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Pepper A, Wolverson E, Harrison-Dening K. Factors Affecting Research Participation Among Specialist Dementia Nurses. Nurs Res 2024; 73:320-327. [PMID: 38905623 DOI: 10.1097/nnr.0000000000000735] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/23/2024]
Abstract
BACKGROUND Research involvement and engagement is a vital aspect of nursing practice. However, research in dementia care remains limited compared to research focused on finding a cure, presenting a significant gap that specialist dementia nurses (Admiral Nurses) can help bridge by participating in research themselves and facilitating recruitment to research. OBJECTIVES This study aimed to assess the research involvement and support needs of Admiral Nurses and identify factors affecting their participation in research. This research is particularly timely as Dementia UK has launched its first research strategy, which necessitates strengthening research capacity within Admiral Nursing. METHODS We used a mixed methods convergent parallel synthesis design, simultaneously collecting quantitative and qualitative data. An online survey was conducted in January 2023, targeting current Admiral Nurses across the United Kingdom. The survey included questions addressing demographics, research experience, goals, barriers, facilitators, and support needs. Data analysis involved descriptive statistics, frequencies, univariate analyses, and thematic analysis. RESULTS A positive relationship was found between the highest level of academic achievement and current or previous research involvement, as well as interest in becoming involved in research in the future. Although most nurses recognized the importance of research, only half reported current or past research involvement, indicating a need for increased support. A lack of access and opportunities for peer discussion hindered engagement with research findings. Time constraints, lack of support, and low confidence were major barriers to research involvement. Support needs varied but included mentorship, coaching, and the potential for a community of practice for research. DISCUSSION This survey of Admiral Nurses sheds light on their research involvement, support needs, and barriers to participation. Recognizing the significance of research while identifying challenges and support requirements is crucial for enhancing research capacity among these specialized nurses. This study contributes valuable insights into the world of specialist dementia nursing and lays the foundation for future strategies to increase research engagement in this field.
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Pope F, Faraday J, Hand A, Tinkler L. An evaluation of the Newcastle upon Tyne Hospitals 4Ps Programme for the development of nurses, midwives and allied healthcare professionals' research skills. Nurse Res 2024:e1915. [PMID: 38600833 DOI: 10.7748/nr.2024.e1915] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/07/2023] [Indexed: 04/12/2024]
Abstract
BACKGROUND Research forms an important part of clinical practice for nurses, midwives and allied healthcare professionals (NMAHPs). However, it is known there is a lack of confidence in this community in the development and use of research skills. The 4Ps Programme is a bespoke research-training programme that focuses on four areas: place, project, person and plan. AIM To report an evaluation of the 4Ps Programme that used a survey to record the confidence levels reported by NMAHPs. DISCUSSION An increase in participants' confidence was observed across all modules in the 4Ps Programme. This exceeded the standard deviation in the 'place' session, demonstrating genuine improvement. It was not possible to demonstrate a significant improvement in all cases. Low response rates affected the quality of the data obtained in the study, which would have benefitted from a more targeted approach to questions and better enabled the tracking of individuals' improvement over the course of the programme. CONCLUSION Participation in bespoke, targeted training related to research could lead to an increase in NMAHPs' confidence in research-related activities. Efforts need to be made to refine the evaluation approach and improve response rates. IMPLICATIONS FOR PRACTICE The 4Ps Programme can improve research-related confidence. Improved and further longitudinal evaluation will assess its impact in developing future clinical academics.
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Affiliation(s)
- Felicity Pope
- Newcastle Upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, England
| | - James Faraday
- Newcastle Upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, England
| | - Annette Hand
- Newcastle Upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, England
| | - Linda Tinkler
- Newcastle Upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, England
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Alshamrani KM, Alkenawi AA, Kaifi RE, Alhulil KA, Munshi WM, Alqurayqiri AF, Alshehri FA, Abdulmannan HI, Ghulam EM, Tasslaq SE, Aldhebaib AM. The barriers, motives, perceptions, and attitudes toward research among radiology practitioners and interns in Saudi Arabia: a cross-sectional study. Front Med (Lausanne) 2023; 10:1266285. [PMID: 37877018 PMCID: PMC10593452 DOI: 10.3389/fmed.2023.1266285] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2023] [Accepted: 09/22/2023] [Indexed: 10/26/2023] Open
Abstract
Background Research and the use of evidence-based practices are imperative to the advancement of diagnostic imaging modalities. The aim of this study was to assess the perceptions and attitudes of radiology practitioners (i.e., Technicians, Technologists or Specialists, and Senior Specialists) and interns in King Abdulaziz Medical Cities (KAMCs), Kingdom of Saudi Arabia, toward research, and to explore the various barriers and obstacles that hinder their research efforts. Methods A cross-sectional descriptive investigation was carried out from December 2022 to March 2023 among 112-KAMCs' radiology practitioners and interns, using previously developed and validated questionnaire comprised of five distinct sections, each serving a specific purpose, and with a non-probability convenient sampling technique. Descriptive statistics were generated for participants' demographics, and chi-square and fisher's exact tests were used to examine the association between participants' demographics and their involvement in research. Results Among the 137 KAMCs' radiology practitioners and interns who were invited to participate, 112 responded and completed the questionnaire, resulting in an overall response rate of 81.75%. Radiology practitioners and interns from various medical imaging subspecialties were found to be involved in research to the extent of 83%, with nearly half (40.9%) of them have had publications, and 53.3% of these publications being either cross-sectional studies or retrospective clinical studies. A lack of time (66.1%), a lack of a professional supervisor support program (50.9%), and deficiency in research skills (45.5%) were common obstacles that may impede the participants' ability to conduct research. The most common motives for participants to conduct research were the desire to improve their resumes (69.6%), get accepted into postgraduate radiology programs (58%), and improve their research skills (52.7%). Conclusion KAMCs' radiology practitioners and interns have a positive attitude toward performing research. Despite the high percentage (83%) of those involved in research, the number of publications remains low. A crucial step to advancing the profession's evidence base is engaging radiology practitioners and interns in research and encouraging radiology practitioner-led research. The study findings can serve as a valuable basis for designing developmental programs aimed at overcoming research obstacles among healthcare professionals in Saudi Arabia.
