Happy Holidays! Here are my picks from the nursing literature for December. SJO and CHOC staff have access to the articles by contacting Burlew Medical Library.
1. Nurse Educ Today. 2014 Jan;34(1):132-7.
doi:
10.1016/j.nedt.2012.09.006. Epub 2012 Sep 30.
Embracing a culture in conducting research requires more
than nurses' enthusiasm.
Loke JC, Laurenson MC, Lee KW.
Abstract
AIMS:
This study explored the perceptions of clinical nurses
about their research knowledge and experiences to highlight any gaps in nurse
education in supporting research activities in healthcare organisations.
BACKGROUND:
Nurses' research activities have been encouraged by
moving hospital-based nurse education into higher education institutions
whereby there is a stronger emphasis on teaching and developing nursing
research at both undergraduate and post graduate levels. They were further
encouraged by the introduction of advanced nurse practitioner roles, in the
hope to increase opportunities for research participation. Whilst nurses' research
activities have been explored in many countries, nurses in Singapore where
there is a strong emphasis on evidence-based practice have not been
investigated.
METHODS:
A mixed-methods exploratory descriptive design, using a
questionnaire based on open and closed questions was employed to obtain the
views of clinical nurses about their capacity and organisational support in
conducting research. The questionnaires were distributed to convenient samples
who attended one of the 4 research seminars held on separate occasions between
July and August 2011 in Singapore.
RESULTS:
A total of 146 nurses were recruited. Whilst nurses
demonstrated strong enthusiasm in conducting research, this characteristic
feature was not adequate for them to embrace a research culture in
organisations. Active participation as co-investigators was not possible in
healthcare organisations where skewed distribution of resources towards medical
and nurse researchers was perceived.
CONCLUSIONS:
The results suggest a need for a significant shift in
focus on educational training from imparting research contents to providing
opportunities to experience the research process. Organisational support in
terms of protected time and financial support ought to be in place for nursing
research experience. The findings also demonstrated that in places where
organisational support was available, awareness of research opportunities such
as educational and organisational support needed to be strengthened. This in
turn would enable more nurses particularly those who provide direct patient
care to conduct research within the context of the competing nursing practice
demands.
2. Nurse Pract. 2013 Dec 10;38(12):1-7.
doi:
10.1097/01.NPR.0000437576.14143.b9.
Lean methodology: An evidence-based practice approach for
healthcare improvement.
Johnson PM, Patterson CJ, Oʼconnell MP.
Abstract
Lean methodology, an evidence-based practice approach
adopted from Toyota, is grounded on the pillars of respect for people and
continuous improvement. This article describes the use of Lean methodology to
improve healthcare outcomes for patients with community-acquired pneumonia. Nurse
practitioners and other clinicians should be knowledgeable about this
methodology and become leaders in Lean transformation.
3. J Adv Nurs. 2013 Dec;69(12):2622-34.
doi:
10.1111/jan.12152. Epub 2013 Apr 18.
Re-examining definitions of spirituality in nursing
research.
Reinert KG, Koenig HG.
Abstract
AIM:
To discuss the definition of spirituality and its
limitations for nursing research. It proposes a definition that will capture
more accurately the role of spirituality in health outcomes.
BACKGROUND:
Studies have increasingly examined spirituality in nursing
research as a coping mechanism attenuating the negative impact of traumatic
stress on mental health. Existing definitions of spirituality in nursing
research include elements of positive emotional states (meaning, purpose,
general well-being) which confound mental health outcomes.
DATA SOURCES:
Medline and CINAHL databases were searched from 2007-2011
for research articles examining spirituality definitions and measures used by
nurse researchers.
DISCUSSION:
An analysis of the definitions of spirituality in nursing
research reveals inconsistencies and confounding mental health concepts. The
authors propose defining spirituality in the context of religious involvement
when conducting research, while using a broader definition of spirituality when
providing spiritual care. They argue such definition provides a more
appropriate method of measuring this concept in research aimed at evaluating
mental health outcomes while preserving the currently used patient-defined
definition of spirituality when providing spiritual care.
