, and Web of Science. Eight studies met the inclusion criteria. Results The studies were mainly descriptive, with two quasi-experimental. A total of seven barriers and four facilitators of conducting research among Italian nurses were identified. The constraints were poor English knowledge, technology and library availability and accessibility, understaffing and lack of time, nursing culture characteristics, lack of nursing leadership support, scarce funding availability, and the bureaucratic ethical committee process. The facilitators were nursing journal reading, expert research team support, university and hospital partnerships, and international cooperation. Conclusions Given the small number and the high heterogeneity of the emerged studies, this systematic review provides an initial framework for the constraints that prevent, and the strategies that promote, Italian nurses’ participation/conducting of research projects that could inform policies in this field.
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Kwete X, Tang K, Cheng F, Chen Y, Hao YT, Mao Z, Ren R, Wang Y, Wang Y, Wu C, Xu DR, Zhao Y, Zhou XN, Liu Y, Yin R, Liang X, Hao C, Guan Y, Huang Y, Ng MTA, Liu P, Berhane Y, Fawzi W, Zheng Z. Research capacity of global health institutions in China: a gap analysis focusing on their collaboration with other low-income and middle-income countries. BMJ Glob Health 2021; 6:bmjgh-2021-005607. [PMID: 34266847 PMCID: PMC8286742 DOI: 10.1136/bmjgh-2021-005607] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2021] [Accepted: 06/09/2021] [Indexed: 11/05/2022] Open
Abstract
Introduction This paper presented qualitative and quantitative data collected on the research capacity of global health institutions in China and aimed to provide a landscaping review of the development of global health as a new discipline in the largest emerging economy of the world. Methods Mixed methods were used and they included a bibliometric analysis, a standardised survey and indepth interviews with top officials of 11 selected global health research and educational institutions in mainland China. Results The bibliometric analysis revealed that each institution had its own focus areas, some with a balanced focus among chronic illness, infectious disease and health systems, while others only focused on one of these areas. Interviews of key staff from each institution showed common themes: recognition that the current research capacity in global health is relatively weak, optimism towards the future, as well as an emphasis on mutual beneficial networking with other countries. Specific obstacles raised and the solutions applied by each institution were listed and discussed. Conclusion Global health institutions in China are going through a transition from learning and following established protocols to taking a more leading role in setting up China’s own footprint in this area. Gaps still remain, both in comparison with international institutions, as well as between the leading Chinese institutions and those that have just started. More investment needs to be made, from both public and private domains, to improve the overall capacity as well as the mutual learning and communication within the academic community in China.
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Affiliation(s)
- Xiaoxiao Kwete
- Global Health and Population, Harvard University T H Chan School of Public Health, Boston, Massachusetts, USA .,Global Health Research and Consulting, Yaozhi, Yangzhou, China
| | - Kun Tang
- Vanke School of Public Health, Tsinghua University, Beijing, China
| | - Feng Cheng
- Vanke School of Public Health, Tsinghua University, Beijing, China
| | - Yingyao Chen
- Department of Hospital Management, Fudan University, Shanghai, China
| | - Yuan-Tao Hao
- School of Public Health, Sun Yat-sen University, Guangzhou, China.,Sun Yat-sen Global Health Institute, Sun Yat-sen University Institute of State Governance, Guangzhou, Guangdong, China
| | - Zongfu Mao
- School of Health Sciences, Wuhan University, Wuhan, China
| | - Ran Ren
- Global Health Research Center, Dalian Medical University, Dalian, China
| | - Yunping Wang
- China National Health Development Research Center, Beijing, China
| | - Youfa Wang
- Global Health Institute and School of Public Health, Xi'an Jiao Tong University, Xi'an, China
| | - Chenkai Wu
- Global Health Research Center, Duke Kunshan University, Kunshan, China
| | - Dong Roman Xu
- SMU Institute for Global Health and School of Health Management, Southern Medical University, Guangzhou, Guangdong, China
| | - Ying Zhao
- Fudan University School of Nursing, Shanghai, China
| | - Xiao-Nong Zhou
- National Institute of Parasitic Diseases, China CDC, Shanghai, China.,School of Global Health, Shanghai Jiao Tong University School of Medicine & Chinese Center for Tropical Diseases Research, Shanghai, China
| | - Yuning Liu
- Harvard University T H Chan School of Public Health, Boston, Massachusetts, USA
| | - Ruoyu Yin
- Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK
| | - Xiaohui Liang
- School of Health Sciences, Wuhan University, Wuhan, China
| | - Chun Hao
- School of Public Health, Sun Yat-sen University, Guangzhou, China.,Sun Yat-sen Global Health Institute, Sun Yat-sen University Institute of State Governance, Guangzhou, Guangdong, China