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Affiliation(s)
- Khalid M. Alshamrani
- College of Applied Medical Sciences, King Saud bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia
- King Abdullah International Medical Research Center, Jeddah, Saudi Arabia
- Ministry of the National Guard—Health Affairs, Jeddah, Saudi Arabia
| | - Abdulkader A. Alkenawi
- College of Applied Medical Sciences, King Saud bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia
- King Abdullah International Medical Research Center, Jeddah, Saudi Arabia
- Ministry of the National Guard—Health Affairs, Jeddah, Saudi Arabia
| | - Reham E. Kaifi
- College of Applied Medical Sciences, King Saud bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia
- King Abdullah International Medical Research Center, Jeddah, Saudi Arabia
- Ministry of the National Guard—Health Affairs, Jeddah, Saudi Arabia
| | - Khaled A. Alhulil
- College of Applied Medical Sciences, King Saud bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia
| | - Wael M. Munshi
- College of Applied Medical Sciences, King Saud bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia
| | - Abdulaziz F. Alqurayqiri
- College of Applied Medical Sciences, King Saud bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia
| | - Faisal A. Alshehri
- College of Applied Medical Sciences, King Saud bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia
| | - Hawazen I. Abdulmannan
- King Abdullah International Medical Research Center, Jeddah, Saudi Arabia
- Ministry of the National Guard—Health Affairs, Jeddah, Saudi Arabia
- College of Science and Health Professions, King Saud bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia
| | - Enas M. Ghulam
- King Abdullah International Medical Research Center, Jeddah, Saudi Arabia
- Ministry of the National Guard—Health Affairs, Jeddah, Saudi Arabia
- College of Science and Health Professions, King Saud bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia
| | - Sameer E. Tasslaq
- King Abdullah International Medical Research Center, Jeddah, Saudi Arabia
- Ministry of the National Guard—Health Affairs, Jeddah, Saudi Arabia
- College of Applied Medical Sciences, King Saud bin Abdulaziz University for Health Sciences, Al-Ahsa, Saudi Arabia
| | - Ali M. Aldhebaib
- King Abdullah International Medical Research Center, Jeddah, Saudi Arabia
- Ministry of the National Guard—Health Affairs, Jeddah, Saudi Arabia
- College of Applied Medical Sciences, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
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Nzengya DM, Mutisya AK, Wagoro MC, Secor-Turner M, Edwards J. Nurses' and midwives’ participation and utilization of health-related research in Kenya: Implications for evidence-based practice. Int J Nurs Sci 2023; 10:199-205. [PMID: 37128489 PMCID: PMC10148246 DOI: 10.1016/j.ijnss.2023.02.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2022] [Revised: 01/30/2023] [Accepted: 02/15/2023] [Indexed: 03/09/2023] Open
Abstract
Objective To assess the level of participation of nurses and midwives in health-related research, determine the status of utilization of research to inform nursing and midwifery practice in Kenya, and explore perspectives of nurses and midwives about strategies to empower nurses/midwives to engage in health research in Kenya. Methods Data were extracted from online survey responses of 156 nurse and midwife educators, practitioners, and managers/administrators. SPSS version 26 was used to analyze quantitative data; qualitative data were analyzed using Excel to organize data into categories. Results Over one-third of participants reported ever publishing research (37.2%, 58/156). Participants reported using knowledge gained in nursing school to guide practice most frequently (n = 148). Utilization of research findings to guide practice was reported by 80.3% (110/137) of participants. Strategies to enhance participation in the research included research training, research forums, policy reforms, and emphasis on research in curricula. Conclusions There is need to intensify and prioritize proposed strategies to empower nurses/midwives to engage in health research.
