Importance of Research in Nursing Practice and Theories

Importance of seek in Nursing Practice and TheoriesIntroductionThis essay will consider the commentary of nurse look, different types of query and design, and why research is important in nursing figure. It will also illustrate examples of research influencing practice, and make recommendations for current or future practice.Main BodyNursing research tush be defined as any scientific (i.e. systematic) enquiry into the effectiveness or look on of nursing practice (Parahoo, 1997 Sullivan, 1998 Polit Beck, 2004). It denotes any verifiable indicate on which nursing lot is based. This includes both quantitative and soft research evidence (Comack, 1996).Qualitative research essentially entails analysis of individual subjective experience. It focuses on meanings and experiences as conveyed for example through philosophies such as grounded theory, phenomenology, discourse analysis, and experientialism (Coolican, 1994). Data collection is typically in the form of interviews, cas e studies, and systematic observation, while data analysis generally involves the identification of themes, for example through thematic analysis. Quantitative research relies on positive philosophy, where only measurable phenomena are considered worthy of investigation. Randomised clinical trials (i.e. controlled experiments) are the preferred method of inquiry albeit questionnaire and archive-based surveys, in the form of retrospective or future designs, and other methodologies, may also be used. Data analysis is based on statistical tests (Howitt Cramer, 2005).Why is research important? Given the growing emphasis on evidence-based practice in nursing care across the Western world (Sullivan, 1998), there is a need for an ample body of accumulated empirical evidence to which nurses can refer in order to inform clinical practice (Polit Beck, 2004). Any responsible and accountable vocation claiming to be a profession, and soluble to a professional body, requires an empirical evidence base. This is the only way that standards of practice can be evaluated and improved, for the pull in of the general public. The value of empirical evidence, as contrasted with passing(a) observation and anecdotes, is that it is systematic and typically obtained under controlled conditions. Research enables nursing practice to keep pace with a rapidly changing world in which health care practices must continually improve to meet changing and ever more demanding patient expectations and requirements (Eastabrooks, 1998). Only through continued research activity can appropriate evidence-based best practice guidelines be introduced to ensure the good quality nursing care (Ring et al, 2005).Examples where research influences nursing practice arent difficult to take in (Polit Beck, 2004). A review of electronic databases such as Internurse, High-Wire Press, Science Direct, and Academic Search Premier, yields an abundance of quantitative and qualitative studies on nursing prac tice. Five alter examples are as follows, including both quantitative and qualitative research Meyer et al (2002) Barr et al (2005) Hughes Umeh (2005) Ring et al (2005), and Lee Knight (2006).Meyer et al (2002) conducted a randomised clinical trial contrasting the effectiveness of two different bandaging techniques nurses use for treating venous leg ulcers. The study showed that ulcers treated with higher compression bandaging didnt heal any quicker than ulcers administered lower compression bandages.Barr et al (2005) studied archived data of all self-harm patients who presented at A E units over a given period, to ascertain the extent to which nurses carry out psychosocial assessment. It emerged that nurses do not always conducted psychological evaluations, as stipulated. However, patients were more likely to be assessed if they were considered high happen.Hughes and Umeh (2005) studied stresses experienced by nurses at work. Extremely heavy and stressful workloads can impai r the quality of nursing care, for example by increasing the frequency of sick leave. Certain nursing groups may be more susceptible to stress, with implications for clinical practice. This study was based on a questionnaire survey, administered to general and psychiatric nurses. digest revealed that general nurses experienced more stress than their psychiatric counterparts, notably in the absence of social support from colleagues, friends, and family.Ring et al (2005) employed a qualitative design to evaluate the degree to which nurses adhere to best practice statements (BPS) in clinical practice. BPS reduce variations in the quality of care patients receive, and hence is a fundamental component of clinical practice. The methodology involved conducting semi-structured interviews with a small group of registered nurses involved in the formulation of BPS. Several themes emerged from the data, indicating considerable variation in the implementation of BPS.Hareendran et al (2005) also used a qualitative method. This study aimed to establish the effect that venous leg ulcers may have on a patients quality of life. Patients suffering from venous ulcers attended semi-structured interviews and completed a questionnaire. Interview transcripts showed that ulcers caused uncomfortable symptoms (e.g. itching, pain, interrupted sleep) in the majority of patients. Furthermore, one-half of patients were dissatisfied with the quality of care they received.Clearly, these examples illustrate how research evidence can influence clinical practice. For example, Meyer et als (2002) study could facilitate understanding of the impact of bandaging, and improve care delivery, such that ulcer patients arent unnecessarily inconvenienced by highly compressed bandaging which clearly isnt going to speed up recovery. Hughes and Umehs (2005) study may lead to better redistribution of workloads, and more potent social support systems, thereby maintain the quality of care nurses dispense.Despi te the advantages, there are significant barriers to research utilisation. Consider the notion of best practice guidelines. These are standards firmly rooted in empirical research, consistent with ethos of evidence-based practice. However, nurses have identified considerable hindrances to such evidence-based practice (Polit Beck, 2004), including a lack of resource, deficient training, a general apathy towards change amongst nursing staff, multidisciplinary issues that are difficult to resolve, and a lack of inspirational clinical leadership at local level (Ring et al, 2005). One way to resolve these hindrances is clearly by improving nurse training, for example, in how to translate raw research findings into practice, and/or liase with other health professionals in working out how best to implement a best-practice statement. Nurses can also be encouraged to form and/or essence a journal club (Wikipedia, 2006). This is essentially a group of individuals who convene on a regular b asis to review recent empirical findings and by chance work out feasible modalities to translate evidence into practice.ConclusionOverall undertaking rigorous research and translating evidence into practice are indispensable elements in the development of any profession, and nursing practice is no exception. On a positive note there is continued (and growing emphasis) on evidence-based nursing practice, back up by both the Department of Health, and Nursing Midwifery Practice Development Unit (NMPDU). Despite inconsistent implementation, nursing care is likely to continue to benefit from empirical research. However, on a less optimist note, a review of nursing research indicates a paucity of randomised clinical trials. The bulk of empirical evidence appears to be based on less rigorous research methodologies, making it difficult to establish causal relationships. For example, although qualitative evidence has revealed potential barriers to research utilisation, it isnt certain the re is a causal link between these factors. Future research needs to redress this imbalance.BibliographyBarr, W., Leitner, M. Thomas, J. (2005) Psychosocial assessment of patients whoattend an accident and emergency division with self-harm. journal ofPsychiatric Mental Health Nursing, 12, pp.130-138.Coolican, H. (1994) Research Methods and Statistics in Psychology. London Hodder Stoughton.Cormack, D. (2000) The Research Process in Nursing Fourth Edition. LondonBlackwell Science.Eastabrooks, C.A. (1998) Will evidence-based nursing practice make practice perfect.Canadian Journal of Nursing Research. 30, pp.15-36.Lee, S. Knight, D. (2006) District nurses involvement in mental health anexploratory survey. British Journal of partnership Nursing, 11, pp.138-142.Hafner, J., Botonakis, I. Burg, G. 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