| | - Yayi Guan
- National Institute of Parasitic Diseases, China CDC, Shanghai, China
| | - Yangmu Huang
- Department of Global Health, School of Public Health, Peking University, Beijing, China.,Institute for Global Health and Development, Peking University, Beijing, China
| | | | - Peilong Liu
- Department of Global Health, School of Public Health, Peking University, Beijing, China.,Institute for Global Health and Development, Peking University, Beijing, China
| | - Yemane Berhane
- Addis Continental Institute of Public Health, Addis Ababa, Ethiopia
| | - Wafaie Fawzi
- Global Health and Population, Harvard University T H Chan School of Public Health, Boston, Massachusetts, USA
| | - Zhijie Zheng
- Department of Global Health, School of Public Health, Peking University, Beijing, China.,Institute for Global Health and Development, Peking University, Beijing, China
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Contribution of Italian nursing professors to international Literature: 2000 - 2016 review. Nurs Outlook 2019; 67:476-485. [PMID: 30961959 DOI: 10.1016/j.outlook.2019.02.011] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/27/2018] [Revised: 01/23/2019] [Accepted: 02/17/2019] [Indexed: 11/22/2022]
Abstract
BACKGROUND The purpose of the study was to assess Italian nurse academics' scientific activity by exploring their publications in international journals. BACKGROUND The scientific production of a discipline's academics is a requisite for the university accreditation process and for employment in academic positions. It can also be used as an indicator of the maturity and importance of a given discipline in a country. Italian nurse academics' scientific production has not been analyzed recently. METHOD Quantitative descriptive study on an observation period of 16 years, from 2000 to 2016. METHODS All Italian full-time academics in the sector of General, Clinical, and Pediatric Nursing Sciences were identified, based on selection criteria. All their publications in indexed international journals were systematically collected between November 2016 and February 2017. FINDINGS Twenty-five Italian nurse academics were identified, and 450 of their publications met all our inclusion criteria, with a mean of 18 publications per author (range 0-88). There was a steady growth in the number of publications over time. Sixty-five percent of articles were published in nursing journals. Eighty-six percent of the publications were on nursing topics, the most popular being clinical issues (53.8%). Eighty percent of the publications were "applied research articles" and most of them adopted a quantitative approach with a descriptive study design. Hospitals and clinics were the most common settings studied, while patients and caregivers were the participants most often involved. Foreign coauthors contributed to 30% of the articles. DISCUSSION Italian nursing academics contribute adequately to scientific production in the nursing sector.
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Zhang D, Wang X, Yuan X, Yang L, Xue Y, Xie Q. Scientific publications in nursing journals from Mainland China, Taiwan, and Hong Kong: a 10-year survey of the literature. PeerJ 2016; 4:e1798. [PMID: 26989631 PMCID: PMC4793333 DOI: 10.7717/peerj.1798] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2015] [Accepted: 02/22/2016] [Indexed: 11/20/2022] Open
Abstract
Background: China has witnessed remarkable progress in scientific performance in recent years. However, the quantity and quality of nursing publications from three major regions (Mainland China, Taiwan, and Hong Kong) have not been reported. This study aimed to investigate the characteristics of scientific research productivity from Mainland China, Taiwan, and Hong Kong in the field of nursing. Methods: Articles published in the 110 nursing journals originating from Mainland China, Taiwan, and Hong Kong between 2005 and 2014 were retrieved from the Web of Science. The total number of articles published, the impact factor, and the citation count were analyzed. Results: There were 2,439 publications between 2005 and 2014 from China, including 438 from Mainland China, 1,506 from Taiwan, and 495 from Hong Kong. There was a significant increase in publications for these three regions (p < 0.05), especially for Mainland China, with a 59.50-fold increase experienced. From 2011, the number of publications from Mainland China exceeded that from Hong Kong. Taiwan had the highest total journal impact factor (2,142.81), followed by Hong Kong (720.39) and Mainland China (583.94). The mean journal impact factor from Hong Kong (1.46) was higher than that from Taiwan (1.42) and Mainland China (1.33). Taiwan had the highest total citation count (8,392), followed by Hong Kong (3,785) and Mainland China (1,493). The mean citation count from Hong Kong (7.65) was higher than that from Taiwan (5.57) and Mainland China (3.41). The Journal of Clinical Nursing was the most popular journal in the three regions. Discussion: Chinese contributions to the field of nursing have significantly increased in the past ten years, particularly from Mainland China. Taiwan is the most productive region in China. Hong Kong had the highest-quality research output, according to mean journal impact factor and mean citation count.