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Affiliation(s)
- Daniel M. Nzengya
- Research and Innovation, St. Paul’s University, Limuru, Kenya
- Corresponding author.
| | - Albanus K. Mutisya
- School of Nursing, Jomo Kenyatta University of Agriculture & Technology, Nairobi, Kenya
| | | | - Molly Secor-Turner
- Mark and Robyn Jones College of Nursing, Montana State University, Bozeman, MT, USA
| | - Joan Edwards
- Nelda C. Stark College of Nursing, Texas Woman's University, Houston, TX, USA
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Heemskerk WM, Renden PG, Warning TD, Wallner C, Bussemaker J, Dikken J. The Impact of Community Learning During a Participatory Nursing Research Project. J Contin Educ Nurs 2023; 54:131-144. [PMID: 36867745 DOI: 10.3928/00220124-20230214-08] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/05/2023]
Abstract
BACKGROUND Community learning is one approach to promote research competencies and to involve nurses and nursing students in research. This study examines the impact of community learning according to participants-both those inside and outside the community-in a joint nursing research project at a hospital. METHOD A qualitative design was selected using a participatory approach. Data were collected through semistructured interviews, reflections, conversations, and patient input during 2 academic years. RESULTS Thematic analysis showed 11 themes, which were organized into three clusters: realization, transformation, and influencing factors. Participants perceived changes in practice and described how their perspectives have changed on care, education, and research. Reconsiderations led to some new or revised strategies, and influencing factors were associated with the contemporary context, degree of involvement, and design/facilitation. CONCLUSION The impact of community learning emerged and extended beyond community boundaries, and the indicated influencing factors must be taken into account. [J Contin Educ Nurs. 2023;54(3):131-144.].
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Amicucci M, Dall'Oglio I, Biagioli V, Gawronski O, Piga S, Ricci R, Angelaccio A, Elia D, Fiorito ME, Marotta L, Raponi M, Tiozzo E. Participation of nurses and allied health professionals in research activities: a survey in an academic tertiary pediatric hospital. BMC Nurs 2022; 21:159. [PMID: 35729532 PMCID: PMC9210609 DOI: 10.1186/s12912-022-00922-1] [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: 12/13/2021] [Accepted: 05/16/2022] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Involvement in research activities is complex in pediatric nursing and allied health professionals (AHPs). It is important to understand which individual factors are associated with it to inform policy makers in promoting research. METHODS A cross-sectional observational study was conducted to describe the level of participation in research activities over the last ten years of nurses and AHPs working in a tertiary pediatric hospital. A large sample of nurses and AHPs working in an Italian academic tertiary pediatric hospital completed an online self-report questionnaire between June and December 2018. Three multivariate logistic regression analyses were performed to predict participation in research projects, speaking at conferences, and writing scientific articles. RESULTS Overall, data from 921 health professionals were analyzed (response rate = 66%), of which about 21% (n = 196) reported participating in a research project, while 33% (n = 297) had attended a scientific conference as a speaker, and 11% (n = 94) had written at least one scientific paper. Having a Master or a Regional Advanced Course, working as an AHP or a ward manager, as well as regularly reading scientific journals and participation in an internal hospital research group or attendance in a specific course about research in the hospital, significantly predicted participation in research projects, speaking at conferences and writing scientific papers. It is important to foster research interest and competencies among health professionals to improve participation in research projects, speaking at conferences, and writing scientific papers. CONCLUSIONS Overall, we found a good level of attendance at conferences as speakers (33%), a moderate level of participation in research (21%), and low levels for writing scientific papers (11%). Our study highlighted the need to support participation in research activities among nurses and AHPs. Policymakers should identify strategies to promote research among nurses and AHPs, such as protected rewarded time for research, specific education, strengthened collaboration with academics, and financial support. Moreover, hospital managers should promote the development of research culture among health professionals, to improve their research competencies and evidence-based practice.
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Affiliation(s)
- Matteo Amicucci
- Department of Onco Haematology and Cell and Gene Therapy, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy
| | - Immacolata Dall'Oglio
- Professional Development, Continuing Education and Research Service, Bambino Gesù Children's Hospital, IRCCS, Sant'Onofrio Square 4, 00165, Rome, Italy.