NURSING IMPLICATIONS:
A consistent definition of spirituality in nursing
research evaluating mental health outcomes, distinct from 'spiritual care' in a
clinical setting, is essential to avoid tautological results that are
meaningless. Appropriate definitions will enable nursing researchers to more
clearly identify resilience mechanisms and improved health outcomes in those
exposed to traumatic stress.
CONCLUSION:
A definition of spirituality that focuses on religious
involvement provides a more uniform and consistent measure for evaluating
mental health outcomes in nursing research.
4. Nurse Educ Today. 2013 Dec;33(12):1550-6.
doi:
10.1016/j.nedt.2013.01.005. Epub 2013 Feb 8.
Enhancing communication with distressed patients,
families and colleagues: the value of the Simple Skills Secrets model of
communication for the nursing and healthcare workforce.
Jack BA, O'Brien MR, Kirton JA, Marley K, Whelan A,
Baldry CR, Groves KE
Abstract
BACKGROUND:
Good communication skills in healthcare professionals are
acknowledged as a core competency. The consequences of poor communication are
well-recognised with far reaching costs including; reduced treatment
compliance, higher psychological morbidity, incorrect or delayed diagnoses, and
increased complaints. The Simple Skills Secrets is a visual, easily memorised,
model of communication for healthcare staff to respond to the distress or
unanswerable questions of patients, families and colleagues.
OBJECTIVES:
To explore the impact of the Simple Skills Secrets model
of communication training on the general healthcare workforce.
DESIGN AND METHODS:
An evaluation methodology encompassing a quantitative
pre- and post-course testing of confidence and willingness to have
conversations with distressed patients, carers and colleagues and qualitative
semi-structured telephone interviews with participants 6-8 weeks post course.
PARTICIPANTS:
During the evaluation, 153 staff undertook the training
of which 149 completed the pre- and post-training questionnaire. A purposive
sampling approach was adopted for the follow up qualitative interviews and 14
agreed to participate.
RESULTS:
There is a statistically significant improvement in both
willingness and confidence for all categories; (overall confidence score,
t(148)=-15.607, p=<0 .05="" 6.171="" 8.171="" a="" additional="" and="" approach="" between="" carers="" clinical="" communicating="" confidence="" course="" data="" difference="" differently="" from="" greatest="" improvement="" in="" including:="" is="" mean="" method="" model="" no="" obtained="" of="" overall="" p="" post="" practice="" pre-course="" qualitative="" registered="" reported.="" score="" several="" significant="" skills.="" staff.="" statistical="" structured="" support="" t="" the="" themes="" there="" thinking="" to="" value="" was="" were="" willingness="" with="">
CONCLUSION:
This model can be suggested as increasing the confidence
of staff, in dealing with a myriad of situations which, if handled
appropriately can lead to increased patient and carers' satisfaction. Empowering
staff appears to have increased their willingness to undertake these
conversations, which could lead to earlier intervention and minimise distress.
5. Appl Nurs Res. 2013 Nov;26(4):263-8.
doi:
10.1016/j.apnr.2013.05.004. Epub 2013 Aug 6.
Why isn't evidence based practice improving health care
for minorities in the United States?
Lee H, Fitzpatrick JJ, Baik SY.
Abstract
Achieving health equity by improving the health care of
all racial/ethnic groups is one of the key goals of Healthy People 2020. The
implementation of evidence based practice (EBP) has been a major recommendation
to achieve health equity in hopes of eliminating the subjectivity of clinical
decision making. However, health disparities among racial/ethnic minorities are
persistent in spite of the adoption of standardized care based on evidence. The
EBP with racial and ethnic minorities is often seen as a possible cause of
health and health care disparities. Three potential issues of using EBP to
reduce health disparities have been identified: (1) a lack of data for EBP with
ethnic/racial minority populations; (2) limited research on the
generalizability of the evidence based on a European-American middle-class; and
(3) sociocultural considerations in the context of EBP. Using EBP to reduce
disparities in health care and health outcomes requires that nurse
professionals should know how to use relevant evidence in a particular
situation as well as to generate knowledge and theory which is relevant to
racial/ethnic minorities. In addition, EBP implementation should be
contextualized within the sociocultural environments in which patients are
treated rather than solely focusing on the health problems.
