Developing a community-responsive research model in the healthcare system: a mixed-method study

BACKGROUND

Responsiveness to the population's non-clinical needs encompasses various dimensions, including responsive research and an educational outreach plan at the community level. This study aims to develop a community-responsive research model in the healthcare system to ensure the connection between community-identified health priorities and research funds, as well as capacity-building efforts.

METHODS

A mixed-methods research study was conducted in three main phases, including a comprehensive literature review, a qualitative analysis of an expert panel's points of view, and the developing of a model using the Equation Modeling (SEM) technique. R software version 3.2.4 was used to conduct statistical analysis, considering a significance level of 0.05.

RESULTS

Based on the literature review, 41 responsiveness components were identified from sixteen relevant studies conducted between 2000 and 2022. Ten sub-themes in four major themes, including planning, implementation, monitoring and evaluation, and action, were identified through qualitative content analysis. Standardized coefficients revealed that components such as dissemination of results to all stakeholders, research prioritization aligned with community needs, commitment to implement research findings, and collaborative learning had statistically significant effects on the community-responsive research model.

CONCLUSION

It is essential to identify community health priorities by following a community-focused, priority-setting process based on the principles of community engagement to develop a community-responsive research model. Afterward, dissemination of research findings to all stakeholders, commitment to apply the obtained results in the real world, and promotion of shared learning among research partners have been proven to facilitate collaborative investigation and mutual understanding between the community and academic partners.

Keeping it real: evidence-based practice in home healthcare

Evidence-based practice (EBP) is a vital element of home health nursing. As healthcare becomes more costly, and more complex care is rendered in the home, the need for systematic inquiry to address the needs of clients and families is imperative. This essential systematic inquiry into nursing interventions and evaluation of clients' responses to those interventions may well transform the home health industry.The ultimate goal of nursing care is to optimize quality outcomes for patients, families, and populations, as well as healthcare providers and systems. Using a clinical case study, the authors discuss a step-by-step EBP process incorporating the nursing process from assessment of current practice to formulating a well-defined clinical question that addresses an identified problem through evaluation of the selected interventions effectiveness and efficacy.

A survey of clinical nursing skills in intellectual disability nursing

In this study the question asked is: what clinical nursing skills are predominantly used in intellectual disability nursing? A survey of the nursing needs of people with moderate to severe intellectual disability in both residential and community units was undertaken with a questionnaire. The measure was a Likert design scale ranging across: skills used more than once a day, skills used daily, skills used weekly, skills used monthly, skills very rarely used, and skills never used. The results of the study help to identify, plan, and direct the type and level of nursing skills taught to the intellectual disability nursing students and provides an insight into the current nursing skills used in the intellectual disabilities field.