| | - Valentina Biagioli
- Professional Development, Continuing Education and Research Service, Bambino Gesù Children's Hospital, IRCCS, Sant'Onofrio Square 4, 00165, Rome, Italy
| | - Orsola Gawronski
- Professional Development, Continuing Education and Research Service, Bambino Gesù Children's Hospital, IRCCS, Sant'Onofrio Square 4, 00165, Rome, Italy
| | - Simone Piga
- Unit of Epidemiology, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy
| | - Riccardo Ricci
- Professional Development, Continuing Education and Research Service, Bambino Gesù Children's Hospital, IRCCS, Sant'Onofrio Square 4, 00165, Rome, Italy
| | - Anna Angelaccio
- Department of Diagnostic Medicine and Laboratories, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy
| | - Domenica Elia
- Department of Pediatric Subspecialties, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy
| | - Mario E Fiorito
- Department of Images Diagnostic, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy
| | - Luigi Marotta
- Department of Intensive Neurorehabilitation and Robotics, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy
| | | | - Emanuela Tiozzo
- Professional Development, Continuing Education and Research Service, Bambino Gesù Children's Hospital, IRCCS, Sant'Onofrio Square 4, 00165, Rome, Italy
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O'Brien C, Furlong E, Coughlan B, Fox P, Darley A. Building research capacity and culture: Exploring nurses' experience of implementing a nurse-led clinical trial. J Nurs Manag 2022; 30:1002-1010. [PMID: 35246888 PMCID: PMC9314815 DOI: 10.1111/jonm.13576] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/2021] [Revised: 02/22/2022] [Accepted: 03/01/2022] [Indexed: 11/29/2022]
Abstract
AIM To explore the experiences of a nursing team who implemented an international nurse-led clinical trial in practice and understand the facilitators to their involvement. BACKGROUND The role and responsibilities of the clinical nurse are advancing to encompass research activity to help inform evidence-based practice. However, several personal and organisational challenges can inhibit nurses' capacity to implement and undertake research within clinical practice. METHODS Three focus groups were conducted with members of a nursing team (N=18). Thematic analysis was employed, and themes were identified and agreed upon by the research team. FINDINGS Five themes were identified: 'Previous experience of and attitudes to participation in clinical research', 'Decision-making regarding participation in the clinical trial', 'Facilitators of participation in the clinical trial', 'Challenges of research in nursing practice' and 'Future orientation towards research'. CONCLUSION Through their experiences of implementing a nurse-led clinical trial within practice, nurses recognised a number of facilitators and challenges to their participation. The perceived relevance of the clinical trial to the nurses' practice, potential to improve patient care and appreciation of the nurse leader's expertise and understanding of their context were key motivators. Reciprocal trust with the nurse leader who was encouraging, motivating, supportive and accessible resulted in the engagement and commitment of the nursing team. IMPLICATIONS FOR NURSING MANAGEMENT This paper offers a perspective that can inform senior nursing management teams when implementing and conducting evidence-based research amongst nursing teams and in doing so meet the needs of developing research capacity amongst clinical nurses.
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Affiliation(s)
| | - Eileen Furlong
- University College Dublin, School of Nursing Midwifery and Health Systems, Health Sciences Centre, Belfield, Dublin 4, Ireland
| | - Barbara Coughlan
- University College Dublin, School of Nursing Midwifery and Health Systems, Health Sciences Centre, Belfield, Dublin 4, Ireland
| | - Patricia Fox
- University College Dublin, School of Nursing Midwifery and Health Systems, Health Sciences Centre, Belfield, Dublin 4, Ireland
| | - Andrew Darley
- University College Dublin, School of Medicine, Health Sciences Centre, Belfield, Dublin 4, Ireland
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Hawes K, Goldstein J, Vessella S, Tucker R, Lechner BE. Providing Support for Neonatal Intensive Care Unit Health Care Professionals: A Bereavement Debriefing Program. Am J Perinatol 2022; 39:401-408. [PMID: 32894870 DOI: 10.1055/s-0040-1716481] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
OBJECTIVE The aim of this study is to evaluate formal bereavement debriefing sessions after infant death on neonatal intensive care unit (NICU) staff. STUDY DESIGN Prospective mixed methods study. Pre- and postbereavement debriefing intervention surveys were sent to clinical staff. Evaluation surveys were distributed to participants after each debriefing session. Notes on themes were taken during each session. RESULTS More staff attended sessions (p < 0.0001) and attended more sessions (p < 0.0001) during the postdebriefing intervention epoch compared with the predebriefing epoch. Stress levels associated with the death of a patient whose family the care provider have developed a close relationship with decreased (p = 0.0123). An increased number of debriefing session participants was associated with infant age at the time of death (p = 0.03). Themes were (1) family and provider relationships, (2) evaluation of the death, (3) team cohesion, (4) caring for one another, and (5) emotional impact. CONCLUSION Bereavement debriefings for NICU staff reduced the stress of caring for dying infants and contributed to staff well-being. KEY POINTS · Providing end-of-life care in NICU is challenging.. · Debriefings assist staff in coping with grief.. · Staff well-being impacts patient care..
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Affiliation(s)
- Katheleen Hawes
- Department of Pediatrics, Warren Alpert Medical School of Brown University, Providence, Rhode Island.,Brown Center for the Study of Children at Risk, Women and Infants Hospital, Providence, Rhode Island
| | - Justin Goldstein
- Department of Neonatology, Women and Infants Hospital, Providence, Rhode Island
| | - Sharon Vessella
- Department of Neonatology, Women and Infants Hospital, Providence, Rhode Island
| | - Richard Tucker
- Department of Neonatology, Women and Infants Hospital, Providence, Rhode Island
| | - Beatrice E Lechner
- Department of Pediatrics, Warren Alpert Medical School of Brown University, Providence, Rhode Island.,Department of Neonatology, Women and Infants Hospital, Providence, Rhode Island
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Lieschke G, Giles M, Ball J, Ohr SO, Parker V. Towards translational research participation for nurses and midwives: a mixed method study. BMC Nurs 2022; 21:50. [PMID: 35216594 PMCID: PMC8876089 DOI: 10.1186/s12912-022-00818-0] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2021] [Accepted: 01/07/2022] [Indexed: 11/17/2022] Open
Abstract
Background Nurses’ and midwives’ participation in research has to date been highly variable and dependent on context and culture. A changing landscape that values and endorses research translation requires examination of who is participating in research and how, with an evaluation of current individual and organizational research capacity. The purpose of this study was to ascertain the existing research capacity amongst nurses and midwives in a large Local Health District in New South Wales, Australia to inform the development of a nuanced capacity building programme directed toward building a sustainable embedded research culture. Methods A sequential mixed methods study design. Phase one, the exploratory phase, involved an online survey of all nurses and midwives (n = 8156) working in metropolitan, rural, and remote health services across the District. The survey measured research activity, skills, intention, value and relevance, organisational support, capability and culture, and research translation. Phase two, the explanatory phase, involved six focus groups with senior nursing and midwifery clinicians, educators, and unit managers, with discussion centred on the results of Phase one. Results A total of 721 (88%) nurses and 95 (12%) midwives completed the online survey, 33 senior nurses and midwives attended focus groups. The nature and extent of research participation is variable across sites, individuals and clinical specialties. In many cases, interest and involvement in research is not sustained. Participants identified the need for greater incentives and structural support. Most important was the need for research to have tangible meaning for patients and clinical practice. Conclusion / implications for practice Our findings suggest that translational research offers nurses and midwives the opportunity to engage in research in a way that is meaningful to their practice and their aspirations. Greater emphasis is needed on the development and enactment of context specific nursing and midwifery research agendas and implementation research skills.
