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Abstract: Nursing is an evidence-based profession that
uses the latest and best research to improve nursing practice and patient
outcomes. Nursing research is needed to generate knowledge and develop
nursing care. Despite this, the role of the research nurse is poorly understood
and appreciated. This article discusses the importance of the nurses' role in
clinical research and provides information on how to pursue a career in
research.
3. Analysis and Use of
Different Research Review Approaches in Nursing.
Cope, Diane
G.;
Oncology Nursing Forum, 2014 Mar; 41 (2): 207-8.
Abstract:
Asignificant increase in nursing research is being conducted as the nursing
profession shifts from "ritual" clinical decisions to practice based
on research evidence. Evidence-based practice is now an accepted, essential
foundation for high-quality patient care. Initially, best practice was based on
a few randomized, controlled trials that reflected similar clinical problems.
However, with the plethora of nursing research to date, evidence-based nursing
practice currently is grounded in summaries of research or research reviews,
resulting in robust findings used in the development of clinical guidelines.
Several terms exist for reviews, such as literature, integrative, systematic,
meta-analysis, and metasynthesis. Similarities can be noted among the types of
reviews; however, the objectives and goals of each method differ and the terms
should not be used synonymously. This article will define each of the
literature and research reviews and discuss methodologic procedures for
conducting each method.
4. Creating a Culture of
Caring.
Letcher, Deborah C.; Nelson, Margot L.;
Journal of Nursing
Administration, 2014 Mar; 44 (3): 175-86.
5. The Iowa Model of
Evidence-Based Practice to Promote Quality Care: An Illustrated Example in
Oncology Nursing.
Brown, Carlton G.;
Clinical Journal of Oncology Nursing,
Apr2014; 18 (2): 157-159.
6. Evidence to Change
Practice: Creating a Restful Hospital Environment for Nurses and
Patients.
Hinkulow, Maricel B.;
Archives of Psychiatric Nursing, 2014 Feb; 28
(1): 74-5.
7. Evidence-based
nursing explained.
Smith, Joanna; Cappleman, Julia;
Nursing Children & Young
People, 2014 Feb; 26 (1): 12.
8. The Establishment of
Evidence-Based Practice Competencies for Practicing Registered Nurses and
Advanced Practice Nurses in Real-World Clinical Settings: Proficiencies to
Improve Healthcare Quality, Reliability, Patient Outcomes, and Costs.
Melnyk, Bernadette Mazurek; Gallagher-Ford, Lynn; Long, Lisa English;
Fineout-Overholt, Ellen;
Worldviews on Evidence-Based Nursing, 2014; 11 (1):
1st Quarter: 5-15.
Abstract: Background Although it is widely known that evidence-based practice (EBP)
improves healthcare quality, reliability, and patient outcomes as well as
reduces variations in care and costs, it is still not the standard of care
delivered by practicing clinicians across the globe. Adoption of specific EBP
competencies for nurses and advanced practice nurses (APNs) who practice in
real-world healthcare settings can assist institutions in achieving high-value,
low-cost evidence-based health care. Aim The aim of this study was to develop a
set of clear EBP competencies for both practicing registered nurses and APNs in
clinical settings that can be used by healthcare institutions in their quest to
achieve high performing systems that consistently implement and sustain EBP.
Methods Seven national EBP leaders developed an initial set of competencies for
practicing registered nurses and APNs through a consensus building process. Next,
a Delphi survey was conducted with 80 EBP mentors across the United States to
determine consensus and clarity around the competencies. Findings Two rounds of
the Delphi survey resulted in total consensus by the EBP mentors, resulting in
a final set of 13 competencies for practicing registered nurses and 11
additional competencies for APNs. Linking Evidence to Action Incorporation of
these competencies into healthcare system expectations, orientations, job
descriptions, performance appraisals, and clinical ladder promotion processes
could drive higher quality, reliability, and consistency of healthcare as well
as reduce costs. Research is now needed to develop valid and reliable tools for
assessing these competencies as well as linking them to clinician and patient
outcomes.
9. Advancing advanced
practice — Clarifying the conceptual confusion.
Stasa,
Helen; Cashin, Andrew; Buckley, Thomas; Donoghue, Judith;
Nurse Education
Today, 2014 Mar; 34 (3): 356-61.
Abstract: Summary:
Background: In recent years, there has been a substantial increase in the
number of nurses holding advanced practice nursing positions. However, the lack
of clarity regarding key terms such as ‘advanced practice nursing’, ‘advanced
nursing practice’, ‘scope of practice’ and ‘extended practice’, and
international variability in how these terms are used has created significant
confusion. This lack of clarity is problematic for nurses, other health
professionals, health service consumers, educators and policy makers,
particularly given the global mobility of the nursing workforce. Objectives: 1)
To highlight the significant international variability in how advanced practice
nursing, and associated terms such as extended and expanded practice, are
defined and regulated across a variety of different English speaking countries,
including the US, UK, New Zealand, Canada and Australia. 2) To propose
innovative formulations for how the nursing profession may attempt to ensure
greater precision and agreement around advanced practice terminology. Design:
Discursive paper. Results: It was found that there is a considerable lack of
clarity regarding the precise definitions of key terms surrounding the
discussion of advanced practice. Additionally, there are large disparities in
how the five chosen countries regulate advanced practice nursing, and roles
such as that of the nurse practitioner. Conclusions: It is suggested that the
confusion regarding advanced practice terminology can be reduced definitionally
by minimising the use of the term ‘expanded practice’; defining advanced
practice nursing to refer to the type of practice in defined and regulated
advanced practice nursing scopes; and defining advanced nursing practice as
expert practice within a regulated nursing scope.
10. Understanding the
Role of the Professional Practice Environment on Quality of Care in Magnet® and
Non-Magnet Hospitals.
Stimpfel, Amy Witkoski; Rosen,
Jennifer E.; McHugh, Matthew D.;
Journal of Nursing Administration, 2014 Jan;
44 (1): 10-6.
Abstract: OBJECTIVE:
The aim of this study was to explore the relationship between Magnet
Recognition® and nurse-reported quality of care. BACKGROUND: Magnet® hospitals
are recognized for nursing excellence and quality patient outcomes; however,
few studies have explored contributing fac-tors for these superior outcomes.
METHODS: This was a secondary analysis of linked nurse survey data, hospital administrative
data, and a listing of American Nurses Credentialing Center Magnet hospitals.
Multivariate regressions were modeled before and after propensity score
matching to assess the relationship between Magnet status and quality of care.
A mediation model assessed the indirect effect of the professional practice
environ-ment on quality of care. RESULTS: Nurse-reported quality of care was
sig-nificantly associated with Magnet Recognition after matching. The
professional practice environment me-diates the relationship between Magnet
status and quality of care. CONCLUSION: A prominent feature of Magnet
hospitals, a professional practice environment that is supportive of nursing,
plays a role in explaining why Magnet hospitals have better nurse-reported quality
of care.
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