6. J Emerg Nurs. 2013 Nov;39(6):657-9. doi:
10.1016/j.jen.2013.09.004.
Translating research to practice: bringing emergency
nursing research full circle to the bedside.
Carman MJ, Wolf LA, Baker KM, Clark PR, Henderson D,
Manton A, Zavotsky KE.
7. Nurse Educ Today. 2013 Nov;33(11):1295-300.
doi:
10.1016/j.nedt.2013.03.010. Epub 2013 Apr 21.
IMPAD-22: a checklist for authors of qualitative nursing
research manuscripts.
Salzmann-Erikson M.
Abstract
OBJECTIVE:
The aim of this paper is to develop a checklist for
authors preparing qualitative nursing research manuscripts, specifically
focusing on the method section.
DESIGN:
Literature review.
DATA SOURCES:
15 articles were purposefully selected from three
different nursing journals.
REVIEW METHODS:
Evans' four step process was used to synthesize the
method sections of the included articles.
RESULTS:
Four main categories were identified 1) Ingress and
Methodology, 2) Participants, 3) Approval, and 4) Data: Collection and
Management. Based on the categories and sub-categories, a 22-item checklist was
developed.
DISCUSSION AND CONCLUSIONS:
Earlier guidelines for formal reporting were developed
for qualitative research in general. The main advantage and contribution of
IMPAD is that it provides a 22-item checklist specifically aimed towards the
method section, and furthermore, it was developed specifically for authors
within the field of nursing research.
8. Clin J Oncol Nurs. 2013 Oct;17(5):544-9.
doi:
10.1188/13.CJON.544-549.
The experience of implementing evidence-based practice
change: a qualitative analysis.
Irwin MM, Bergman RM, Richards R.
Abstract
The Oncology Nursing Society (ONS) and ONS Foundation
worked together to develop the Institute for Evidence-Based Practice Change
(IEBPC) program to facilitate the implementation of evidence-based practice
(EBP) change in nursing. This analysis describes the experience of 19 teams of
nurses from various healthcare settings who participated in the IEBPC program.
Qualitative analysis of verbatim narratives of activities and observations
during the process of implementing an EBP project was used to identify key
themes in the experience. EBP implementation enabled participants to learn
about their own practice and to experience empowerment through the evidence,
and it ignited the spirit of inquiry, team work, and multidisciplinary
collaboration. Experiences and lessons learned from nurses implementing EBP can
be useful to others in planning EBP implementation.
9. Intensive Crit Care Nurs. 2013 Oct;29(5):256-60.
doi:
10.1016/j.iccn.2013.03.004. Epub 2013 May 11.
APN-led nursing rounds: an emphasis on evidence-based
nursing care.
Mahanes D, Quatrara BD, Shaw KD.
Abstract In today's
healthcare environment, nursing staff are challenged to care for patients with
increasingly complex needs in an ever-changing environment. Nurses are expected
to stay up to date on a tremendous number of institutional initiatives, best
practice guidelines, and policies and procedures. These practice imperatives
are often disseminated through passive means of information-sharing such as
staff meetings and electronic mail. In this setting, it is difficult for nurses
to simultaneously focus on incorporating practice updates while continuing to
value basic nursing functions such as oral care, skin care, and incontinence
management. The concept of Interventional Patient Hygiene emphasises that basic
nursing functions are not only tasks, but also important evidence-based
interventions that contribute to improved health for the patient.