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Affiliation(s)
- Gena Lieschke
- Nursing and Midwifery Research Centre, Hunter New England Local Health District, Gate Cottage, James Fletcher Campus, 72 Watt Street, Newcastle, NSW, 2300, Australia. .,School of Nursing and Midwifery, The Faculty of Health and Medicine, University of Newcastle, Callaghan, NSW, 2308, Australia.
| | - Michelle Giles
- Nursing and Midwifery Research Centre, Hunter New England Local Health District, Gate Cottage, James Fletcher Campus, 72 Watt Street, Newcastle, NSW, 2300, Australia.,School of Nursing and Midwifery, The Faculty of Health and Medicine, University of Newcastle, Callaghan, NSW, 2308, Australia
| | - Jean Ball
- Nursing and Midwifery Research Centre, Hunter New England Local Health District, Gate Cottage, James Fletcher Campus, 72 Watt Street, Newcastle, NSW, 2300, Australia
| | - Se Ok Ohr
- Nursing and Midwifery Research Centre, Hunter New England Local Health District, Gate Cottage, James Fletcher Campus, 72 Watt Street, Newcastle, NSW, 2300, Australia.,School of Nursing and Midwifery, The Faculty of Health and Medicine, University of Newcastle, Callaghan, NSW, 2308, Australia
| | - Vicki Parker
- Nursing and Midwifery Research Centre, Hunter New England Local Health District, Gate Cottage, James Fletcher Campus, 72 Watt Street, Newcastle, NSW, 2300, Australia.,School of Nursing and Midwifery, Faculty of Health, University of New England, Elm Avenue, Armidale, NSW, 2350, Australia
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Morrison L, Johnston B, Cooper M. Mixed methods systematic review: Factors influencing research activity among nurses in clinical practice. J Clin Nurs 2021; 31:2450-2464. [PMID: 34820932 DOI: 10.1111/jocn.16133] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2021] [Revised: 10/27/2021] [Accepted: 11/02/2021] [Indexed: 11/30/2022]
Abstract
AIM This study aimed to identify, evaluate and summarise current evidence in relation to the factors that influence the conducting of research by nurses in clinical practice. DESIGN This study used mixed methods systematic review. DATA SOURCES CINAHL, EMBASE, MEDLINE, Scopus and ASSIA, with dates limited from 2015 to 2020, were used to conduct a systematic search of the literature. REVIEW METHODS The Joanna Briggs Institute approach was followed, with results reported according to the Preferred Reporting System for Systematic Reviews and Meta-Analyses. The associated checklist for systematic reviews was also used. A standardised data extraction tool was then used, with quality appraisal guided by the Mixed Methods Appraisal Tool, with a subsequent convergent qualitative synthesis. RESULTS Sixteen papers were identified for inclusion, nine quantitative, six qualitative and one mixed methods. Four themes were identified: research competence and culture, proactive research mentorship, research resources and making a difference. These were critically discussed in relation to barriers and enablers to the conduct of research by nurses in clinical practice. Commonly cited barriers included a lack of research knowledge, confidence and access to resources, particularly protected time, while enablers such as educational partnerships, identifying research-motivated clinical nurses and access to research role models were also apparent in the literature. CONCLUSIONS Globally, nurses in clinical practice are clearly motivated to engage in the research process despite apparent barriers that have a significant impact on productivity. Nevertheless, there are also enablers to building research capacity apparent that offer methodological and structural approaches to empower this group to conduct research.