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Affiliation(s)
- Di Zhang
- Department of Anesthesiology, Navy General Hospital, Beijing, China
| | - Xiaming Wang
- Department of Otorhinolaryngology, Navy General Hospital, Beijing, China
| | - Xueru Yuan
- Department of Anesthesiology, Navy General Hospital, Beijing, China
| | - Li Yang
- Department of Anesthesiology, Navy General Hospital, Beijing, China
| | - Yu Xue
- Department of Anesthesiology, Navy General Hospital, Beijing, China
| | - Qian Xie
- Department of Anesthesiology, Navy General Hospital, Beijing, China
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Challenges of cross-cultural research: lessons from a U.S.-Asia HIV collaboration. Nurs Outlook 2013; 61:145-52. [PMID: 23419838 DOI: 10.1016/j.outlook.2012.11.004] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2012] [Revised: 10/31/2012] [Accepted: 11/08/2012] [Indexed: 11/21/2022]
Abstract
Many Asian countries have scaled up their research to combat human immunodeficiency virus (HIV). HIV experts from the West have teamed up with these countries to assist in designing research protocols and providing necessary training. In this paper, we document the formation and maintenance of international and interdisciplinary HIV research collaboration among cross-disciplinary researchers working in the United States, Taiwan, and China. We conducted international social-behavioral HIV studies in several major metropolitan areas in Asia. Culturally sensitive issues that could be attributed to social and disciplinary differences have emerged throughout the collaboration process, including questions of who should be the research leader, where should resources be allocated, how should tasks be shared, which topics are valuable for investigation, and what survey questions are allowable. There is now a window of opportunity for greater international and interdisciplinary collaboration; however, for such collaboration to flourish, team dynamics in international research collaboration should be carefully identified and managed before studies are begun.
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Badger FJ, Daly W, Clifford C. Educating tomorrow's clinical researchers: a review of research preparation in undergraduate education. NURSE EDUCATION TODAY 2012; 32:737-743. [PMID: 22595611 DOI: 10.1016/j.nedt.2012.04.010] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/16/2011] [Revised: 03/21/2012] [Accepted: 05/12/2012] [Indexed: 05/31/2023]
Abstract
BACKGROUND One large health region in England was experiencing difficulties in recruiting to clinical research posts which required registered nurse or allied health professional skills. OBJECTIVES Pre-registration preparation may influence practitioners' career choices and the study reviewed the research content in pre-registration nurse/AHP degree level programmes in the region to i) describe key features of the modules, and ii) determine the extent to which clinical research featured. DESIGN AND SETTINGS There are eight universities in the region. We reviewed and analysed 46 research and evidence-based practice module guides from relevant pre-registration degree level programmes. Documentary analysis was used and the findings were reviewed by the project group. RESULTS Modules aimed to produce practitioners who were aware of the principles of evidence based practice, and who could locate and evaluate research findings. There was some exposure to clinical research, though this was largely indirect, through considering research findings. Therapy students were more likely than nursing students to conduct a small clinical study for their final year assignment. CONCLUSIONS Pre-registration programmes focused on producing practitioners who were competent users of research evidence to inform practice, rather than clinical researchers, and this was inevitably the focus of the research modules. However, feasible opportunities for increasing students' exposure to clinical research were identified.
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Affiliation(s)
- Frances J Badger
- School of Health and Population Sciences, College of Medical and Dental Sciences, 52 Pritchatts Road, University of Birmingham, Birmingham, B15 2TT, United Kingdom.
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Chen WT, Han M. Knowledge, attitudes, perceived vulnerability of Chinese nurses and their preferences for caring for HIV-positive individuals: a cross-sectional survey. J Clin Nurs 2011; 19:3227-34. [PMID: 21040024 DOI: 10.1111/j.1365-2702.2010.03373.x] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
AIMS The study was to assess HIV/AIDS knowledge, attitudes and perceived vulnerability with potential factors. BACKGROUND HIV/AIDS is a public health catastrophe in China. Nurses are expected to care for nurture, comfort and advocate for all patients regardless of their condition. However, in the area of HIV/AIDS, nurses suffer as a result of expectations put on them by their professional roles. DESIGN This was a descriptive, cross-sectional design that used a survey approach. METHOD Data were collected from Summer 2003-Winter 2004. RESULTS Nurses reported significant perceived severity of risk from occupational exposure. Many nurses were frequently exposed to being stuck by needles (86%) and being splashed by body fluids and more than half of them (59.7%) were concerned about contracting HIV/AIDS. Nurses who had experience of finger pricks worried about potentially contacting HIV and being unaware of it (odds ratio= 0.444, p = 0.004). Nurses demonstrated a lack of knowledge and training in infectious diseases which may be a result of the fact that the study location is not considered a 'concentrated area' for infectious disease transmission; therefore, the need for the infectious diseases training has not been considered urgent. CONCLUSIONS A well-designed educational programme on occupational hazards and risk behaviour should be implemented to educate nurses in suburban cities and the general public. Hospital administrators should implement on-site continuing education on HIV/AIDS throughout China. Armed with better knowledge of both transmission routes and precautions, nurses can protect themselves while providing care to patients. RELEVANCE TO CLINICAL PRACTICE Nurses in China urgently need psychosocial and physical supports from families, friends, communities and their working environments while combating HIV epidemic. With good support system, nurses will better educate patients and their family members on how to prevent transmission not only of HIV/AIDS but of a wide range of other infectious diseases as well.
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Affiliation(s)
- Wei-Ti Chen
- Department of Family and Child Nursing, University of Washington School of Nursing, Seattle, WA, USA
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