Interventional Patient Hygiene facilitates the integration of science and
practice. This article describes a quality improvement intervention, Advanced
practice nurse-led nursing rounds, which supports Interventional Patient
Hygiene and be used to help staff integrate best practices while balancing the
multiple priorities inherent in nursing care.
10. J Contin Educ Nurs. 2013 Oct;44(10):447-54.
doi:
10.3928/00220124-20130801-45. Epub 2013 Aug 8.
A hospital nursing research enhancement model.
Edward KL, Mills C.
Abstract
Evidence-based practice is fundamental to nursing, yet
there are many reports in the literature of the difficulty associated with
incorporating research activity that leads to evidence-based practice into
daily practice. This study used a hospital-based research enhancement model
(HREM) to plan, develop, and implement a research outreach ward-based seminar
(ROWS) program and evaluate its effectiveness as a means for nurses to increase
their knowledge and capacity in research and evidence-based practice. A survey
was used to collect both quantitative and qualitative data for evaluation of
the program. A total of 78 evaluations were returned after ROWS attendance.
Three main themes from the survey were explored. These include accessibility of
research, appreciation and application of research, and training in research.
The results suggested that nurses are interested in participating in research
activities, including projects, best practice forums, journal clubs, and seminars.
The HREM can address some common barriers to an evidence-based practice culture
and the application of evidence-based practice within nursing.
11. J Nurs Adm. 2013 Oct;43(10):509-16.
doi:
10.1097/NNA.0b013e3182a3e7ff.
Using a shared governance structure to evaluate the
implementation of a new model of care: the shared experience of a performance
improvement committee.
Myers M, Parchen D, Geraci M, Brenholtz R,
Knisely-Carrigan D, Hastings C.
Abstract
Sustaining change in the behaviors and habits of experienced
practicing nurses can be frustrating and daunting, even when changes are based
on evidence. Partnering with an active shared governance structure to
communicate change and elicit feedback is an established method to foster
partnership, equity, accountability, and ownership. Few recent exemplars in the
literature link shared governance, change management, and evidence-based
practice to transitions in care models. This article describes an innovative
staff-driven approach used by nurses in a shared governance performance
improvement committee to use evidence-based practice in determining the best
methods to evaluate the implementation of a new model of care.
12. J Nurs Adm. 2013 Oct;43(10 Suppl):S42-50.
doi:
10.1097/01.NNA.0000435150.13788.34.
Creative approaches to increasing hospital-based nursing
research.
Wilson B, Kelly L, Reifsnider E, Pipe T, Brumfield V.
13. J Nurs Adm. 2013 Oct;43(10 Suppl):S28-35.
doi:
10.1097/01.NNA.0000435148.24090.ea.
National survey of hospital nursing research, part 1.
Research requirements and outcomes.
Kirkpatrick McLaughlin M, Gabel Speroni K, Patterson
Kelly K, Guzzetta CE, Desale S.
14. J Nurs Adm. 2013 Oct;43(10 Suppl):S36-41.
doi:
10.1097/01.NNA.0000435149.31714.7b.
National survey of hospital nursing research, part 2.
Facilitators and hindrances.
Patterson Kelly K, Turner A, Gabel Speroni K, Kirkpatrick
McLaughlin M, Guzzetta CE.
15. J Nurs Care Qual. 2013 Oct-Dec;28(4):319-26.
doi:
10.1097/NCQ.0b013e3182852ce7.
Exploring factors associated with nurses' adoption of an
evidence-based practice to reduce duration of catheterization.
Conner BT, Kelechi TJ, Nemeth LS, Mueller M, Edlund BJ,
Krein SL.
Abstract Hospitalized adult patients are at increased risk for adverse
outcomes, particularly when undergoing invasive procedures that include
indwelling urinary catheterization. This study identified factors associated
with nurses' adoption of an evidence-based practice to reduce the duration of
catheterization and potential for catheter-associated urinary tract infections
in hospitalized adults.