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Affiliation(s)
- Lindy Morrison
- University of Glasgow/NHS Greater Glasgow & Clyde, Glasgow, UK
| | | | - Mark Cooper
- University of Glasgow, Nursing and Health Care School, Glasgow, UK
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Bolejko A, Andersson BT, Debess J, Fridell K, Henner A, Sanderud A, Saukko E, Mussmann BR. Facilitators for and barriers to radiography research in public healthcare in Nordic countries. Radiography (Lond) 2021; 28:88-94. [PMID: 34474944 DOI: 10.1016/j.radi.2021.08.007] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/08/2021] [Revised: 08/17/2021] [Accepted: 08/19/2021] [Indexed: 10/20/2022]
Abstract
INTRODUCTION It has been suggested that the future of diagnostic imaging relies on engagement in research and evidence-based practice. This implies a role transition from a clinical radiographer to a clinical radiographer-researcher. Clinical radiographers' stimuli for engaging in research in Nordic countries are unknown. This study aimed to address this gap. METHODS Cross-sectional data collection via an online questionnaire on facilitators for and barriers to participation in radiography research was carried out among 507 clinical radiographers in public healthcare in the Nordic countries: Denmark, Finland, Norway and Sweden. RESULTS Support from colleagues (odds ratio [OR] 2.62) and other professionals (OR 2.74), and self-esteem in research skills (OR ≥ 2.21), were facilitators for radiography research. Lack of knowledge and skills to conduct research (OR 2.48) was revealed to hinder radiographers' participation in research. The absence of a radiography research culture in the workplace explained non-participation in research (OR 1.75). CONCLUSION This study revealed significant factors for clinical radiographers' participation in research. IMPLICATIONS FOR PRACTICE A strategy for establishing a radiography research culture in healthcare is proposed that is novel for the context. Management support for knowledge development and activity leading to inter-professional research projects across knowledge fields, provision of a radiography research lead and acknowledgement of radiography research among colleagues signify the establishment of the culture. These prerequisites might provide a paradigm change towards not only the symbiosis of a clinical radiographer and an autonomous researcher but also a partner who adds radiography research to evidence-based practice in diagnostic imaging.
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Affiliation(s)
- A Bolejko
- Department of Translational Medicine, Department of Medical Imaging and Physiology, Lund University, Skåne University Hospital, Malmö, Sweden.
| | - B T Andersson
- Department of Health Sciences, Lund University, Lund, Sweden
| | - J Debess
- University College of Northern Jutland, Aalborg, Denmark
| | - K Fridell
- Karolinska Institutet, Department of Clinical Science, Intervention and Technology, Stockholm, Sweden
| | - A Henner
- School of Health and Social Care, Oulu University of Applied Sciences Ltd, Oulu, Finland
| | - A Sanderud
- Department of Life Sciences and Health, Oslo Metropolitan University, Oslo, Norway
| | - E Saukko
- Department of Radiology, Turku University Hospital, Turku, Finland
| | - B R Mussmann
- Research and Innovation Unit of Radiology, University of Southern Denmark, Odense, Denmark
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Carter EJ, Cato KD, Rivera RR, Kulage KM, Liu J, Vose C, Larson E. Programmatic details and outcomes of an Academic-Practice Research Fellowship for clinical nurses. Appl Nurs Res 2020; 55:151296. [DOI: 10.1016/j.apnr.2020.151296] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2019] [Revised: 01/31/2020] [Accepted: 05/07/2020] [Indexed: 11/30/2022]
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Walden M, Lovenstein A, Randag A, Pye S, Shannon B, Pipkin E, Ramick A, Helmick K, Strickland M. Methodological Challenges Encountered in a Study of the Impact of Animal-assisted Intervention in Pediatric Heart Transplant Patients. J Pediatr Nurs 2020; 53:67-73. [PMID: 32473534 DOI: 10.1016/j.pedn.2020.04.017] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/05/2019] [Revised: 04/13/2020] [Accepted: 04/18/2020] [Indexed: 10/24/2022]
Abstract
PURPOSE The purpose of this pilot study was to examine the impact of animal-assisted intervention (AAI) on ambulation, physiologic stability, patient satisfaction, and perceived benefit in hospitalized pediatric heart transplant patients. DESIGN AND METHODS This pilot study used a two-period, two-sequence cross-over design. Using a convenience sample of heart transplant patients between the ages six and nineteen, each subject participated in one AAI and one non-AAI study session over one week. All study sessions started with an aspect of walking. RESULTS Three males and two females participated. Average age was 15 years. Subjects walked on average 1906 ft during the AAI session as compared to 1933 ft in the non-AAI session. Subjects spent a longer time (17 min) walking in the AAI session as compared to the non-AAI session (15 min). Blood pressure and respiratory rates remained stable. All subjects reported they liked working with the dog. Eighty percent of subjects actively engaged in physical contact and communication with the dog. No safety-related adverse events were reported. CONCLUSIONS AAI may assist adolescent heart transplant patients to be more motivated to participate in therapeutic ambulation when walking with a dog. Further studies are needed to identify successful recruitment strategies in this highly vulnerable patient population. PRACTICE IMPLICATIONS Many clinical challenges exist in implementing AAI research in the pediatric heart transplant population. A conceptual model is introduced to better understand the methodological challenges of conducting AAI research in the hospital setting. Key components include research, organizational, AAI, subject and time factors.
