the systematic , rigorous, investigation with the aim of answering Qs about nursing
Research phenomenon
Phenomenon occurrence, circumstances, or facts that are perceptible by the senses
- expands scientific knowledge
- foundation for evidence-informed nursing
Significance of Research - allows practice to advance and adapt to current issues and environment
- maintain professional relevance
evidence-based practice nursing care provided that is supported by sound scientific rationale
The incorporation of evidence from research, clinical expertise, client preferences,
and other sources to make decisions about client care.
Evidence-informed practice - includes ways of knowing, indigenous knowledge, cultural and religious norms and
clinical judgement
making a continuous, interactive process involving the explicit, conscientious, and
Evidence-informed practice and judicious consideration of the best available evidence
- community based care
- reduce disparities
- health promotion and risk reduction,
Research trends - reduce nosocomial diseases
- reduce comorbid conditions
- emphasis on provider accountability on quality and cost outcomes,
- aging population,
- interdisciplinary collaboration
Research trends - technology to serve humans
- needs of indigenous people
appraise research evidence & use existing standards to determine merit &
consumer of research readiness for use in clinical practice
- consumer: engage in research & activities that promote safe, competent, &
compassionate ethical care
nurses role in research - generator of clinical questions (MD/PHD)
- protector of research participants - unethical practice
19th Century
- 1860 publishes notes in nursing - a systematic collection and exploration of data to
Florence Nightingale support health promotion and disease prevention = decreased mortality rate
20th century nursing
1900-1960
- emphasis on education not research
- American Nursing Association publishes
'Nursing Research'
- First masters program at
UWesternOntario
- development of nursing theories and
practice guides
- first fed grants for nursing research
- **McGill opens 1st nursing research center (1971)**
- Doctoral programs at UofA (91), EBC, McGill, UofT,
20th century nurisng - Canadian Health Services Research Foundation (CHSRF) gives nursing $25million
- CHSRF & CIHR give 5 grants for nursing
21st century nursing
- Canadian Association Schools of Nursing develop PhD programs
2000-2012
- repetition/replication of studies provides depth and promotes generalizability of
findings
Depth in Nursing Research - repeats in geographical areas
- **Nancy Edwards, Ottawa, Elderly fall prevention**
, Research NSG3301 Midterm Questions & Answers
uses networks, databases, websites, funding, and respect for cultural perspectives
International Council of Nursing to do global cross-cultural and cross-national studies
CIHR priorities:
- enhance patient experience and outcomes
- health and wellness for indigenous peoples
Canadian Institute for Health Research - preventative health care
- improve quality of life for pts with chronic conditions
- expands knowledge that forms evidence-informed nursing practice.
Nursing research - links education, theory, and practice
1. knowledge gap: nurses ask questions, lack of theoretical/empirical knowledge
2. knowledge generation: qs asked about phenomenon, qualitative & quantitative to
answer qs
3. knowledge distribution: formal & informal
Knowledge development 4. knowledge adoption: develop policies and alter practice
5. knowledge review & revision: new qs lead to new research
- scientific knowledge
- guide for evidence-informed practice
- quant & qualit research,
Theoretical knowledge is informed by - develop and test theories,
Empirical Knowledge - observe and measure case-specific phenomenon
knowledge beyond nurse/pt relationship. aware of how society is organized;
Sociopolitical knowledge understand culture, society and politics
knowledge about the art of nursing, expressive and creative; art, music, stories that
aesthetic knowledge share a deep understanding of the human experience
knowledge that comes from experience as a nurse, a maturing a holistic awareness.
- a continual life process from deep reflection good for interpersonal relationships
Personal knowledge
knowledge gained through repeated experience = efficiency.
Experiential knowledge Novice -> competent > expert > practitioner (fully engaged and able to respond)
knowledge of the morals of nursing - principles, codes, judgement of right &
Ethical knowledge responsible, including conflict resolution
a set of beliefs and practices shared by a community of researchers and guides the
Paradigm knowledge development process
Ontology The study of being - what it means to say something exists or is real
Epistemology the study of knowledge, "How do we know what we know?"
discipline-specific principles, rules, and procedures that guide the research process
methodology
The personal, social, and political environment in which a phenomenon of interest
context occurs
aim of inquiry goals or specific objectives of the research
- a material world exists but not all things can be understood, sensed, or explained
by cause and effect
- the senses provide us with an imperfect understanding of the external/ material
Post-Positivist Paradigm world
Ontology - what exists QUANTITATIVE
research values personal beliefs of the researcher