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Affiliation(s)
- Marlene Walden
- Arkansas Children's Hospital, 1 Children's Way, AR, United States; University of Arkansas for Medical Sciences, 1 Children's Way, AR, United States; Pet Partners of Central Arkansas, AR, United States.
| | | | - Amelia Randag
- Arkansas Children's Hospital, 1 Children's Way, AR, United States.
| | - Sherry Pye
- Arkansas Children's Hospital, 1 Children's Way, AR, United States; University of Arkansas for Medical Sciences, 1 Children's Way, AR, United States.
| | - Brianna Shannon
- Arkansas Children's Hospital, 1 Children's Way, AR, United States.
| | - Esther Pipkin
- Arkansas Children's Hospital, 1 Children's Way, AR, United States.
| | - Amy Ramick
- Arkansas Children's Hospital, 1 Children's Way, AR, United States.
| | - Keri Helmick
- Arkansas Children's Hospital, 1 Children's Way, AR, United States.
| | - Margaret Strickland
- Arkansas Children's Hospital, 1 Children's Way, AR, United States; Pet Partners of Central Arkansas, AR, United States
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Alomari A, Wilson V, Lewis J. Action research: A mechanism for active engagement of clinical nurses in a program of research. Nurs Health Sci 2020; 22:539-547. [DOI: 10.1111/nhs.12690] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2019] [Revised: 01/27/2020] [Accepted: 01/27/2020] [Indexed: 11/26/2022]
Affiliation(s)
- Albara Alomari
- School of Nursing and Midwifery Western Sydney University Penrith New South Wales Australia
| | - Val Wilson
- School of Nursing University of Wollongong and Illawarra Shoalhaven Local Health District & Adjunct University of Technology Sydney New South Wales Australia
| | - Joanne Lewis
- Faculty of Health University of Technology Sydney New South Wales Australia
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Participation in nursing research: We can do better. Nursing 2019; 50:1-3. [PMID: 31855997 DOI: 10.1097/01.nurse.0000651812.87874.cb] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
This article discusses the potential drivers and barriers to clinical nurse research participation. Here, the author describes a research exemplar that highlights how understanding the link between research and practice can influence participation.
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Arthur E, Brown C, Martz L, Weatherby L, Purcell T, Dove J, Ridgway E, Cheriki M, Sinnott L, Rosselet R. Oncology Nurses’ Attitudes and Engagement in Nursing Research. Oncol Nurs Forum 2019; 46:727-737. [DOI: 10.1188/19.onf.727-737] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Abstract
The purposes for this interpretive descriptive study were to gain an understanding of what motivates clinical nurses to be interested and/or engaged in research, describe the motivators for these clinical nurses, and identify common characteristics of these clinical nurses. Results revealed four themes and a clinical nurse profile. Based on findings, educators should encourage clinical nurses who are motivated to participate in nursing research to ignite intrinsic passion, professional growth, and nursing credibility and improve patient outcomes.
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Lamb D, Hofman A, Clark J, Hughes A, Sukhera A. Taking a seat at the table: an educational model for nursing empowerment. Int Nurs Rev 2019; 67:118-126. [DOI: 10.1111/inr.12549] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2018] [Revised: 07/05/2019] [Accepted: 07/19/2019] [Indexed: 11/30/2022]
Affiliation(s)
- D. Lamb
- Academic Department of Military NursingRoyal Centre for Defence Medicine, Medical Directorate, Birmingham Research ParkBirmingham UK
| | | | - J. Clark
- Headquarters 2 Medical Brigade Army Medical Services Training Centre York UK
| | - A. Hughes
- Royal Centre for Defence Medicine, Medical Directorate, Birmingham Research Park BirminghamUK
| | - A.M. Sukhera
- Pakistan Army Medical Corps and Director General Medical Services (Inter‐Services) Rawalpindi Pakistan
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Bradford N, Chambers S, Hudson A, Jauncey-Cooke J, Penny R, Windsor C, Yates P. Evaluation frameworks in health services: An integrative review of use, attributes and elements. J Clin Nurs 2019; 28:2486-2498. [PMID: 30811715 DOI: 10.1111/jocn.14842] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2018] [Revised: 02/05/2019] [Accepted: 02/20/2019] [Indexed: 12/26/2022]
Abstract
AIMS AND OBJECTIVE To synthesise the evidence on the use of evaluation frameworks by nurses and midwives in research designed to improve healthcare services and practice. A secondary aim was to identify the attributes and elements of evaluation frameworks. BACKGROUND Evaluation is an integral component of any initiative to improve outcomes or change clinical practice. Yet often an evaluation may not yield the information required to sustain or integrate an initiative into practice. Evaluation frameworks can support effective evaluations, but there is a lack of consensus regarding elements and attributes of frameworks that support use. METHODS We undertook an integrative review to synthesise the use of evaluation frameworks in practice guided by the Preferred Reporting Items for Systematic review and Meta-Analysis flow diagram and checklist 2009 (Supporting Information File 4). The protocol was registered with PROSPERO (CRD42018087033). A broad range of electronic databases were systematically searched using keywords. FINDINGS Twenty-five papers were included from a diverse range of clinical areas and across high-, middle- and low-income nations. Twenty of the research projects had used nine existing frameworks, and five had developed an evaluation specific to an initiative. Frameworks supported the processes of evaluation and made them more meaningful by simplifying a complex process (providing structure and guidance for the evaluation processes); identifying and including stakeholders; explaining reasons for outcomes; generating transferable lessons; and identifying the mechanisms driving or inhibiting change. CONCLUSION Nurses and midwives reported that frameworks were useful in undertaking evaluations. Each framework had positive attributes and missing or confusing elements. When undertaking an evaluation, it is pertinent to review the elements and attributes of a framework to ensure it includes evaluation measures that are relevant to specific projects. RELEVANCE TO CLINICAL PRACTICE Nurses are actively involved in evaluation of clinical practice. This review identifies important elements to consider when choosing a framework for evaluation.
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Affiliation(s)
- Natalie Bradford
- Centre for Children's Health Research at Institute of Health and Biomedical Innovation, School of Nursing, Queensland University of Technology, Brisbane, Queensland, Australia
| | - Shirley Chambers
- Institute of Health and Biomedical Innovation, School of Nursing, Queensland University of Technology, Brisbane, Queensland, Australia
| | - Adrienne Hudson
- Centre for Children's Health Research and Queensland Children's Hospital, Children's Health Queensland, Brisbane, Queensland, Australia
| | - Jacqui Jauncey-Cooke
- School of Nursing, Midwifery and Social Work, The University of Queensland, Brisbane, Queensland, Australia
| | - Robyn Penny
- Centre for Children's Health Research and Children's Health Queensland Hospital and Health Service, Brisbane, Queensland, Australia.,School of Nursing, Queensland University of Technology, Kelvin Grove, Brisbane, Queensland, Australia
| | - Carol Windsor
- Institute of Health and Biomedical Innovation, School of Nursing, Queensland University of Technology, Brisbane, Queensland, Australia
| | - Patsy Yates
- Institute of Health and Biomedical Innovation, School of Nursing, Queensland University of Technology, Brisbane, Queensland, Australia
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Engaging Clinical Nurses in Research: Nurses' Experiences Delivering a Communication Intervention in a Behavioral Oncology Clinical Trial. Nurs Adm Q 2019; 43:175-185. [PMID: 30839454 DOI: 10.1097/naq.0000000000000341] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
Despite the recognized need for clinical nurses to engage in the conduct of research, little is known about their research experiences. This article describes the experiences of nurses who delivered the communication intervention in a behavioral oncology clinical trial for parents of adolescents and young adults (AYAs) with cancer. A qualitative thematic analysis was conducted of nurse interveners' (NIs') reflections on their experiences delivering the communication intervention. Ten data-generating questions were developed to guide NIs' reflections. Twelve NIs responded via verbal discussions. Six of these also provided written responses. Overall, nurses' experiences as interveners were powerful and positive, and included time and space to be fully present with patients and families. Nurse interveners identified barriers to their involvement in research related to time constraints, administrative support, physical space to privately conduct the intervention, and difficulties maintaining expertise with the intervention. The importance of ongoing collaboration between nurses, unit staff, leaders, and study teams was corroborated. An unexpected finding was the importance of reflective clinical research.
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Abstract
The Nurse Executive Committee for Research and Inquiry (NECRI) was established to align clinical inquiry with nursing clinical operations to advance nursing science and improve patient care and outcomes for patients and their families. The authors describe the development, structure, and function of NECRI, outcomes to date, and infrastructure necessary to support a sustainable model.
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Stories and Music for Adolescent/Young Adult Resilience During Transplant Partnerships: Strategies to Support Academic-Clinical Nurse Collaborations in Behavioral Intervention Studies. CLIN NURSE SPEC 2017; 31:195-200. [PMID: 28594670 DOI: 10.1097/nur.0000000000000305] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
Evidence-based nursing is in the forefront of healthcare delivery systems. Federal and state agencies, academic institutions, and healthcare delivery systems recognize the importance of nursing research. This article describes the mechanisms that facilitate nursing partnerships yielding high-level research outcomes in a clinical setting. A phase-II multicenter behavioral intervention study with pediatric stem cell transplant patients was the context of this academic/clinical research partnership. Strategies to develop and maintain this partnership involved a thorough understanding of each nurse's focus and barriers. A variety of communication plans and training events maximized preexisting professional networks. Academic/clinical nurses' discussions identified barriers to the research process, the most significant being role conflict. Communication and validation of benefits to each individual and institution facilitated the research process during challenging times. Establishing strong academic/clinical partnerships should lead to evidence-based research outcomes for the nursing profession, healthcare delivery systems, and patients and families.
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Hines S, Kynoch K, Munday J, McArdle A. Evidence-Based Practice Education for Better Knowledge, Attitudes, and Practices in Nurses and Midwives. J Contin Educ Nurs 2017. [DOI: 10.3928/00220124-20170517-05] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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Scala E, Price C, Day J. An Integrative Review of Engaging Clinical Nurses in Nursing Research. J Nurs Scholarsh 2016; 48:423-30. [DOI: 10.1111/jnu.12223] [Citation(s) in RCA: 44] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/23/2016] [Indexed: 11/29/2022]
Affiliation(s)
- Elizabeth Scala
- Research Program Coordinator; The Johns Hopkins Hospital; Baltimore MD USA
| | - Carrie Price
- Clinical Informationist; Johns Hopkins University; Baltimore MD USA
| | - Jennifer Day
- Nu Beta , Nurse Researcher; The Johns Hopkins Hospital; Baltimore MD USA
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